kbrn2002 ADN, RN

Geriatrics, Dialysis

RN from WI

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All Content by kbrn2002

  1. kbrn2002

    LTC nurses: Can I hear from you, please?

    You are past that brand new hump now, congrats! LTC is a different beast for sure! After 10 weeks you probably know if it is something you think you will like, or maybe even love so much you never...
  2. kbrn2002

    Non compliance?

    I will agree that wrist BP monitors are not known for their accuracy but I have to disagree that all BP meds should have parameters. Depends on the setting and the history of the patient. I work in...
  3. kbrn2002

    Alexa, I need to go to the bathroom???

    Anybody with an echo device knows some or the useful features that would scare the living daylights out of me in that setting. They do "always listen" which means they record all conversation. Do you...
  4. It's not just hospitals affected. I work in a SNF that was I believe initially built in the late '60's. It has seen several remodels of the interior over the years. The biggest interior change has...
  5. kbrn2002

    Latest on RaDonda Vaught case

    God, isn't that the truth! The easiest way to tell when somebody at work screwed up and how is by looking at what type of "mandatory education" comes from
  6. kbrn2002

    I was slapped by a patient

    I have a long history working in LTC. Most of my career if a resident lashed out at another resident you bet it was taken seriously. Mountains of paperwork, phone calls to various state agencies,...
  7. kbrn2002

    Can I get Fired?

    Yes, you could get fired for this. Think about it from the employers point of view here. You used facility supplies, most likely while you were on the clock to perform a medical procedure on yourself...
  8. kbrn2002

    Seattle is Dying

    The supply and demand chain unfortunately isn't solely income driven, it's also population driven and there's a lack of available housing for the population that falls within lower to middle class...
  9. kbrn2002

    Seattle is Dying

    I agree with this. I am originally from the area and still have relatives that live in and around Seattle. I looked into moving back there several years ago and quickly changed my mind. There was no...
  10. We supposedly have a no fault call out policy where the supervisor taking the call can't ask why you are calling out. There is an exception during "flu" season when the supervisor taking the call is...
  11. kbrn2002

    Nurses that “only do it for the money”

    While I do think it's important to at least be interested in a career for more than just the money before dedicating a lot of time and money into the education required to get there the paycheck and...
  12. I complained about that earlier in this thread. Are you by chance using PCC? That's what we use and the software literally won't let you save the follow up assessment without entering a number in the...
  13. kbrn2002

    Dubious Victories

    Not a dubious victory for me but a this reminds me of a unit manager I worked with. Despite the fact that she rarely if ever laid hands on a resident to hear her talk you'd think she was the single...
  14. kbrn2002

    Say it ain't so...........

    The three hots and a cot can be an issue I suppose. Reminded me of my student days psych rotation. The patient I was working with was not deemed dangerous to staff but had been admitted following...
  15. kbrn2002

    smokers and coughing

    First full disclosure here. I am a smoker. But gee whiz, nothing like going to the casino which is full of smokers since that's about the only public building smoking is allowed in nowadays and...
  16. kbrn2002

    Did I make the right choice?

    I don't think you didn't do the wrong thing. Now that's funny! I kind of prefer your auto corrected version. What a backwards way of saying you actually did the wrong
  17. kbrn2002

    Written Up

    OK. Here it is: It may be "common" in long term care, but it's called crappy nursing and why so many seniors are over-medicated for staff convenience. Now how else should I interpret that except...
  18. kbrn2002

    Written Up

    I understand what you are saying here. Same thing in the SNF I work at. We have to have a supporting diagnosis or get the med discontinued, even if it's a med that resident has been on for awhile and...
  19. Same here. Say I give a hospice resident Roxanol for SOB, I clearly chart it's for respiratory and not pain yet the follow-up assessment literally will not save unless I chart a follow up pain...
  20. I get annoyed because it is in our charting software. ASA, neurontin, any steroid med, allopurinol, etc. all automatically trigger a pain scale with administration. Fortunately the orders are easy...
  21. kbrn2002

    LGBT Nurses

    While I am not part of the LGBT community myself I my now former daughter-in-law is transgender and I was there for her during her transition. While their marriage didn't survive her transition she is...
  22. kbrn2002

    Feel Like I'm Drowning

    So sorry to hear about your husband's illness. Nurse Beth is absolutely right. There are enough stressors in your life right now to add job hunting to that list. Dealing with the illness of a loved...
  23. kbrn2002

    Interesting case of the spilled pills

    That's just wow! I first can't believe the facility actually expected anybody to open a sharps container to retrieve the pills in the first place. Then a pharmacist looked at said pills and decided...
  24. kbrn2002

    bedside report

    We've tried bedside report in the past and it failed miserably. Now there is a push to do it again for both CNA's and nurses that pretty much all staff have ignored. A big part of the reason it's...
  25. kbrn2002

    Any way you could stay over and work a few hours

    Our CNA's are also union and going through the same thing in reverse. Last year they voted in a big jump to starting wages to get people in the door and gave the long-time staff insignificant raises...