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I wish violent/agitated behaviors were as easy to solve as being diagnosed with a UTI. Sorry, I get tired of hearing that one, especially when these people are already diagnosed with psych disorders...

Ive been working in LTC for the last 6 months. The longer I am here the more I feel that I am just working in a psych ward. It seems like 80% of our new admits since I have been working here are...

I have been told that it takes most new grads at least 6 months before they start to feel comfortable. Ive been working for about 6 months now and still have tons of questions and not always certain...

Hey, this just happened to me a couple of weeks ago! I had an amazingly insubordinate CNA , and by 2 am I knew I was writing her up, by 6 am I found her sleeping on the job and that was it. I told...

I was asking myself the same question a couple of months ago when I noticed the same thing where I work. I cant understand what they are thinking. There is usually only one RN in the building and...

I need some support, should probably have started my own thread. I had my first full Code last night. Im very upset about it. I had seen my resident within the one hour before this occured and had...

Yeah, pretty much. We have to call at the very least and get approval and I have had what you described, a very unstable patient who had family staying the entire time and I was called frequently...

Wow, what about Long Term Care? Guess where all those patients with Picc lines and IV antibiotics are being discharged to? Figures there would be nothing in the bill about LTC. I'lll have 40...

Im not in hospital but sometimes I feel like I work in one. Our facility has been taking on more acute residents lately , IV antibiotics, post- operative patients, isolation patients, extreme...

Wow, is that Nurse still employed at your facility? I cant imagine walking out because of an assignment. I feel for you, the last few days have been Hell where I work as well. Each shift has been...

Med pass is a major part of my job as an LPN in extended care. Working short a Nurse is not even an unusual occurance, it just results in 2 Nurses splitting up the work of what is supposed to belong...

A little background first, Im a new Grad LPN working in LTC, in school the subject of PEG tube replacement never came up, I am not trained to do it and the one thing that does stick out was that we...

I can relate to that. If I were you, I would bring an extra change of scrub pants and underthings during that time. Ive leaked through my scrubs , but luckily they were a dark color.

I understand that type of situation, it does not mean that LTC is not for you. You are a new Grad and combined with not knowing your residents its no wonder that it took you so long to pass meds....

CapeCod, what does your midnight shift consist of, outside of medications and treatments? I keep asking myself when do these residents get to sleep? LTC is every bit as bad as a hospital. Lights on...

I had to work over for the last 2 shifts I worked. The reason is that very near to end of my shift, right before I give report an incident occurs, such as a skin tear or resident behavior. What am I...

I have noticed that there always seems to be a room that is used for C-Diff patients. Is a 9/1 part bleach solution adequate for cleaning because I think that is what they are using. Ive been...

I have one hall that I never get to all the treatments, there just is not enough time. If you get a routine down it should help. If you are able to know who gets midnights meds without having to...

I had about 5 weeks of orientation as a new Grad. I still have lots of questions and dont feel totally confident yet. Ive been on my own for about 3 months part time.

I wish someone would stop the insanity. I have had exactly one resident that has a particular and oddly unreasonable schedule similar to the one you listed with meds given all night long and she is...

I have seen med-errors handled in a few different ways. Either an incident report, calling the Doctor to get approval for a one time order to "correct" the med error, Nurses circleing doses as not...

Ive been in similar situations and almost did the same thing. I hate that there is not a fail proof way of identifying the residents. (no id bands here either). Imagine being on a hall with over 30...

Sometimes I dont get everything done. I had one night last week when I didnt even touch either of my treatment books for the first time, it was also a night when I had to send someone out to the...

Clocking out on time is also an issue where I work. We are not supposed to have overtime, but we are not allowed to clock off the chart either. In my 8 hour shift I cant chart on everyone if...

I have to agree with LTCangel. Ive been on my own for about 6 weeks and still have a lot to learn. I have residents with wound care, foleys, peg tubes, IV antibiotics, etc. Im still trying to make...