Xbox Live Addict

Xbox Live Addict

LTC/SNF, Psychiatric, Pharmaceutical

Member

  • Content

    473

  • Visitors

    9,355

  • Followers

    0

  • Likes

    5

All Content by Xbox Live Addict

  1. LPN Supervisor Position

    Xbox Live Addict replied to ocb_dave_ocb's topic in General Nursing

    It does sound like they were trying as much as they could to sweeten the deal for this supervisory position, and they wanted an insider for it. They also don't want to let you go to another facility,...

  2. Slooooow!

    Xbox Live Addict replied to fallrisk2008's topic in General Nursing

    Many of the NCLEX questions will be about time-management and prioritizing - which patient, from several with widely varied diagnoses and levels of acuity, should you assess first? Which patient's...

  3. CNA trying to hit me up for drugs.

    Xbox Live Addict replied to Jo Dirt's topic in General Nursing

    Dangerous situation, both for you and for the patients. Someone like this is a menace to your residents. If she gets the chance, she will divert drugs from them to her - and push it off on you or some...

  4. And yes...it is all legal.

    Xbox Live Addict replied to CoffeeRTC's topic in Geriatric, LTC

    I sympathize with you completely. Today's NH residents would have been yesterday's hospital residents, with the way LTC acuity has increased. Nowadays, nursing homes are home to the sickest of the...

  5. Thank you to the PCA's :)

    Xbox Live Addict replied to daisydoll's topic in General Nursing

    I have to agree with you. For all the bad press that aides get, especially in LTC, most of them bust their butts doing their job, and the best ones are invaluable. Smart CNAs have saved many a...

  6. Did anyone see the Opus comic on 8/17/08?

    Xbox Live Addict replied to RNSC's topic in General Nursing

    I've always had visions of health care ending up like a trip to McDonalds, with the way they find every corner they can possibly cut to fatten their profits. You just drive up to the speaker order a...

  7. Filling in MAR holes

    Xbox Live Addict replied to Laurab14's topic in Geriatric, LTC

    There is a reason facilities do this - strictly for covering their own bee-hinds, not the staffs'. They can show a State auditor that their documentation shows everything that's supposed to be done IS...

  8. Filling in MAR holes

    Xbox Live Addict replied to Laurab14's topic in Geriatric, LTC

    So how do you document PRNs? Every facility I've worked at slaps post-it notes all over blank MARs/ADL holes. They freak out about them around the time they're expecting the annual State survey. One...

  9. Fun Care Plans

    Xbox Live Addict replied to scaredofshots's topic in General Nursing

    I know that this is outside my scope of practice, but I once wrote an order to myself that read "Jack Daniels 1 shot q 1 hour PRN until stress gone. May not use generic substitute.":chuckle God knows...

  10. Filling in MAR holes

    Xbox Live Addict replied to Laurab14's topic in Geriatric, LTC

    Someone correct me if I'm wrong... but couldn't someone else filling YOUR initials into an official medical document be considered falsification... or even

  11. Who here actually uses percussion when doing assessments?

    Xbox Live Addict replied to student456's topic in General Nursing

    I think most people would probably just wonder what the hell I thought I was doing to them. You just gave me an image of a long-ago Saturday Night Live Christmas show in which Chris Farley played "The...

  12. CNA's giving meds....WHAT???

    Xbox Live Addict replied to Becca123183's topic in General Students

    In Oklahoma, extremely broad scope of practice is common across the board. The restrictions many states place on UAPs and LPNs are unheard of here. CMAs can handle any medication in a NH, including...

  13. CNA's giving meds....WHAT???

    Xbox Live Addict replied to Becca123183's topic in General Students

    Are you talking about office Medical Assistants or Certified Medication Aides? Two totally different things. The former work in physician offices and do whatever the physician trains them to do. They...

  14. Who here actually uses percussion when doing assessments?

    Xbox Live Addict replied to student456's topic in General Nursing

    As part of my physical exams for plasma donors, I assess the liver edges using a 2-handed palpation technique that is the official company practice (it absolutely has to be done this way if any...

  15. MDs you love?

    Xbox Live Addict replied to SaraO'Hara's topic in General Nursing

    One of my most memorable experiences was when I came in one morning to find that the staff let a resident on hospice with very severe arthritis and a cranky family run out of OxyContin. That's a...

  16. CNA prior to NS questions

    Xbox Live Addict replied to ImNotWitty's topic in General Nursing

    Being a CNA would give you an idea of what the routine is like in a health-care setting as far as ADLs go. It's not an accurate representation of what actually being a licensed nurse will be like. My...

  17. Who here actually uses percussion when doing assessments?

    Xbox Live Addict replied to student456's topic in General Nursing

    I had to do a comprehensive head-to-toe exam on a volunteer as part of Nursing Process, which included examination methods such as percussion. I have never done such an exhaustive exam in actual...

  18. Student Nurse wanting to work as CNA

    Xbox Live Addict replied to RFederer's topic in General Nursing

    I don't know how it works in Indiana, but in Oklahoma, you are required to go through a mandated number of hours of training specifically for CNAs. There is no way around this requirement, because...

  19. Vultures

    Xbox Live Addict replied to icyounurse's topic in General Nursing

    But - the point the OP and the rest of us were trying to make is that all these sensational ads promising big cash settlements from drug companies and nursing homes are reprehensible and blatantly...

  20. Hypoglycemic Symptoms But Still Elevated Glucose

    Xbox Live Addict replied to pagandeva2000's topic in General Nursing

    I had a couple of people that ran 200-250 routinely. If they had confusion or diaphoresis, a FSBS done at the time would read 90-110, which is a healthy level. I'd just have them eat regular food. I...

  21. Noc

    Xbox Live Addict replied to RheatherN's topic in General Nursing

    It may not be comfortable, but if your body knows it has to stay awake, it will. One of the best ways to stay away is to stay busy, be on your feet moving around. You're more likely to fall asleep if...

  22. Vultures

    Xbox Live Addict replied to icyounurse's topic in General Nursing

    The ones which disgust me the most are the ones which say, "If your loved one has been the victim of negligence in a nursing home, call this number now and we can guarantee you a cash settlement." As...

  23. Just got BA...is being a CNA "below" me?

    Xbox Live Addict replied to kix86's topic in General Nursing

    I have known people with MA degrees that were working as CNAs, either to get a foot in the door in health care, or to cover bills until they could land a teaching job. Also, if you read the job...

  24. Choose your words wisely....

    Xbox Live Addict replied to Jo Dirt's topic in General Nursing

    This arrangement will change only when the State mandates tougher standards for staffing. LTC does not have the same enforcement for staffing ratios as acute care, and Oklahoma has among the lowest...

  25. Choose your words wisely....

    Xbox Live Addict replied to Jo Dirt's topic in General Nursing

    It gets to be a problem the more of them there are. If you've got multiple patients that are serious fall risks, especially ambulatory residents prone to elopement, that makes it tought to ensure...