tinytrexarms

Latest Activity

1. Irrational patients

   tinytrexarms replied to Smilie0809RN's topic in Relations

   I will keep this in mind next time, I like that. Thank you :)

2. Irrational patients

   tinytrexarms replied to Smilie0809RN's topic in Relations

   I have said "you are being hateful, I'm trying to help, tell me how to help you" many times, in a calm tone. And the other day when my WBAT c hip precautions insisted she was walking out, I calmly said "ok, let's do it" and stood next to her to help ...

3. Advice for a new charge nurse?

   tinytrexarms replied to tinytrexarms's topic in General Nursing

   I have a med aide who is absolutely invaluable to me as a new LPN, and a seasoned 30 yr vet LPN as my evening med aide. (She just got tired of the stress of the floor and now does meds) they are my backbone for the moment. It's my CNAs that are testi...

4. Advice for a new charge nurse?

   tinytrexarms replied to tinytrexarms's topic in General Nursing

   I have zero down time. Lol. And yes, in LTC setting I'm the low end of the totem pole as a charge. I'm basically a secretary, babysitter to my aides, and responsible for all treatments and monitoring ADLS. I did score a great position on the skilled/...

5. Advice for a new charge nurse?

   tinytrexarms posted a topic in General Nursing

   I'm new to my position, and I am a new nurse. I worked as an aide on the floor through nursing school. Now, I am charge nurse over the aides I worked with. Some of my aides appreciate that and go the extra mile for me because I put in my time. So...

6. Advice with a difficult pt!!!

   tinytrexarms replied to tinytrexarms's topic in Geriatric

   He has had two full work ups. Sent him out twice, only to have the same results. He has been on my unit for 3-4 months. We have racked our brains trying to figure out how his deterioration was so quick with no apparent reason. I had him in a reclin...

7. Advice with a difficult pt!!!

   tinytrexarms posted a topic in Geriatric

   Geriatric pt on a LTC unit, a week and a half ago was friendly, talkative, semi independent AAO×3. Presents now with severely altered LOC, dyskensia, hallucinations, everything in the book. Clean UA cleanest damn UA I've seen in LTC) , all blood ...

8. What are your personal standards when a patient "refuses care"

   tinytrexarms replied to DesiDani's topic in General Nursing

   admittedly I have resorted to bribery on many occasions. (Take your bath for me, there may be a soda in it for you) LTC is a different ball game though. I know which residents are fine with a 2X weekly bath, and who needs it 3X, and how to approach ...

9. Professionalism....name your irritation here!

   tinytrexarms replied to LobotRN's topic in Professionalism

   Agreed. Mutual respect is a must.

10. Tattoos in Nursing

    tinytrexarms replied to chiandre's topic in Professionalism

    I have full sleeves and I love my tattoos. But I wear shirt sleeves at work and keep them covered. It's part of being professional.

11. An Atheist Nurse in King James Hospital

    tinytrexarms replied to EMSnurse411's topic in Spirituality

    How many times a day do I hear "god is good!" Or "gods miracle" etc. In my very cynical head I think to myself, "yeah, those antibiotics had nothing to do with it" Out loud I nod and smile. Whatever gets them through the day. It's the horrible bro...

12. Professionalism....name your irritation here!

    tinytrexarms replied to LobotRN's topic in Professionalism

    Treating the UAP'S like crap and expecting miraculous displays of super human feats from them. A nurse I worked with in LTC use to gripe her aides out for taking lunches and breaks on their 13 hour shifts. I always scheduled my aides lunches and br...