MJLPN727

So I worked in a facility on a temp agency contract for about three months last Summer and this week I had a voicemail from someone saying they're a state surveyor, asking me about care of a patient at the facility. She said the facility had given my...

Unfortunately some of that is par for the course. As you get to know your patients identification will be easier. In the meantime grab a CNA. I find I have to take charge of introductions, when I work a new floor I introduce myself to the CNAs and a...

I enjoy working rehab units but it sounds like you need more support on the floor youre on. Unfortunately staffing is always put on the back burner. I don't know if this job sounds healthy for you, your other coworkers also feeling panic attacks soun...

Thank you for your responses! I got in touch with the facility and learned it's related to an incident I did some follow-up paperwork for. I still think it's weird, I collected statements, incident report, etc so they need to refer to that. I can't g...

I'm sorry that this other nurse said that to you, I would also be distressed. Like the other posters said, she is not doing her job. It isn't our job to impose our values on how people should die, we are assessing and responding based on that assessm...

As I like to say.. not a real nurse? well the drugs are real and so are the people. LPNs are awesome. I am going back to school for my RN and I think furthering our education is a great thing if it works for you, but I also hope you can take pride i...

Oh absolutely!! try to not get discouraged. My first job was at a SNF as well and I still work in them. there is SO MUCH to learn. I think you absolutely should be taking it slow as a new nurse and I'm sorry to hear people were getting on you about b...

we have a list of people who attend the activities program and staff members pick one. I still see a lot of blank names though.

I have been a floor nurse in LTC a year and some change. I am beginning to feel confident about my skills and knowledge though I still have a lot to learn, I feel pretty comfortable on the floor with figuring out what I need to do when faced with cha...

Yes, certainly understandable how initial errors can happen, but it is disappointing when safegaurds fail. I especially feel like this as a nurse who has made mistakes with entering orders and the 2nd and 24 hour chart checks did not catch my error! ...

I cant imagine doing an incident report for contacting the doctor for an emergent condition/ change in status / etc. That's definitely a red flag to me. Remember at the end of the day youre responsible for everything you do. In this situation, you ha...

I just saw that you said this was the only doctor who does not want calls before 9a. how often is this doctor on call?

that's good you found a simple trick to work. Hmm, thats a little challenging that you don't have anyone to reach out to for orders. I wonder how that works for protecting your license. Do you have a supervisor in house to bounce ideas off overnight?...

its too bad your facility doesn't have standing orders for something like that (nausea, diarrhea, tylenol, etc) it might not be a bad idea to discuss bringing up to avoid these things in the future. i understand not wanting to call a doctor for non-e...

Not sure if this will apply to your situation but maybe will be helpful for you to read. Where I worked on a long term care floor in a nursing home, as long as sugars were normal (70 and up) I gave scheduled insulin. I did this because some of our pa...

Just wanted to vent a little. Ive been a nurse for one year and 2 weeks, happy anniversary to me. First off I absolutely LOVE nursing. It think it has made me a better person and changed my worldview in such an interesting way. I always wanted to be ...

I was hired for a 7-3 shift and it's known that my relief nurse comes in at 4 pm. I am usually so busy that I have work to do til 3:30. I don't have other committments at that time and I welcome the extra hours, however, I think if i had been clearly...

From my understanding its illegal to not have your employees taking breaks. Thats more of a problem for your workplace than for you, but it is sketchy. Also, where it becomes your problem is the burnout issue again. I more often than not so not get a...

you are right to be focusing on your meds and treatments. It sounds like if you had more support or orientation time maybe you could "Stick it out" But sticking it out when youre at risk of burning out and being completely overwhelmed is not good. D...

It is really hard to feel like that (about your residents deserving more care). No matter what we do for our patients its hard to escape thinking like that. However, know that everything you do is making a difference!! If nothing changes at your job ...

Is there someone you can talk to as a resource at your job? Maybe a more seasoned nurse can tell you some tips and tricks. It does sound like a lot of patients for just 2 aids, and its very difficult for you to be puttinf residents to bed in addition...

Nurse to patient ratio, CNA/LNA to patient ratio, who can you call for support if things start going badly and is this person available all shifts to reach out to? Do any administrative nurses ever work on the floor? What are their policies on certai...