withasmilelpn

withasmilelpn

Rehab, LTC, Peds, Hospice

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All Content by withasmilelpn

  1. Why Are Nurses So Critical of Other Nurses?

    withasmilelpn replied to bluegeegoo2's topic in Geriatric, LTC

    I don't ever worry about it. I was there, they were not. It's my judgement and my license and my patient. I'm always interested to hear others views, but am very matter of fact about what and why I do...

  2. Admissions people

    withasmilelpn replied to CapeCodMermaid's topic in Geriatric, LTC

    I think it's a good thing you got the email. Now you know exactly what you are up against. Sorry you have to deal with this

  3. Dealing with 'nurses eat their young' attitudes

    withasmilelpn replied to ePerfect's topic in Geriatric, LTC

    I don't think this is a 'nurse's eat their young issue.' This is is a 'nurse's complaining about other nurses' issue. Which will forever be an issue. 18 years a nurse now and yes, sometimes I've...

  4. I received a "write up" warning at my LTC

    withasmilelpn replied to Blackcat99's topic in Geriatric, LTC

    This is illegal. Approved or not, they must pay you if you are working. What they can do is make a no overtime policy without approval then write you up for not getting approval and eventually fire...

  5. Full Code resident in LTC

    withasmilelpn replied to BB00513's topic in Geriatric, LTC

    Another useful article: Making Decisions: CPR & DNR

  6. Full Code resident in LTC

    withasmilelpn replied to BB00513's topic in Geriatric, LTC

    Interesting article addressing just this issue: Can Doctors Impose Do Not Resuscitate Orders? They Can | White Coat, Black Art with Dr. Brian Goldman | CBC

  7. PRN meds

    withasmilelpn replied to mom-wife-nurse's topic in Patient Medications

    Honestly, this could be determined as neglect. I would've administered the med as long as there were no medical reasons not to, (low blood pressure/or resps) and documented the request, the refusal to...

  8. Doesn't It Make You Want To Scream, Part 3

    withasmilelpn replied to CapeCodMermaid's topic in LTC: Directors, Assistant

    Not making excuses, of course they should be monitoring BMs appropriately. And of course this is a place to vent your frustration, so wondering whether someone is stupid, or just doesn't care is...

  9. Doesn't It Make You Want To Scream, Part 3

    withasmilelpn replied to CapeCodMermaid's topic in LTC: Directors, Assistant

    Not thinking is definitely a problem. Your employee though didn't check the report and didn't know the protocol. So are the inservices effective? Who gives them? Are they interesting and informative...

  10. Tattle tale? Or my duty to report?

    withasmilelpn replied to CloudySue's topic in Private Duty

    Typically in home care, the parents call the doctor. The nurse provides them with the information they need and advises them to call. It is their judgement whether to call or

  11. Here's a new one: chart assessments before midnight.....

    withasmilelpn replied to mom-wife-nurse's topic in Geriatric, LTC

    Can you make it a late entry - ie "Late entry for date/time - assessment done showed...". That should satisfy the requirements and surveyors will clearly see that documentation is being done within...

  12. Doesn't It Make You Want To Scream, Part 3

    withasmilelpn replied to CapeCodMermaid's topic in LTC: Directors, Assistant

    Stupid or just ignorant? New nurse or nurse that is unaware how awful constipation feels? Never had a patient with an obstruction? Unaware how to run the bowel report? Given this situation I'd...

  13. Phasing out alarms?!?

    withasmilelpn replied to al586's topic in Geriatric, LTC

    I think the problem may be too frequent use, improper use as a restraint, and disruptive, loud alarms. I find the push to get rid of them frustrating because I have prevented falls by responding to...

  14. Chemical restraint and lazy nurses

    withasmilelpn replied to Veronica.c's topic in Patient Medications

    Because meds like Clonazepam and Ativan do have high risks for over sedation, falls, etc and use is scrutinized heavily by state surveyors, it is to your facilities benefit to cut back on their use at...

  15. Immobile med carts

    withasmilelpn replied to horrorxgirl's topic in Long Term Acute Care

    Can you plug them in the rooms or hallway outside the

  16. Med pass followed by state...

    withasmilelpn replied to KJM-RN's topic in Geriatric, LTC

    It's a wonder why many talented nurses don't want to work in LTC, when something that simply requires a warning gets elevated to this extent. How absolutely ridiculous! I love my Residents, my hours...

  17. LTC med pass from PYXIS?

    withasmilelpn replied to BrandonLPN's topic in Geriatric, LTC

    I'm thinking this move comes from the 'Culture Change' movement, making your LTC less 'institutional' by getting rid of your cart. However we now have meds in the rooms for each patient when we did...

  18. Nurses dressing up for Halloween

    withasmilelpn replied to pheonixRN's topic in Patient, Colleague Relations

    Ok - I love it but I guess I'm always one of the unprofessional ones. :-) I wear some crazy scrubs with smiley faces that stick out their tongues, bold flower prints, special scrubs for Halloween,...

  19. New Title for Nurses, and other beefs

    withasmilelpn posted a topic in Geriatric, LTC

    Our facility has undergone a quite a few of changes of late, for the past few years we have endured construction so that we can have a 'house hold' model of care. Some of these changes have been...

  20. No longer a nurse?

    withasmilelpn posted a topic in General Nursing

    I posted a similar topic under Geriatrics/LTC in specialties - but I'd like to hear from more nurses their opinion so am posting just this part here. My facility has decided that all LPNs and RNs'...

  21. No longer a nurse?

    withasmilelpn replied to withasmilelpn's topic in General Nursing

    I vote for Mom

  22. No longer a nurse?

    withasmilelpn replied to withasmilelpn's topic in General Nursing

    SubSippi - I just have to let you know, not only do I have a cat, I actually have 3 cats on my unit at this time! One plant, no throw pillows

  23. Can they report me?!?!

    withasmilelpn replied to SGroRN87's topic in General Nursing

    Baloney - btw, many, many employers don't know nursing practice laws, or for that matter labor laws. Or what they think they know is

  24. No longer a nurse?

    withasmilelpn replied to withasmilelpn's topic in General Nursing

    LaRN - that was useful advice. Turns out my state just passed a law requiring name badges with the credentials of the health care giver prominently displayed on the ID, specifically so patients know...

  25. New Title for Nurses, and other beefs

    withasmilelpn replied to withasmilelpn's topic in Geriatric, LTC

    Other facilities have done meds in the rooms Systoly - and have been cleared by the state inspectors. I don't think we will be so