Well, as you can see, I haven't posted in a while and that is because I just finished my 13th shift yesterday at a LTC facility (the job I wanted) :loveya:I start at 2:45 and work until 10:45.
The first day I watched. The second day I watched in the am and was shadowed in the pm. The third and fourth day I was shadowed/helped with popping and passing. The fifth day I had help near the end. The sixth, seventh and eighth day the nurse didn't shadow me at all but was there to help with treatments toward the end if I needed it. On the ninth and tenth day (Sat and Sun) I was on my own (from there on) and got out at 11:25 pm. Monday I finished at 11:05pm, Tuesday I finished at 10:52 pm and last night (my 13th shift), I finished on time, did house report, charted in the computer, counted narcs and punched out at 10:50!
I have 30 patients. Two have g-tubes and alot of meds. Two have dressings for sacral wounds and one has diarrhea all the time and sometimes needs more than one change. About 12 people are a crush.
I get in about 1/2 hr early, fill out my sheet, etc, so I am ready to push the cart at 3. At 5:15 I have to go to the dining room and feed/supervise with another nurse until 6. I come back, do a few treatments, go to lunch, come back and start pushing 8pm meds at 7 and try to integrate the treatments. Now I can pretty much get done by 10:15 and that leaves me a half hour to chart, enter it into the computer, put narcs away, fill out house report, and sign the treatment book plus clean up my cart, etc.
Any advice would be appreciated. I was out of clinical nursing for 9 years. I did have to take a medication test (100 questions) and I scored a 95 so needless to say, that God I am just a smart cookie. All of that crap pounded in my head from 1993-1997 really did come back to me.
You better be careful about "training" your aids to do your tx. If it is in the TAR and you are signing for it, it had better be you doing it. You are held accountable. I know several nurses have the aids put on medicated powders and creams, but they are not suppose to. You need to be monitoring these areas of breakdown every shift. I have seen residents breakdown in less than 8 hours and it takes forever to get them to heal. Good luck with the job, but be very careful which short cuts you decide to take.
ITA, about break down. It is especially important to monitor the deep folds of the resident's skin where moisture can accumulate causing yeast and causing the areas to be reddened and raw. This is a common occurrence in obese residents especially.
rnlately
439 Posts
ITA, about break down. It is especially important to monitor the deep folds of the resident's skin where moisture can accumulate causing yeast and causing the areas to be reddened and raw. This is a common occurrence in obese residents especially.