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gymrat33

gymrat33 LPN

certified med tech and Lpn
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gymrat33 has 3 years experience as a LPN and specializes in certified med tech and Lpn.

I am married to my soulmate and together we have 4 children

gymrat33's Latest Activity

  1. gymrat33

    Med Pass

    The last facility I was in went to the "baggie" system. We had lap tops on our med carts and we had to sign in every shift. The bags were strung together and had morning, noon, evening, and noc meds all in one. The special meds (i.e...antibiotics, coumadin, etc...) were seperate. There was a scanner on the cart and once you brought up the patients pictures and list of meds, you would scan each barcode on the package for the appropriate time and if the med was wrong, it would buzz you, otherwise it would place a check mark in the box with the med. Then when you hit record all, it would list the meds that you scanned and then you would have the chance to put in pulses or b/p's etc...then you would hit record again and a small box would come up asking if you were sure and then you hit ok and the patients picture would gray out so you would know that you gave the meds. It is very smooth and eliminated a lot of errors but the pharmacy would still make errors and place the wrong pills in or not at all. You still have to check them carefully. Also you would refill the cart 3 days a week so you would always have supply. You had to watch the CMT's too because sometimes they would miss things. It did save a lot of time.
  2. gymrat33

    CNAs that take extended breaks

    I agree. Even if you do have an RN supervisor in the building, they are not following you around on your unit so therefore do NOT know what your aides are doing or not doing unless you, the charge nurse, let them know because afterall you are the one in charge of the aides on your unit. It will fall back on you.
  3. gymrat33

    CNAs that take extended breaks

    Unfortunetly, none of us want to babysit grown women but whether they are giving care or taking 60 minute breaks, it falls back on the charge nurse. Tardiness or absenteism is the job of the supervisor but once they are there, they are , sad to say, your problem. Your residents are the primary concern. If they are not being taken care of because the cna's are on an extended break, that falls on you, the charge nurse. Then the supervisors start looking at you in a not so good light. My cna's sign out when they go on break and get written up if they don't follow the rules. This is their job, and if they don't feel the need to do it because they are bored and don't want to come back in to work...well there are plenty of cna's that need a job and are good at it. They can be replaced.
  4. gymrat33

    New LPN starting LTC job in Alzheimers unit

    You do learn how to balance. It's hard but not impossible. I work for a community for just Alzheimer's and I love it. Sometimes the residents understand things more than the management. I work 3-11 shift so I have to find the balance between work and home life and you do learn how to say no. I wish luck and be creative when redirecting.
  5. gymrat33

    You know it's gonna be a bad day at the home when

    You know it's a bad day when you walk in at 3pm and a new admission has arrived at 11am and they left it for you and a second one is coming in and you are the only nurse and you are short a cna.
  6. gymrat33

    what do you want to hear during report??

    In LTC, I like to know of labs pending, incident follow ups, antibiotics, how their mood was that day (I work in a facility that is strictly Alzheimers/Dementia). Any new orders help as well.
  7. gymrat33

    Barrier Cream on a Skin Tear?

    The new place I started also uses bandaides. I do not like that idea. We had one skin tear that they were changing 3 times a day. I think that is too excessive. In my past experience, the more you mess with the wound/skin tear, the more irritated it becomes. I think the most you should change it is once daily and prn if drainage is excessive. Also Allevyn and tegaderm works well if steri strips are not required. Steri strips tend to tear the skin even more. The cna's not telling you about the skin tears is not good practice and if it should get infected, thats on you, not them. I would require that they tell you about each and every one. Good luck!!
  8. gymrat33

    Nurse as a patient...

    Everytime one of my family members is in the hospital for whatever reason in or out patient, They always feel the need to state that I'm a nurse (like it will make a difference). When I visit, I am there on a personal status for my family not on a professional status. I only ask questions if something they did or said didn't make sense. I am not demanding and usually I end up doing the primary care for my family so I don't bother the staff (Yes I know that is their job) but I don't do anything that would ever cause harm to the patient. I let the staff do the toileting and any physical moving if neccesary. I usually do the bathing or feeding or general grooming. The little stuff that frees up the staff to do the more important things to help my family recover and I try to stay out of there way. I am a quiet patient when it's me in the hospital.
  9. Take it!! Remember, Family first, then job. Lower stress levels, better for your family. I currently have a Tues - Fri job and am switching so I can be home more during the week for homework duty :) A little sacrifice goes a long way
  10. gymrat33

    "struggling" with med pass

    More of the same: Organize the needs of your patients. I also work 3-11 and the first med pass (supper) is the most trying. There are the doc calls, getting res up for dinner/activities, etc... As in earlier posts, I do those in pain first, and diabetics then tube feeders are last. It does get easier. Have patience and have a cheat sheet with you so you know who takes their meds crushed or whole, etc...I wish you luck!
  11. gymrat33

    Reporting a Fall???

    ours is the same but now if it is unwitnessed, we start a 3 day neurochecks per facility policy no matter if the pt is alert and said she/he didn't hit their head.
  12. gymrat33

    feel inadequate in assessing heart sounds

    I think you can go to like American Heart Association and hear all kinds of sounds. They even do lung sounds. Extremely helpful
  13. gymrat33

    Problems with CNAs

    I work the evening shift and when I come in, I make out the assignment sheet immediately. On top of the assign. sheet is a cover sheet that lists in very to the point expectations what needs to be done in general to make our unit run smoothly. At the bottom in bold lettering is a statement that if failure to follow these expectations, dicinplinary action will be taken. Even the new ones know what to expect. I also take the newer ones down the hall and explain with the care cards in hand how to care for each resident from transfers to peri care. That way they cannot go back and say the nurse never told me. I have one cna that has been there for 30+ years and I still remind her of certain things. Then if they don't do what is expected, the first time I talk with them privately. That is step one of the dicinplinary action. then step 2 is a warning that the next time is a write up. If it's time management, I help them manage. If it's just blatant disregard for authority and our residents then I make it clear that their behavior won't be tolerated and we go from there. That is our license on the line and all of us has worked extremely hard to get it and I'm not losing it over someone who doesn't want to do the job and be accountable. I wish you luck
  14. gymrat33

    Nurses getting fired left and right...

    I agree with you. I work for a facility that does the same thing. If you apply for another job and they find out, my place just fires you on the spot. I feel like we are always walking on egg shells around there. I'm glad you got out of a bad situation. Good luck with your new endeavors.
  15. gymrat33

    LTC LPN's...how many patients do you have??

    I have anywhere from 35 - 39 residents on a floor where 75% are dementia and sun-downers with 1 - 3 admissions weekly and a med aide only about half the time. Most of the tx are on days but I now have 3 g tubes to take care of and hook up for cont feeding thru night shift. Half of the residents are on 30 to 60 min checks and I usually have 3 techs. 90% of the time I have 2 out of 3 good cnas but there is usually the one that slows things down. It's challenging but I love it
  16. A patient gave me the best advice on what to "bring" to clinicals...he said bring your "cool". He said whatever happens, don't let them see you lose your cool. That's the best advice I've ever had and it really works. I don't know what to say but if they never see you lose your cool then they trust you and they feel better about the care and their recovery is much faster if they trust their nurses...student or not.