ComicRN

ComicRN

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All Content by ComicRN

  1. Ambulation in Long Term Care

    Greetings! I am a returning member, last here in 9/14/02, according to the little thingee that popped up when I logged back in!! I am now the nurse manager on a 46-bed LTC unit. I am also a returning nursing student. I am in the midst of getting m...
  2. A really boring question!

    OK....so this isn't a really exciting topic but I need help!!! I'm the clinical coordinator of a 46 bed LTC unit (in a 414 bed facility). We (and the majority of the other floors) are having a hard time getting compliance with the CNA's and nurses ...
  3. Hello, it's me again........with another "how do you do this in your facility" question!!! We're having problems in our facility with residents going out for outside appointments: cardiologist, their own eye doctor, f/u after surgery, etc. We do hav...
  4. Residents leaving for outside appointments...

    Thanks to everyone who has replied. This has been a big issue in our facility. Last month we had 10 outside appointments which left us short staffed 10 days. Granted, it wasn't for the whole day, but it does put a burden on the staff left behind. ...
  5. I'm going to write up a CNA tonight.

    Another thought about writing up or discipling folks. Keep personal issues out of it. Make sure the person knows it is about their BEHAVIOR, not about them personally. In your case, it should be easy. "Here is the task I delegated to you. It did...
  6. Do you live in the City or Upstate?

    Rochester here! Lived here all my life, except for three years in central/southern Illinois - tornado country. I'll take snow any day! :)
  7. Welcome, New York Nurses!

    Hello fellow New Yorkers. This page wasn't here when I was a member 2 years ago. What a great idea. I'm an RN (x's 12 years)and live in the burbs outside of Rochester. I have my associates degree but will be finished with my BS in February. Can'...
  8. Help with hopeless horrible nurse's aides

    I've been in LTC (employed, not living!!) for almost 10 years. I still love it. I am an RN, a nurse manager (for the past 1 1/2 years and currently a BSN student). I've learned a couple of things along the way. Treat others as you would like to be...
  9. Ambulation in Long Term Care

    Thank you so much to everyone who has replied!! Great ideas so far and I will take them all into consideration. If anyone has anything more to add, I'd love to hear it. Thanks again - Jan
  10. Impaction in toddlers?

    Has anyone checked to see if the child has a megacolon? This could also be causing her problem.
  11. Death & Dying Question

    Can anyone help me here? I work on a LTC floor. We have a resident who was diagnosed less than a year ago w/ CA of the spine and had been doing well up until the last week or so. The family wasn't so sure about hospice until today (late in the da...
  12. What would be YOUR Specific Orders?

    This has really gotten me thinking. I guess if anything were to happen to me now, these are the things I would like.....in no particular order: 1. a room w/ no hospital smells 2. flannel sheets (I get cold easily) 3. a double bed so my husband could...
  13. Feeling incompetent

    I think Aimee and kd said most of what there is to say. I would also add that in you "spare time" familiarize yourself with your facilitiy's policy and procedure book. I'm sure it's about 3 million pages long (as most of them are). But, even just ...
  14. Your first IM injection

    Boobaby, when I read your post it was like deja vu all over again!!! I had to give my first IM on a patient who I wasn't even taking care of in clincal that day. So, I didn't even know the poor lady......and of course, she didn't know me either. My...
  15. Our students always start in geriatrics

    Oh my gawd.........the "wrinklies"...........I LOVE it!!!
  16. pain control

    In my state (New York) the state surveyors are looking critically during our annual surveys at how pain is being addressed. We can now get deficiencies if a resident's pain control has not been addressed adequately. I think a lot of nurses are afrai...
  17. emergency at home..........

    Just reading all of this makes me want to run down to my basement and make sure that everything is off the floor or in plastic storage bins. Not that I've done anything about it.......but I have this terrible fear of everything getting ruined in a f...
  18. Working as a team

    I am the Clinical Coordinator (sort of like assistant nurse manager) on a 46 bed LTC floor. Our unit would not run without the CNA's. And.......the nurse manager, the other nurses, and I make sure that we tell the CNA's this often. They certainly...
  19. Best Death

    Hmmmm. That's a toughy. First person I saw who was dead was in between semesters of nursing school when I was a CNA. I had to go into a room with a couple of other CNA's and prepare a body for the morgue. I was scared to death! (excuse the pun!)...
  20. Colostomy Diet

    Try your patient's enterostomal therapist (if she/he has one), or the United Ostomy Association. The UOA can give you the location of a chapter closest to your location. My son has had 2 colostomies. One was when he was a baby so he was only gettin...
  21. ER vs. LTC Facility staff

    Ok............at the risk of starting "something" here, I'm going to put my two cents in! I've worked on a med/surg floor, in rehab and currently work as a clinical coordinator in a LTC facility. Know what my pet peeve is? When we call to get repo...
  22. Itching...

    OK......here's something sort of off base, but thought I'd mention it. I was having ear pain and a weird itching sensation in my ears. Especially my left ear. At times it felt as though there was a cool liquid coming out of my ear.....but there wa...
  23. snow anyone?

    Hey Kewl.........Rochester here! I heard you guys were getting slammed. We haven't had a thing yet! Can you send a little our way? Merry Christmas all!
  24. Does this bug you like it does me?

    I've said it before and I'll say it again.......LTC nursing is still nursing. It's just "high touch" instead of "high tech." This may come out wrong, but...........thank goodness there are nurses like us who can LOOK at our patients/residents and se...
  25. Pet Therapy

    Amanda - I don't know of any articles on Pet Therapy, but you might try to find them through some sort of Theraeutic Recreation source. In our facility, it is the Rec Therapy department who takes care of our pet visits. Or, maybe even the local hum...