Xbox Live Addict

Xbox Live Addict

LTC/SNF, Psychiatric, Pharmaceutical

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All Content by Xbox Live Addict

  1. Is this considered exposure?

    At my work, exposure is gauged in terms of "source" (whether the source of the blood/fluids was known to be negative, positive, or unknown test status) and "port of entry." In order to be a high-risk...
  2. Know-it-all, nonmedical bosses

    Bloody hell. She could have lost her arm thanks to those idiots. Where was the school nurse??? Does this school HAVE a school nurse? If something like that happened to my kid, I'd yank my kid out of...
  3. Nurse

    Heh, I'd forgotten that code status is often addressed in Dr's orders, but it is. However, if possible, I'd like to see the advance directive/DNR form itself
  4. "No New Orders Received" ..... ?

    Yes. Document all the juicy four-letter words the doctor may use too. Seriously. And call your supervisor right away. I had a scenario exactly like this years back and charted down two pages of notes...
  5. Nurse

    Generally, it will be in with other Legal papers. Every hospital has their own system for chart order, but it is usually at the front or back. It used to be that DNR patients had orange DNR stickers...
  6. Tongue Rings

    I work in a plasma center. A new body piercing of any kind (as well as any tattoos) requires a year deferral from the date it was done; the FDA and CDC consider piercings and tattoos to be high-risk...
  7. Nurses' Unions

    Plus - if any jobs ARE created by right-to-work legislation, they tend to be the lowest-paying dead-end jobs, with zero benefits, rather than high-paying jobs or those with potential for advancement....
  8. Most nursing home staff does its best to give good care, but they are not given the resources necessary to give good care. I agree that LTC is more heavily regulated than nuclear power, but nuclear...
  9. Nurses' Unions

    The following little blurb might shed some light on this... Interestingly, the Right To Work bill had the support of then-governor Frank Keating, and the propaganda in favor of the bill told...
  10. Nurses' Unions

    Well, in right-to-work states, such as the one I live in, you don't have to pay union dues. There are also no unions, as "right-to-work" legislation effectively castrates labor unions. Those workers...
  11. How are those doctors treating you?

    At the LTC facility which I left this year after nearly 3 years, the medical director was notoriously abrasive during phone calls, frequently made snide remarks to the Administration about the...
  12. why cant I get hired?

    Depends. Some hospices do hire new grads. LTC experience is generally factored into hospice hiring decisions, since LTC nurses deal with end-of-life and palliative issues; indeed, hospices will often...
  13. She did not just say that . . .

    Hmmmm... in this day and age, you could probably go ahead and tell second graders that "nurses get S*** from both patients and physicians for performing the above services." It wouldn't be any worse...
  14. why cant I get hired?

    Since you describe yourself as an LVN, are you licensed in California or Texas? In any event, many hospitals do not hire LPNs/LVNs or make very limited use of them. Your best bet for employment is LTC...
  15. stability and money are very important considerations for job/career choices, especially in an era when we have lost much of our manufacturing jobs to a billion low-paid chinese workers, and are now...
  16. IV pain meds in LTC

    By law, we only have to have an RN in the building eight hours a day... if the facility receives state money, as most residents are Medicaid. I do see your point in LTC facilities taking patients...
  17. IV pain meds in LTC

    Wow... sub-Q "okay in some homes"? A big part of every day in every NH I ever worked in was fingersticks and insulin injections; there are so many diabetic elders these days. Also, many residents were...
  18. Calling in sick before the holidays

    That is a rip-off. It's bad enough you're sacrificing your personal family time to your profession and be there for your patients, but you barely get any acknowledgement for this either. Where is your...
  19. Calling in sick before the holidays

    Aha... the day after Thanksgiving is a busy day for us; partly it's simply because we're not only taking in donors that would ordinarily come in for that day, but also those donors who missed donating...
  20. Whats the best job in healthcare?

    I should hope so. In the age of MRSA, something like that qualifies for a bona fide urgent issue. There are quite a few people who have died over the past few years from skin infections.:angryfire I...
  21. Calling in sick before the holidays

    Hoo, boy... I'm just glad I will never have to work another holiday again. We're not open
  22. "Ask me if my hands are clean"

    Yeah, that would be rich... asking the prisoners if they got their pillows fluffed in the infirmary, or if they got their 8 oz of OJ or smuggled liquor within 1 minute of ringing the
  23. In Oklahoma, LPNs have an extremely broad scope of practice. They can do everything short of hanging blood and IV push meds. They run LTC - the RN (usually the DON) needs only be there eight hours a...
  24. "Ask me if my hands are clean"

    Hmm... I worked at an adolescent psych facility some months ago, and when we DC'd patients, we were supposed to make sure they filled out their "customer satisfaction survey", even if they were simply...
  25. "Ask me if my hands are clean"

    Yeah, but come on... they shouldn't lump those of us who do what we're supposed to do, including washing our hands after possibly being exposed to gross body secretions, bacteria, and viruses, in with...