LTCangel ADN, BSN, LPN

LTC, Float Pool, Ortho, Telemetry

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All Content by LTCangel

  1. LTCangel

    I hate my boss!

    LTCangel replied to madwife2002's topic in General Nursing

    Just lost my job of 14 years on the same Unit in a Hospital d/t this type of Manager. for many years our unit was run by 2 experienced RN's who had worked that same floor as floor Nurses before...
  2. LTCangel

    Am I just being a big baby?

    LTCangel replied to mamarhonda's topic in Geriatric, LTC

    On Night Shift where I work if there is a 3rd aide on the other LTC hall or on ours then they do a split, where they divide the total of both halls by 5 and one of them takes care of some residents on...
  3. LTCangel

    I would love any advice here!

    LTCangel replied to saskrn's topic in Geriatric, LTC

    I work 7p-7a in the same type of facility. From 7-11 we have 2 nurses on my unit which holds about 46 when full and we have 4 aids. At 11, I take over both halls as the nurse and I have 2-3 aids. I am...
  4. LTCangel

    Patients dying

    LTCangel replied to nesje30's topic in Geriatric, LTC

    My grandmother recently passed and she had been ill over a period of 2 yrs with different things, but this last time she went to the hospital it was found that her gut had shut down and she was going...
  5. LTCangel

    Psych nursing or nursing home/rehab nursing?

    LTCangel replied to pezz9413's topic in Geriatric, LTC

    Oh, by the way I am now an
  6. LTCangel

    Psych nursing or nursing home/rehab nursing?

    LTCangel replied to pezz9413's topic in Geriatric, LTC

    I recently left a hospital setting after 14 years(Ortho/Joint Replacement/Med-Surg) and am now in LTC, the reasons are too many to go into right now but I will tell you that I have NOT lost any...
  7. LTCangel

    Spoke with the manager and feeling less confident with care..

    LTCangel replied to sn543's topic in Geriatric, LTC

    The company I work for also wants us to ty and clock out no later than 7 minutes past our sceduled time. So did the hospital I worked for before this facility. It's management's way of trying to cut...
  8. LTCangel

    Happy -?- Anniversary

    LTCangel replied to No Stars In My Eyes's topic in General Nursing

    Thank you dragonfly55 for your kind words, I really do appreciate it and it makes me feel good to know that there are kind people like you in the world. I actually just got a FB message from a former...
  9. LTCangel

    Happy -?- Anniversary

    LTCangel replied to No Stars In My Eyes's topic in General Nursing

    Dear No Stars In My Eyes, I too was fired from my hospital job of 14 years on 03/24/2011. That date is burned into my brain and I know I will never forget it. My termination was a culmination of write...
  10. LTCangel

    New grad in LTC - frustrated

    LTCangel replied to SunshineAnytime's topic in Geriatric, LTC

    I agree with Forever Sunshine, slow and steady is the name of the game until you get your routine down- esp those large 9 and 9 medpasses! I just made it through my first 90 days at a LTC facility...
  11. LTCangel

    New Grad declining 1st job offer?

    LTCangel replied to tokidoki7's topic in First Year After Licensure

    Take it, you need the experience and as you have read many Nurses can't find jobs. If you find something better and have to resign, so be it. There will be 40 other Nurses standing in line waiting to...
  12. LTCangel

    New grad, no job, what should I do?

    LTCangel replied to carrie_c's topic in Job Search, Interview, Resume

    You may also look at clinics, Nursing Homes, Home Health, Hospice, Psych Hospitals, etc. Try to get some experience anywhere even if it's part time or per diem. Don't give up and look at everything...
  13. LTCangel

    New Nurse needs help interpreting labs, please

    LTCangel replied to nycNurse2b's topic in Geriatric, LTC

    It's also important to compare current lab values with earlier ones so that you get a feel for the patient's baseline. I learned that not everyone is normal so it's important as someone else said to...
  14. LTCangel

    Heel care for the geriatric patient

    LTCangel replied to toptastic's topic in Geriatric, LTC

    We do weekly body audits on all residents, use moisture barrier creams, and we have a Wound Care Nurse who checks all the pressure ulcers regullarly and reccomends the type and frequency of dressings...
  15. LTCangel

    Question for those who work the 11pm-7am shift

    LTCangel replied to NewestRN_OnTheBlock's topic in Geriatric, LTC

    I work 7p-7a and I have 24 residents from 7-11 and then take over both halls at 11p and have about 46 residents. I start my 6am med pass at around 5 and usually do my FSs at 6( they are ordered at...
  16. LTCangel

    Blister Pack Blues & The Dreaded Med Pass

    LTCangel replied to croppyRN's topic in Geriatric, LTC

    Our facility also uses blister pack doses that are delivered in a box for a months supply. All nurses on all shifts will pull the sticker off when the box is empty or almost empty. These stickers are...
  17. LTCangel

    Can you give additional doses of a PRN to increase an already given dose to a range?

    LTCangel replied to suanna's topic in General Nursing

    When I worked the floor(Orthopedics) we often had these type of orders for IV meds and pain pills. I always tried to alternate the IV with the po if the patient was having pain control issues(and they...
  18. LTCangel

    Is there any place hiring new grads?

    LTCangel replied to cisa04's topic in General Nursing

    I agree with The Commuter! Too many new grads think that the only place to work is in the hospital. If that's your idea, it's just not a valid one anymore. Look ANYWHERE that will give you a chance...
  19. LTCangel

    LTC for new grad RN?

    LTCangel replied to ijuanabhappy's topic in Geriatric, LTC

    Well as the previous poster said, she learned all of those skills in the first week! So will you. Hospitals don't always give the best orientations either and when they are finished you are also on...
  20. LTCangel

    How do I orentate someone when...

    LTCangel replied to WittySarcasm's topic in Geriatric, LTC

    Ok, first of all I would like to say that I just finished "orientation" at a local LTC facility and it sucked! I just came from working 14 years in a hospital so my Nursing skills are up to date and I...
  21. LTCangel

    HIPAA question

    LTCangel replied to SneakySnake's topic in Geriatric, LTC

    At my facility, each unit has a sheet printed out for each hall with room numbers, names, and how they take their meds with space to take notes. since I'm new it's been a life saver and a great time...
  22. LTCangel

    Having doubts...

    LTCangel replied to bravesfanRN's topic in Geriatric, LTC

    In the hospital you may still have to work the same type of hours, I know I did for 14 years mostly all nights. I would work 2 off 2 work 2 off 3 work 3 off two or some variation of this. I am now...
  23. LTCangel

    Noting orders VERY late...legally, what happens?

    LTCangel replied to nervousnurse's topic in General Nursing

    In the hospital that I just left after 14 years, we had a very specific way of flagging and noting charts. It was taught to all the docs and new residents. Whwn they wrote new orders they would fold...
  24. LTCangel

    Just graduated!! DILEMMA: I don't have hospital experience other than school clinical

    LTCangel replied to new.grad's topic in General Nursing

    The way things are these days if i were in your shoes, I wouldn't limit myself to ANY job opportunities. If there's anything open in the hospital go for it, eventually you can bid off or you might...
  25. LTCangel

    Are you a sensitive person too?

    LTCangel replied to glutton4punishment's topic in General Nursing

    I believe in the Psych world that's called