Nik6lpn

Nik6lpn has 12 years experience and specializes in SNF/LTC.

Latest Activity

1. New lvn in acute/rehabilitation Snf

   Nik6lpn replied to Jewlz_lvn's topic in LPN/LVN

   You have to find a routine, and that just takes time. I use to look for advise on the same type of thing (trying to figure out how some nurses seem to get everything done with no stress or issue at all). You will have to learn to speak up for yoursel...

2. Unsafe situation LTC

   Nik6lpn replied to Nik6lpn's topic in LPN/LVN

   We had labs done and a UA that came back clear and her labs are unremarkable. UTI was the 1st thing we checked when her behaviors increased, so we were shocked to find out her urine was clear. She has history of mental health issues and behaviors.

3. Unsafe situation LTC

   Nik6lpn replied to Nik6lpn's topic in LPN/LVN

   Thank you for the advice. We are encouraged to chart behaviors as they occur, or at least a daily snapshot. My question is: If I am encouraging the staff to fill out incident reports for every incident with this resident, what will admin think of t...

4. Unsafe situation LTC

   Nik6lpn replied to Nik6lpn's topic in LPN/LVN

   You are absolutely correct. Resident NEEDS a sitter and we have asked, and that is when we are "Gas lit" getting responses such as... "We don't have one on one", "you are all hovering over her" (then of course we reply that we don't want to hover, n...

5. Unsafe situation LTC

   Nik6lpn replied to Nik6lpn's topic in LPN/LVN

   I truly appreciate the great advice, and I will take this advice. Anyone working in LTC/SNF long enough, know the many situations you encounter that become nearly impossible at times, and the level of critical thinking and improvising that goes into ...

6. Unsafe situation LTC

   Nik6lpn replied to Nik6lpn's topic in LPN/LVN

   The owners may be in a tough spot if they don't act soon. We are loosing staff because of the extra load on everyone and I don't think they want to pay anymore agency Healthcare than they already do. They are lucky here that we have had more regular ...

7. Unsafe situation LTC

   Nik6lpn replied to Nik6lpn's topic in LPN/LVN

   Thank you so much for the reply. We do have Care Conferences for the residents. Palliative sounds perfect for her, but I believe her POA refused it. I will look into that more. Maybe we can keep talking to her POA about it and educate her better...

8. Unsafe situation LTC

   Nik6lpn posted a topic in LPN/LVN

   Any advice on how to handle being the charge nurse when you have a patient that is clearly not appropriate for LTC but there is nowhere else for her to go? The majority of your time is spent keeping 1 Resident safe, requiring 1 on 1, 100% of the time...

9. Unsafe situation LTC

   Nik6lpn posted a topic in LPN/LVN

   Any advice on how to handle being the charge nurse when you have a patient that is clearly not appropriate for LTC but there is nowhere else for her to go? The majority of your time is spent keeping 1 Resident safe, requiring 1 on 1, 100% of the time...