Jump to content
Newgurl17

Newgurl17 CNA, LPN

LTC
Member Member
  • Joined:
  • Last Visited:
  • 149

    Content

  • 0

    Articles

  • 3,296

    Visitors

  • 0

    Followers

  • 0

    Points

Newgurl17 has 4 years experience as a CNA, LPN and specializes in LTC.

Newgurl17's Latest Activity

  1. Same here! Even something like posting a meme about using gloves stirs the pot! You really can't cure stupid 😕
  2. Thanks for sharing your experience. It's interesting to know from other settings. Yes I'm extremely annoyed about things being posted on social media as well.
  3. Right?? OH absolutely not, I don't believe that half hour video at all! That's why I had to stop watching halfway through. It was just another one of those dumb things that you see on the news, like popular people participating in anti-mask protests??? It was just really strange to watch and felt like it was almost scripted, maybe actors pretending to be doctors/nurses. The video really sparked some frustration in me as to how people can really think that COVID is a "scam" and I was going to look more into the amount of people who think this is real/fake, but I've since calmed down 😂 Made me incredibly curious as to what these non-belivers have to say about what's going on.
  4. Hey everyone, Again, hope you are all doing well. My question today is what has your experience been with caring for people who were diagnosed with COVID? Today, a co-worker sent me a video through facebook of all these different doctors from around the world, saying that basically, COVID 19 is not real and that they would not vaccinate anyone for COVID. Currently, my facility is experiencing an outbreak, and the amount of people who have been infected is overwhelmingly large. In past outbreaks, whether it be GI or respiratory, there have never been more than 20 people contagious at once. So far, a few people have passed away and a few have recovered.
  5. Newgurl17

    COVID-19: LTC Advice!

    Hey all... First of all, I am hoping everyone is staying safe and healthy during this nasty pandemic. My questions for today are for all the floor nurses working in LTC.... How are you coping with the workload amonst the pandemic? Have any policy changes been made at your facility to help prevent the spread of the virus? Recently, my facility got hit with COVID on one of the units, and so we've been asked to wear PPE whenever we enter a resident's room...even if it's something as quick as giving some medications. So here I am, looking after 17-24 residents in the special care unit, wearing PPE for the residents who are cognitive enough to stay in their rooms, sometimes doing assessments as necessary ( fall follow ups, for example) washing my hands before leaving the room, and dealing with any other distractions that may come along the way. My med passes that would have normally taken 45 mintues to an hour on average are now taking me an hour and a half to two hours to complete. A morning nurse told me her 0800 round sometimes takes her until 10 because she is helping out with feeds. This is only the second week of this new change and my brain is feeling like scrambled eggs! I've forgotten to chart things and I feel like I am rushing throughout my shift. Not to mention we're wiping down everything after shift and changing out of our scrubs. My shift is only 5 hours long. How has everyone's experience been dealing with COVID at your facility? Stay safe!
  6. Newgurl17

    Scheduled and PRN Doses

    Thank you all for your responses! Since I've posted this thread, this lady now uses a wheelchair with a seatbelt and has had some medication changes including removal of one of her antipsychotic medication which was not really doing anything for her as well as PRN ativan
  7. Newgurl17

    Scheduled and PRN Doses

    This is just what I heard from the cna's as I was not this lady's primary nurse. The unit is separated into 2 sides so the doors were closed when she fell and I didn't know what had happened until I opened them to the other side of the unit. The other nurse had her hands full that evening.
  8. Newgurl17

    Scheduled and PRN Doses

    She's in the special care unit, if that counts? I don't think she is being seen by the geri-psych doc. I can't remember is she is but I'm pretty sure she isn't
  9. Newgurl17

    Scheduled and PRN Doses

    She's on anti anxiety meds but I can't remember what else she's on
  10. Newgurl17

    Scheduled and PRN Doses

    I think the prn order was for hydromorphone 0.5 to 1mg q 2 h
  11. Newgurl17

    Scheduled and PRN Doses

    Hello! I'm wondering if anyone can please answer this question I have about scheduled and PRN doses... But first I will give some background: We had a lady who had been pacing.. Like really pacing... Around the unit. This lady is on scheduled hydromorphone. The other nurse working with this lady gave her the scheduled hydromorphone along with her scheduled medications to help her sleep. Shortly after, I could hear from the other side of the unit a lady calling out for help... Sure enough, it was the lady who had been apparently been pacing. So this lady usually has no problems with her scheduled night meds. Had always received them and never fell until tonight. When she was on the floor, she was still restless and wanting to get off the floor. So we get her up off the floor and got her to sit in a wheelchair and at this point, still restless. She wants to get up. So she gets up and we take her to her room. Other nurse is trying to check her BP and she's wanting to get up after we sit her down on the bed. Before this last had her fall, she was apparently pushing another resident around in their wheelchair. I take her to my side of the unit. While we're walking, I ask her if she has any pain and she confirms that she does. Once we're there, the CNAs get her to sit down for a glass of juice and a sandwich. At this point, I decide in addition to her scheduled dose of hydromorphone, I give her a PRN dose as she was complaining of pain post fall. Shortly after the CNAs give this lady a glass of juice and a sandwich, she starts pushing her table towards the unit entrance doors. Only has a few sips of juice. Too restless to eat. The CNAs manage to sit her down once more and spend some time talking with her, then decide to take her to her room. The talking was effective for time until the lady wanted to get up again. I tell the other nurse that I gave the lady a PRN dose of hydromorphone due to complaints of pain post fall. So my question is, should I not have given the extra PRN dose if the lady already had a scheduled dose before her fall? She was VERY restless before her fall and I honestly didn't think that her other scheduled dose was cutting it. I just thought that giving a PRN dose post fall would help to settle this resident?
  12. Newgurl17

    Holding HS Meds

    Yes, RN was notified. Resident was agitated this morning during AM care but not hs care this evening. More alert this evening than she was yesterday evening.
  13. Newgurl17

    Holding HS Meds

    Usually we let the RN know what's going on, they give us direction, we continue to monitor, then notify the physician via fax, unless the resident's condition is more urgent, then the RN gives the on-call physician a call. In other instances, the nurse lead (an LPN or RN usually) may have us trial holding medications, like risperidone, if a resident is too sedated, then we fax the physician of the trial was effective to discontinue the order
  14. Newgurl17

    Holding HS Meds

    Meds were scheduled
  15. Newgurl17

    Length of Time it Takes to be a Good Nurse...?

    Yes, as of this year 🙂 amd things have gotten better for me! A few CNA's and an RN have told me that I was a good nurse!
  16. Newgurl17

    Holding HS Meds

    Hey all, I'm still working in a special care unit. So I was working this evening with a lady who gets a scheduled Seroquel 25mg tab and a 50mg (I think) tab of a sleeping medication (trazadone). This lady was sleeping in her wheelchair after supper, had little intake at supper as per CNA. In report it said that she was slowly declining. She was able to wake up for me for a while. I decided that I would hold off on giving the seroquel and trazadone, as she was already so sleepy. Another tine she was with a volunteer who stated that she was tired at 1830 so the cnas put her to bed early. I didn't have a chance to give her her medications because she was sleeping. When she didn't have her medications, she was up at 0200 but she was helped back to bed again with no issues. If I was on another unit (not special care) in the facility, I would have held the antipsychotic and sleeping medication and that's what myself and other nurses were instructed to do? I only the held the meds tonight because I was afraid that this lady would be over-sedated?? Should I have given the medications?