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I don't think that you can paint all LTC facilities with the same brush: some are truly horrific, some are so-so, and some are great. It comes down to the DON. If you are fortunate to work in a...

NurseCard, I can certainly relate to not wanting to take care of a particular resident; we had one who would flat out tell you that she didn't care if others needed help, she wanted all of your...

I, too, am grateful for your inclusive message, and I say that as an agnostic! I don't believe that I am doing god's work simply because I don't believe in god, but I strongly believe that I am...

I've done so, but so many docs don't want a pt to become "addicted" to narcs or don't want to be perceived as the doc who dopes up their pts. I know a lot of nurses who feel this way as well, so...

I, too, think that a little fever is a good thing, as long as they are not uncomfortable (I work in LTC). We have a lot of residents who are one the max daily dose of tylenol for pain management, so...

AmberEyes, I am so sorry that you lost your job; I am glad that you were honest about your mistakes but I wish that your boss had been more supportive and given you more time orienting. I would...

The new nurse came to me last night (I've been off for five days, huzzah) and hugged me. Said that she appreciated my help and asked me to sign off of her items. I first showed her the IV policies...

OP, I wonder who turned you in or how the pt found out that they were not actually getting the Ativan...you've learned your lesson about honesty and careful documentation, but it sounds as if you...

Thanks for the info...I've added assessments to my list of stuff to review. Can't wait for this new challenge!

Thanks for the support. I really don't care about her disrespect - my skin is pretty thick - but I do care passionately about patients and keeping my license. I rarely see our manager (I work...

I was assigned to "work with" a new RN in my LTC last week; I'm an LPN. She is almost off of orientation and is moving to the 3-11 shift and they wanted me to show her the routine on two...

I am an LPN with five years experience in sub acute nursing in a SNF, and am moving to an LTAC. I'm excited, and of course anxious because this is a higher level of nursing and I'll have to learn...

I've been an LPN for five years, working in a SNF with a mix of rehab, hospice, and LTC pts. I've got an opportunity to work for an LTAC - and I"m quite excited! Does anyone have any tips for a...

Oooooh, I'd pay good money for one of those blankets! Where did you get yours?

Other than the surveys, it is a good idea to hang out in the parking lot at shift change to see how folks look - do they come out of the building laughing and talking to each other, or do they look...

Please come and work at my facility! I'd love to work with a CNA who is willing to learn, work hard, and give good care. I'm a nurse and am weary of the silly divide between nurses and CNAs...we're...

I love love love nursing, but not my facility. There are not many options where I live (almost a monopoly here, and that seldom leads to anything good), so I'm trying to stick it out for a while...

I, too, work in a SNF and have run several codes (which usually means just CPR and AED, although a friend once pushed dextrose on someone dead from hypoglycemia - he was resuscitated). And while I...

I wonder if we ever forget our first code...I know that mine is still fresh in my mind, four years later. Sweet old guy in a SNF, very loving family, who was on dialysis. I had talked to him many...

This is a great article, and it is absolutely disgusting that what the Commuter says is true. These rouge instructors (and it seems as if every nursing program has at least one) are training future...

I think that it is a terrific idea for administrative staff to be trained as CNAs or some other capacity so that they can have a true, holistic understanding of how the facility works. At my last...

These are indeed difficult patients to handle. I understand the desire to tell the family that the pt appears comfortable, but agree with others: I would be honest and tell them that the pts pain...

I've worked in a SNF for five years, and have cared for pts on hospice, but in a SNF, hopsice really guides the care with recommendations from the SNF staff. I'd like to change my career to hospice,...

The wound care nurse at my facility LOVES wet to dry dressings, and uses them for everything, even for stuff that isn't being debrided - breaks my heart since it causes the resident a good bit of...

WldChrry, just because it has always been done that way does not mean that it is right. You are responsible for knowing your scope; you would be wise to get a copy of your facility policy and your...