blue280

blue280 has 6 years experience and specializes in geriatrics.

Latest Activity

1. I want out!

   blue280 posted a topic in Management

   I am the manager of a Memory Care facility. I think I am burnt out. I have been on call 24/7 for the past 3 years. I have to cover night shifts if someone call off and its getting to the point that my health is suffering. We recently have had a c...

2. Manager catch phrases

   blue280 replied to Emergent's topic in General Nursing

   Wow, that's a new one that I haven't heard yet. Breaking down silos is big by me. Also the superlatives make me sick. Everyone is doing an AWESOME job

3. alzheimers res w/ combative behaviors

   blue280 replied to allezelenfer's topic in Geriatric

   We have that problem by us also. Its ok to chart the residents actions as long as you chart what interventions that you put in place to try to reduce the behavior. If there are no interventions besides prn given, it may look like there was nothing ...

4. do you work 8's or 12's in you LTC, and do the managers work 8's?

   blue280 replied to 4treasures's topic in Geriatric

   I agree, when I signed on to my management job, it was explainedthat I would be salaried. I carry a pager 24/7 and many times work weekends. Granted, I love what I do but the responsibility can be overwhelming at times

5. What's It All About, ALFie?--Help and Support for Assisted Living Nurses

   blue280 replied to VivaLasViejas's topic in Geriatric

   Hi Lexibear99, I find my residents LOVE to reminisce! Talk about anything from the past. Having babies and talks of weddings are popular. We have an activity dept that does alot with our residents. Many different kinds of crafts, knitting, ect. ...

6. How many residents do you pass meds too in Assisted Living?

   blue280 replied to Little Panda RN's topic in Geriatric

   Hi, I am a nurse manager in a CBRF and we have approx 120 residents. during the week each nurse has about 30-35 residents to pass meds to but on the weekend they are responsible for around 60-70 BUT they have a med aide working with them. 60 by you...

7. aricept/namenda: cold turkey or taper off?

   blue280 posted a topic in Medications

   Hi, asking the question to find out in your facilties, when a resident is on aricept and/or namenda and it is no longer giving the resident any benefit, do you taper the resident off or just quit cold turkey? Its a bif issue for us right now. One o...

8. Getting Burnt Out

   blue280 replied to noc4senuf's topic in LTC Directors

   Congrats on sticking it out! I work in an ALF and I basically do the same thing, I never ask my staff to do anything I myself won't do. I have a wonderful boss and he is very supportive of the decisions I make. I think healthcare is a very hard fi...

9. What's It All About, ALFie?--Help and Support for Assisted Living Nurses

   blue280 replied to VivaLasViejas's topic in Geriatric

   Hi everyone! HAve not been onsite for quite a while but thats because I took a job as a clinical health services coordinator in a ALF!!! As you know, it can be very busy in these types of positions but I wouldn't trade it for the world. I manage 2 ...

10. Help! Silver Nitrate stain from cauterization!

    blue280 replied to kellyo's topic in General Nursing

    I used to work in a chemical factory and would get siver nitrate stains on my fingers and hands frequently. They usually wore off in a few days

11. are you burnt out too?

    blue280 replied to godivalady's topic in General Nursing

    Gosh, I feel bad. It's only taken me 5 years. My last 1.5 has been in hospice and it real just sucked the life out of me. Will take a job now with less pt care to see if that helps

12. Acute Rhabdomyolysis?

    blue280 replied to adidas99's topic in General Nursing

    Good timing on this thread! I had a pt yesterday with compartment syndrome of both calves. She was in the unit for a week, dx with rhabdo, 3bouts of dialysis. Labs are looking much better now. Big pain control issues! She has 2 facsiotomies on b...

13. Unhappy coworkers

    blue280 replied to gladtobeOB's topic in General Nursing

    Is this strange! Just today I fanally told a co-worker that while I understand the stredd on the unit, whining and complaining about it just makes me feel worse. I told her from now on, if I can fix it then I'll try. otherwise all the bellyachin' ...

14. Do you have to attend "rounds'?

    blue280 replied to blue280's topic in General Nursing

    Today my homework from rounds was to find out from the MD why he did not order a psych consult on a ETOH withdrawal pt. MD was firm in his belief that the pt did not need a psych consult. My manager wanted me to report the conversation in writing (...

15. irrigating chest tubes

    blue280 replied to Lysa's topic in Med-Surg

    Just sat on a commitee at work cuz they want us to start this. None of us are comfortable but interventional radiology is always on hand to help. Its not a chest tube per se that we irrigate, there is a small catheter that is put in the pleural spa...