pkeyrn

pkeyrn

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All Content by pkeyrn

  1. Lower back pain anyone?

    pkeyrn replied to marilynmom's topic in General Nursing

    Herniated 3 discs in my lower back 2 1/2 years ago at work. Moving an expired patient from his bed to the mortician's stretcher - doing everything right...4 other people assisting, bed at the proper...

  2. Help! How do you stay awake on drive home after night shift?

    pkeyrn replied to neetnik461's topic in General Nursing

    It would be really interesting to see how many motor vehicle accidents happen to pople driving home from a night shift. Even more interesting to see how many happen to people after working an overtime...

  3. Please participate in my survey for school

    pkeyrn replied to berny28's topic in General Nursing

    I am an RN and have been practicing in northern New York State for 24 years. 1. One of the main causes of the nursing shortage here is a lack of retention. There is not a shortage of nurses...there is...

  4. Comfort measures only ???

    pkeyrn replied to kwagner_51's topic in General Nursing

    I work in long term care. We often have residents at the end of life who have what we call "Comfort Care Orders". However, the MD must sit with the resident,family and Nurse Manager or Social Worker...

  5. Found on floor - ? fall

    pkeyrn posted a topic in Geriatric, LTC

    My nursing home recently moved into a new building. We also have all new furniture. All of the new beds are the type which lower down to within 8 inches from the floor. We have found that some of our...

  6. anyone here NOT have back problems?

    pkeyrn replied to alias's topic in General Nursing

    I was in nursing for over 20 years (all in long term care where there is a ton of lifting...especially in the "old days" before No-Lift programs) before I injured my back. When my injury occurred, I...

  7. Nursing and migraines

    pkeyrn replied to Hoosiernurse's topic in General Nursing

    I have had migraines since I was in my teens. I am now 46. I also have the aura (flashing lights about 5 minutes prior to the onset of pain and then a blind spot once the pain hits). I understand all...

  8. Do you think some people just "dont have what it takes"

    pkeyrn replied to nursenatalie's topic in General Nursing

    I myself have a very long (and I would like to think impecable) background in long-term care and management (23 years). But even in the field of geriatrics, I don't think that I know everything and I...

  9. Nail care restrictions by nursing aides

    pkeyrn replied to bchapin's topic in Geriatric, LTC

    In my 23 years in LTC I have worked at 3 different nursing homes. In all 3 the policy on nailcare was the same: Licensed nursing personnel had to do all nailcare on diabetic residents. CNAs could do...

  10. Do you feel like you have no "down time" on the midnight shift???

    pkeyrn replied to Debbie_LPN's topic in Geriatric, LTC

    I used to work night shift on an Alzheimer's Unit. 4o residents. On a good night maybe half of them slept in between incontinence rounds. The other half were either wandering up and down the hall,...

  11. working sick...need advice:)

    pkeyrn replied to scrmblr's topic in General Nursing

    I know what you are talking about. I work in long term care, the residents are elderly and immunocompromised. We post signs at every entrance asking people not to visit if they have cold or flu...

  12. How many Pt do you take care of?

    pkeyrn replied to Franlpntorn's topic in General Nursing

    My last job...long term care...worked 11p-7:30a...only nurse to 80 residents with a full med run starting at 5a...mathematically figured out at one point that in order to do meds in alloted time frame...

  13. friends with management-Is this a bad thing?

    pkeyrn replied to Happytocare's topic in Geriatric, LTC

    It is all a matter of being able to separate work from leisure. I have worked as a Supervisor and other areas of administration for many years now. I also have had several friends, good friends, that...

  14. What's a nurse to do ?

    pkeyrn replied to xmaxiex's topic in Geriatric, LTC

    All you need to do is ask yourself some questions...(1) Are you there to be a nurse and care for residents or are you there to be popular and everyone's favorite? (2) Do you think that you know what...

  15. Medication Question

    pkeyrn replied to BurnBaby06's topic in Geriatric, LTC

    Not uncommon at all - don't be surprised if you even saw a couple of other antihypertensives or antianginals thrown in as well sometimes when dealing with the

  16. Plan of Correction and IDRs

    pkeyrn replied to CapeCodMermaid's topic in Geriatric, LTC

    I have heard of it being done by teleconference. I live/work in

  17. Job Requirements

    pkeyrn replied to gentlespirit's topic in Geriatric, LTC

    After 23 years in LTC I have seen my share of slackers, workers who let others carry the brunt of the load. I have often gotten angry and upset by this. One time i particular that I remember, a male...

  18. Call-off policy

    pkeyrn replied to TeleRN44's topic in Geriatric, LTC

    In our facility, the day and evening shifts are to call in a minimum of 2 hrs before they are due to be on duty. The night staff however has to call in a minimum of 4 hours before they are due in....

  19. Restraints in nursing home seting

    pkeyrn posted a topic in General Nursing

    Does anyone know if the use of a "low bed" that goes down to within a few inches of the floor is considered a restraint in the case of a confused resident who likes to wander

  20. DNR orders

    pkeyrn replied to night owl's topic in Geriatric, LTC

    in my faciility a DNR order is good for 60 days and if the dr hasnt renewed it by the time the 60 days is up, the whole process has to be put into place from step one and the resident becomes a "do...