catlvr

catlvr

Geriatrics, Hospice, Palliative Care

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All Content by catlvr

  1. I'm trying my best, but seriously stop putting me down on the phone

    catlvr replied to Catch22Personified's topic in Emergency

    As someone else said, SNFs are not for the faint of heart; you have many patients to take care of, and you don't have the equipment and staff to get the dx quickly like you do in a hospital. I think...

  2. instructor says nursing is not for me..

    catlvr replied to Orlette's topic in General Students

    Like most other posters have said, a nurse does need to be able to communicate, and chit chat is a great way of breaking the ice. I used to really stink at it, but listened to others do it and forced...

  3. What to do with these kind of patients?

    catlvr replied to Dazglue's topic in General Nursing

    Sounds so familiar! If you've checked that all of their physical needs have been met (food, water, toileting, etc), might be time to get orders for a sedative. Can he walk? I've had some patient...

  4. Admitting To Rehab & Going Before The Nursing Board

    catlvr replied to pholda's topic in Nurses Recovery

    I don't have experience with this, but just wanted to congratulate you on your sobriety and honesty...I know that neither are easy, and think that both will be assets to you as a nurse. Hope that...

  5. Orientation at LTC/Subacute Rehab facility

    catlvr replied to IlovemycareerRN's topic in Geriatric, LTC

    At my first facility, we had a fabulous orientation, complete with IV cert, wound care, and assessments. I didn't realize how good it was until I moved and oriented at a new facility - three days of...

  6. IV Therapy course in Pittsburgh, PA?

    catlvr posted a topic in Pennsylvania Nursing

    Hi, I'm an LPN and looking for a position in Pittsburgh as I just moved here; hope that having my IV certification will help. Anyone know where I can get this? Thanks so

  7. Worst case scenario needle stick

    catlvr replied to LaughingRN's topic in General Nursing

    Yippee!!!!! I am so very happy for

  8. LTC incident, what are your thoughts.

    catlvr replied to wearyLPN's topic in General Nursing

    I agree that you did the right thing for the patient...if you had given the tylenol, and it had no effect, then your patient may have become increasingly agitated and possibly fallen. Unless you...

  9. Code Blue Drills

    catlvr replied to CapeCodMermaid's topic in Geriatric, LTC

    My old facility never had code blue drills until I begged for one; the nurse educator was surprised that we would need a drill; she said that it was a core skill and of course we would know what to...

  10. Genesis Health Care System

    catlvr replied to sweetsleep28's topic in Geriatric, LTC

    I worked for Genesis for 3.5 years, and was fortunate to have a terrific DON. We did not have restorative LPNs, but the LPNs did work in the rehab unit as well as LTC units. I enjoyed working for...

  11. Just got offer for overnight on tele: Brand new LPN!

    catlvr replied to autbot4500's topic in LPN, LVN Corner

    That's a fantastic opportunity! I hope that you get it, if it is what you want.

  12. Lasix use in CHF?

    catlvr replied to gorgenurse's topic in Hospice, Palliative

    As an LTC nurse, pulling out the stops for suspected uti/pneumonia confuses me to no end. I had a hospice pt who had a foley r/t urinary retention, and of course she got a UTI - worst...

  13. 12 hour shifts for an LPN in Pittsburgh

    catlvr posted a topic in Pennsylvania Nursing

    Hi, I am FINALLY moving back home to Pittsburgh. I'm an LPN with four years of experience at a SNF, and I'd prefer to work 12 hours shifts. Can you please tell me if any of the SNFs in the area...

  14. 12 hour shifts for an LPN in Pittsburgh

    catlvr replied to catlvr's topic in Pennsylvania Nursing

    I live on the northside, but would be happy to travel up to 45 minutes - I really want 12s! Thanks,

  15. Places to live in/near Pittsburgh

    catlvr replied to medicrnohio's topic in Pennsylvania Nursing

    Hi OneLoneNurse, I'm moving to Pittsburgh, and looked all over the region for quite some time. What type of environment do you like - urban or suburban? We just bought a house in Marshall Shadeland...

  16. No code changed to Full code

    catlvr replied to yooperPN's topic in Geriatric, LTC

    In this case, if the paperwork cannot be done to everyone's agreement (DNR), I might tell the family that I'm going to keep the patient's door closed to give them privacy, and that they are to call...

  17. Heparin SubQ administration?

    catlvr replied to Hellostudentnurssee's topic in Patient Medications

    I ask the pt if they prefer slow or fast...they usually are able to state which is more tolerable to them.

  18. I have a recent TRESPASSING Misdemeanor, will the BRN allow me to take the NCLEX?

    catlvr replied to BrownieSampaloc's topic in Licensure: Criminal History

    Hi, I imagine that each board will do what they will do when they want to, and that will be nervewracking for you. I hope that they make their decision soon so that you can move on. Based on what...

  19. med error or flawed entry

    catlvr replied to supervisorhatchet's topic in LTC: Directors, Assistant

    Maybe I am too deep into my nightly glass of wine, but 650 mg of APAP is *not* the same as one tab of tylenol SR (sustained release), any more than one tab of 25 mg metoprolol succinate is the same as...

  20. med error or flawed entry

    catlvr replied to supervisorhatchet's topic in LTC: Directors, Assistant

    I am curious as to the rationale for this...can nurses not be trusted to figure out how many of each strength of pill to administer to equal the prescribed dose? To me, it seems as if there is more...

  21. Don't You Just Want To Scream?

    catlvr replied to CapeCodMermaid's topic in LTC: Directors, Assistant

    I am a floor nurse (LPN) in a five star SNF, and love my job and the pt population; 24 pt assignment is half ltc and half str. I can see both sides here: sometime we really have too much crazy CYA...

  22. Checking visitor's vitals

    catlvr replied to AJPV's topic in General Nursing

    The wife of one of my pts was "feeling funny", not diaphoretic, normal mentation...but was diabetic. She did not have a glucometer with her, and her daughters didn't want try ours, so I checked...

  23. It shouldn't have happened this way....

    catlvr replied to nerdtonurse?'s topic in Hospice, Palliative

    I've got agree with Needshaldol; a hospital is the wrong setting for a hospice pt, but perhaps that was in the works and she died too quickly for that to occur. I work in a SNF and it breaks my...

  24. ? regarding SC

    catlvr replied to Sheryl218's topic in MDS Coordinator Information

    My hat is off to you folks who can remember and understand all of these forms and assessments and when to do them. It seems as clear as mud to

  25. Do You Use Fentanyl Transdermal Patches Safely?

    catlvr replied to NRSKarenRN's topic in Patient Medications

    Try this instead: the article is on the front page of the site at