Nurse_Pauline

Latest Activity

1. Looking for advice for lpn to rn

   Nurse_Pauline posted a topic in Massachusetts

   Hi everyone! Im hoping i can get some advice and guidence about nursing school. Ive been a lpn for 19 yrs, prior to that i was a cna for 10 yrs. Ive been researching lpn to rn bridge programs and im completely OVERWHELMED!!! I have no current college...

2. Ideas for keeping dsg on

   Nurse_Pauline posted a topic in Geriatric

   Ok, i need some assistance from all you knowledgable nurses out there. Just a little background. I have an elderly lady in the advanced stage of dementia. Diabetic,not very well controlled d/t her noncompliance with diet and meds. She can be behavori...

3. pacify or orientate? Alzheimers...

   Nurse_Pauline replied to Lfransis's topic in Geriatric

   "Working night shift hard to "reorient" patients with dementia. One night has women singing gospel songs and crying out for God as "Sunday at church"...attempted reality orientation, talking in soothing tones and telling her it was night time, she w...

4. pacify or orientate? Alzheimers...

   Nurse_Pauline replied to Lfransis's topic in Geriatric

   "Try having as your most vocal patient a woman who ran an illicit brothel for several years during the 50's "... Oh would that be a riot! I bet she was great the stories she could tell!! And I still firmly believe that if lying makes my resident fee...

5. pacify or orientate? Alzheimers...

   Nurse_Pauline replied to Lfransis's topic in Geriatric

   I have a 27 yr history with dementia residents, both as a cna and a LPN. Currently Im involved in a 60 bed long term care dementia unit,and managing that is quite a challange. My father in law also had Alzheimers Disease when he passed, so I have had...

6. Gone From Rn To Adon/mds Coorditator Overnight!

   Nurse_Pauline replied to purplesdk's topic in Geriatric

   I have to say, the types of jobs that the mds co. and the adns are, the responsabilities they encompass, i cant imagine them being together. Im not sure of the amount of beds at the facility, if they have subacute or ltc? If there is a case manager? ...

7. DPH Reportables

   Nurse_Pauline replied to CapeCodMermaid's topic in Geriatric

   I know at our facility we report falls with injuries, trips to the er from a fall, (whether they were treated or not, dont agree, but hey), resident to resident altercations,including sexual ones. I run a 60 bed dementia unit, so ive seen alot of tho...

8. NO autonomy!

   Nurse_Pauline replied to banditrn's topic in Geriatric

   Personally, I dont care what time it is, if I have a resident that has a problem,I call the doc,24/7. Of course,you try to use your best judgement in these types of situations. A lab thats a little off? No, I wouldnt call. Temp of 102, not responding...

9. ethical problem... need opinions

   Nurse_Pauline replied to txspadequeenRN's topic in Geriatric

   This is an awfully complicated issue, isnt it? Which is why my own wishes are very well known. If this man can carry on a conversation, is he competent enough to make his wishes known? Has anyone actually asked the resident how he feels about it? His...

10. New Job as RN Unit Manager

    Nurse_Pauline replied to MrsStraty's topic in Geriatric

    Congrates on your new job. Ive been a nurse manager of three different units over the last 12-13 yrs. Its a difficult and very rewarding job. The main thing is to stay organized. Know when reports are due. When your careplanning days are. I do all my...

11. Medicare Charting

    Nurse_Pauline replied to mickeypat's topic in Geriatric

    I think the reg in my state is vital signs shiftly for the first 72 hours, then daily, but at the facility i work at we continue to obtain vitals shiftly. We also use a skilled nursing flow sheet for our medicare pts which is like a checklist instead...

12. How do they post DNR in the patients rooms at your LTC

    Nurse_Pauline replied to dinkymouse's topic in Geriatric

    At our facility it also is a hippa violation to post info in residents rooms or outside the rooms. We have red spine name tags on the charts for a dnr and white for full codes. And we use a red nameband for dnr and a clear one for full codes. But, an...

13. Looking for Flow Sheet Ideas

    Nurse_Pauline replied to Gaylord_Focker's topic in Geriatric

    Briggs forms are very good for flow sheets. As for coumadin flow sheets, i know there was a posting on that not to long ago. We also keep the cbs on the med sheets with the insulin orders, we dont use seperate flow sheets for those. The 24hr I&O'...

14. How long to keep paperwork

    Nurse_Pauline replied to trudy88's topic in Geriatric

    I think it would depend on the state you are in. I know here in mass most paperwork is kept for 7 yrs. As a manager of a unit, i keep the current year of pharmacy receits,cna assignments,glucometer checks refrig checks ect on the unit in seperate not...

15. Chart Checks

    Nurse_Pauline replied to BowlerRN's topic in General Nursing

    I work in long term care, and the night shift does a 24 hour check of each chatrs doctor orders to ensure all orders are transcribed properly and nothing was missed.