SuesquatchRN BSN, RN

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All Content by SuesquatchRN

  1. SuesquatchRN

    Doubting being an RN b/c physical problems

    I hear you. Frankly, nursing will eat you up and spit you out,
  2. SuesquatchRN

    Injury of Unknown Origin

    Don't document unknown. Seriously. If you can figure out how it happened it is known. Unknown does several things: requires that witness statements be gathered for a bunch of shifts back, and also...
  3. I gotta say, I've been on the floor and a manager and managers are not exempt from having to comply with the endless regulations and governmental hoops. Seriously. Being a nurse exec means -...
  4. SuesquatchRN

    cebuana nurse!

    Looks like you've decided to stick out your LTC job. It sounds like you're doing well.
  5. That's okay! Email me. I work med/surg - ortho now. Bites.
  6. I gotta say, I'm a NH nurse who finally landed a hospital job and it ain't what I expected. In LTC nurses have a LOT of autonomy and power and here I feel like half of my job is, "Would you like...
  7. CNAs in NYS cannot be charged with abandonment. But yes, you can be fired for any reason they like. NY is an at-will
  8. SuesquatchRN

    Alert & Oriented & I want to go home

    Well, I just left LTC for a hospital gig and I must say, I miss a lot of it. I miss being able to actually know a patient's history, to actually make a lasting difference in people's lives. I now...
  9. I've seen people hired with restricted/probationary licenses. I'd go for
  10. I will be adding to this as I gather my thoughts, but this should be a good beginning. Several strong suggestions: Pay the $12 for the flash cards - EVERYTHING is on them Buy the Mosby's. Carpenito...
  11. SuesquatchRN

    Does a pressure ulcer = incident report???

    A pressure ulcer is not an incident report, although your facility should have an investigation conducted specific to how it originated. An incident means precisely that - something happened all at...
  12. SuesquatchRN

    Reducing ED transfers from SNF

    Educate, educate, educate. The new DNS at my last job (I just moved) instituted IV training for all staff. Very intense, very valuable, and it included which fluids to run for what. She ordered...
  13. SuesquatchRN

    How to help my CNAs

    I have always stressed to the aides that everything they are doing is a nursing duty. I show them that by assisting with toileting, making beds if we're really short - granted, there are times I...
  14. SuesquatchRN

    Fighting family in Long Term Care

    I take the offenders aside individually and ask them to behave. Diplomatically. I explain that they are upsetting people in their home. If it continues I ask them to leave. I have never had to...
  15. SuesquatchRN

    How to handle suspected med error?

    Med errors need to be reported at the time of discovery for many reasons, not the east of which is patient safety. We had a Coumadin screw-up a couple of months ago that involved five nurses over...
  16. SuesquatchRN

    Loving my new job

    Mazel tov! It's about damned time you got a decent
  17. SuesquatchRN

    Appalled at LTC standards of nursing care

    Call the hotline. I would have sent anyone doing such a thing home STAT and then informed the DNS and admin. After I was pulled off the offender and Mirandized for
  18. SuesquatchRN

    IV fluids in LTC setting?

    We see some but will be seeing more and more. CMS is pushing LTCs to keep their residents there for most therapies, including IV fluids and
  19. SuesquatchRN

    Terminated 15 mins after state left

    I'm sorry, newtress. I think you should use caliotter's reason for leaving and you'll be snapped up by a reputable company in a
  20. SuesquatchRN

    Appalled at LTC standards of nursing care

    I assess every morrning. I manage a skilled unit, 38 beds, and examine every resident during breakfast. I don't necessarily do much more than say good morning and see if they're at baseline, but if...
  21. SuesquatchRN

    What is the term for word confusion in the elderly

    expressive
  22. SuesquatchRN

    I need to quit but feel like a heel.............

    Quit!
  23. SuesquatchRN

    When is enough enough?

    And another good one bites the dust. Good luck,
  24. SuesquatchRN

    When is enough enough?

    Well, my facility is creating an ADON spot. My first reaction was, "ME ME ME!" but upon reflection I realized that I am at precisely the management level I'm comfortable with. I don't envy you your...