stippie09 replied to Bizaleth's topic in Geriatric
As a new grad RN last year in a LTC I found I difficult to supervise my aides at times. Like the other posters said, be respectful and assist your aides as much as you can, they do back breaking work all day. Tell them what you need done first thing ...
stippie09 replied to garnetgirl29's topic in Geriatric
Hello all. I do have some input as a RN in a LTC. While getting all you vs in the first 30 minutes of the shift sounds good, for some shifts (especially 1st) this is nearly impossible. When the aides come in on 1st, they have to get 3 people cleaned ...
When in LTC, it is quite difficult to do a full set of vs when giving a narcotic. Here's why, you have a average or 20-30 residents any given day, 3/4 of those residents get prn pain meds either q4 or q6. If you are doing your med pass and 3 people a...
stippie09 replied to mcclot1993's topic in Geriatric
As a nurse, I've worked all shifts. I work twelves and I believe 7a-7p is the most difficult. 5 med passes, 3 meals, 20+ txs a day, labs, orders, family members. And not to mention administration breathing down your neck every 10 minutes.
1. 88 bed facility 2. 25:1 ratio 3. 15:1 4. I give all my residents quality care, but I'm not able to do everything that they deserve. 5. Mostly computer charting, some paper. 6. Not "mandatory" OT perse but I always have OT due to understaffing. 7....
stippie09 replied to kristimgillrn's topic in LTAC
Hi! Ive been working at a long term care facility for about a month now and I took my nclex in May and this is my first job. I work nights. I have an average if 40 pts to care for. Its extremely hard abd frustrating at times but what works for me is ...
Im sorry to hear you failed. Im going to give you a list of things you need to know like the back of your hand to be prepared. All lab values (coagulation, abgs, electrolytes, wbc, rbc). Infection control!! Safety (always pick the patients safety ove...
This wasn't a mispronounciation but it was still pretty funny. When I was a student I found a diagnosis of hyperpotassemia instead of hyperkalemia. The kicker was, it had a diagnosis code and everything!!
stippie09 replied to MollNick's topic in Psychiatric
Here's a scary situation, im a new grad rn working nights in a nursing home/snf. I am responsible for 2 halls with a total of 41 residents. I am responsible for meds, charting, treatments, and emergencies.im scared to death something will happen. Bu...
Here's my two cents on the matter. If hospitals want their nurses to paint a picture of health for their patients, they need to worry how obese nurses will look to their patients. Who will be able to get to you faster if your heart stops? A obese nur...
What state are you in? I've never been alcohol tested and was wondering where you are. Ive heard of NPs at the bigger hospitals getting tested but alcohol from the BON? In my personal opinion it's just another way to tell nurses how to live their liv...
I did not always read everything bc I had, on average, 7 chapters per class per week. What helped me was to read the main part about a disease/problem and write down your nusing process for that disease process. Also, when you have many diseases tha...
Hello, I took my nclexrn in May and passed. I attended Kaplan college, so by default I had the Kaplan whole review session/books following. I bombed my alternate format test as well and satas were my weak point. The thing you have to get stuck in you...
I believe the hardest part, for me, was med surg. Rhe information was so vast that I could hardly keep up sometimes. You have to commit to studying all the time, and understand that it will be hard to be social if you are going to make it. Med/surg ...