Spring_Peeper

If there is already a thread on this, please tell me. I didn't see one. I'm a new RN at a large LTC and am learning the ins and outs of communicating with doctors on second shift. We have one doctor who is excellent and we have a phone tree in place ...

When Fluids Push Back

Thanks for the explanation, Rehabme. I'm starting my first rehab night shift tonight (just shadowing tonight), and I was curious. I don't know if the four Ps are part of our program, but I'll find out soon!

Pain, personal needs, and position are self-evident, but what does the hourly "possessions" check entail?

Hi everyone, I am a new nurse looking for a job, and one prospect is to be a laser operator at a laser tattoo removal salon. I'll be interviewing soon and have been reading what I can find about this procedure online. There doesn't seem to be any re...

Commenting on my own post, in case other nurses are interested... I researched the topic at my nursing school's library and found many interesting articles. Here is the info about one particularly comprehensive article, for those who want to look it...

My first job is in LTC, too. In case I ever want to leave and apply at a hospital, I am keeping track of acute problems I've had the opportunity to deal with, so I can talk about them in an interview. Lots of interesting things have happened and I've...

That does sound discouraging. Where I work, when an admission is expected, they put an extra nurse or med tech on the floor to help for that shift. What happens when you ask your nursing supervisor for support?

I understand how it could be illegal to not pay an employee for a mandatory inservice. However, at my facility it turns into a patient safety issue to have staff called off the floor while on duty, for a "half hour" mandatory inservice (especially wh...

Maybe your resume needs some tweaking? Does it reflect the level of acuity of the patients you cared for? Maybe you need to specifically say if there was higher level equipment you used at your facility (maybe they are assuming you are not familiar ...

That place sounds poorly managed. Not all LTCs are like that; try another one. Best wishes with your little one.

In my facility (in NH) the LNAs chart meal intake and BMs electronically. They are the ones that pick up meal trays and toilet people, after all. Sorry to hear you have redundant tasks at your place.

In addition to what others have mentioned, we mention whether the resident is skilled, on hospice care, or on 15-minute checks. We also mention if they haven't had a BM in 3 days, what we did about it and whether there were any results. It's always p...

Is there a deadline for responses to your poll? High on the list should be better compensation for nursing assistants.

WittySarcasm, good idea about an order for patient/family teaching. I didn't know that was an option.

In my facility, which is a county nursing home, nurses supply their own pens, highlighters, sharpie markers, penlights, and bandage scissors, although there is one resident with his own designated bandage scissors kept in his designated wound care bi...

Thank you for that great link, CapeCodMermaid. I made a copy to keep on my clipboard.

I hope you don't give up nursing just based on this experience. That kind of heavy med pass would take a while to get the hang of; I imagine every day goes a little faster, doesn't it? Because you get to recognize the residents and where to find thin...

I was worried what it would be like to start my nursing career at a nursing home, after reading the unhappy posts other new nurses have written. However, after my first two weeks of orientation at "my" nursing home I am still SO happy I decided to ta...

I'm with you, Dianne! Good luck :)

I used to be an aide on a LTC unit. As I was tucking a gentleman into bed for the night, I said, "You look so cozy." He said, "Well, come on in! I know a couple more girls we could call, too." :loveya:

I'm a new nurse on an LTC unit. One day I was making conversation to get to know one of my elderly ladies. One thing she told me about herself: "I like ice cream as much as I like the boys!"

Hi PsychNurseWannaBe, How is your patient doing? Can NG or parenteral nutrition be considered part of a necessary wound treatment? Or would the patient not allow that either? I'm a student, so forgive me if this is a dumb question...

:w00t:Congratulations on graduating and getting a great job offer! My 2 cents: If you accept the job and hubby keeps his job (which it sounds like he is happy with), you will both have a job AND each other. Sounds like he is well-established in his...

Can anyone refer me to any scientific articles about swabbing nares for MRSA? Thanks in advance.