catlvr

catlvr

Geriatrics, Hospice, Palliative Care

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All Content by catlvr

  1. The Things I've Seen Today...

    catlvr replied to INparrothead's topic in General Nursing

    I think that there are so many of these threads because in the heat of the moment, we focus on stabilizing the pt and doing what needs to be done, and then move on. But some of that angst can be hard...

  2. Wasted my first year as an RN..learn from my mistake!

    catlvr replied to erinp88's topic in Nursing Career

    That is a bad situation to be in; perhaps after you have the baby (congratulations!!), you can do a RN refresher course to brush up a bit and to make some contacts; might help you to get the job that...

  3. Morphine and Hospice Patients that are dying

    catlvr replied to suzi0612's topic in Hospice, Palliative

    Hi Leslie, thanks for bringing this up. I work in subacute/ltc, and have had a quite a few hospice pts on mso4. I'm a bit of a nut about pain, and tend to medicate in anticipation if I know the...

  4. sometimes this job breaks my heart.

    catlvr replied to nola1202's topic in Geriatric, LTC

    Yes, this job can break my heart! I freely tell my LTC patients that I love them, because I do love them! I know that we are to have professional boundaries, but I am working in their home, and I've...

  5. Role of a Hospice RN in the SNF?

    catlvr replied to brenrn06's topic in Hospice, Palliative

    We have several different hospice companies coming into our facility. All of them state that the SNF has primary care, and that we are to call the doc for orders when we need them and then get them...

  6. LTCF

    catlvr replied to Vtachy1's topic in Hospice, Palliative

    I work in a LTCF, and really appreciate all that hospice has to offer, and all that the nurses do for our patients. We have three different companies in our facility, and there is a huge difference...

  7. What is the one thing you will absolutely not tolerate from a patient?

    catlvr replied to Yiggs's topic in Patient, Colleague Relations

    Definately depends on the patient's mental status, but I won't tolerate a patient being rude/cruel to another patient or staff. I work in STR/LTC, and find that even confused elders are quick to back...

  8. Med Error Perspective

    catlvr replied to takoluka's topic in International Nursing

    Hi, i feel for you; ltc is no easier than a hospital, just different! I work in a nursing home and have 24 pts - half long term care (half of those are hospice) and half short term rehab. It is easy...

  9. What are your must-do's?

    catlvr replied to missdeevah's topic in General Nursing

    Call me silly, but I check feeding tubes for placement *every* time I access the tube. I know some nurses who are comfortable checking it once a shift, and some who don't ever check for placement. I...

  10. Falls versus Culture Change

    catlvr replied to ejpip1's topic in Geriatric, LTC

    As Justus501 said, a schedule might help him; we've used it with some success in our facility. It does take take a lot of staff time and effort (something that just doesn't exist in LTC!) but it is...

  11. Mean Comment?

    catlvr replied to Candybones's topic in LPN, LVN Students

    There are some really unprofessional (and plain nuts) nursing instructors. I could never figure out what made them tick, and learned to ignore their remarks - and vow to never be "that" sort of...

  12. Hospital demotes LPN's to CNA's

    catlvr replied to anjule18's topic in LPN, LVN Corner

    It is true that LPNs can continue their education and become an RN (I'm trying to do that myself). My cynical self thinks that the hospital chose to demote the LPNs to CNAs to avoid laying them off...

  13. How is the job situation for RNs and LPNs near Philly area/suburbs?

    catlvr replied to missa8182's topic in Pennsylvania Nursing

    I'm an LPN in Philadelphia. If you want to be a nurse, go for it - 2014 is a *long* time away - not sure that it can accurately be predicted what the job market will be like then! Good luck with...

  14. into to world religion

    catlvr replied to crazywoman's topic in Online Distance Learning

    I passed this a few weeks ago (I think that it is pass/fail now, as someone else mentioned) and it wasn't too bad if you were well prepared - I had a major block about learning the information since...

  15. Alien hand syndrome!

    catlvr replied to bandas's topic in General Nursing

    One of our dearest patients has cortical basal ganglionic degeneration, and a phantom hand. Since the phantom hand is the only one that works (paralyzed on the other side), it is especially tragic....

  16. ICF resident returns skilled for short term

    catlvr replied to brandnew2mdsrn's topic in MDS Coordinator Information

    I'm a floor nurse, and am grateful that I don't have to try to understand the complexities of the MDS - sunshine and rainbows to you nurses who do this work.

  17. Ominous physical symptoms

    catlvr replied to catlvr's topic in General Nursing

    Ah, I suppose that I mean continuing to weep after all of the above has been done; to be honest, I've rarely seen anyone leave our facility in good shape when they have weeping legs. But I'd love to...

  18. Ominous physical symptoms

    catlvr posted a topic in General Nursing

    Here's a weird question: we were talking about ominous symptoms, like lower extremity weeping edema, that immediately tells you that there's real trouble ahead for the patient. (I just finished...

  19. 2010 LPN/LVN hourly wage

    catlvr replied to anonymous1919's topic in LPN, LVN Corner

    Philadelphia, PA $22 LTC/subacute, 3 years experience, fair benefits, but our DON is fantastic, and I love my coworkers - that's almost priceless, isn't

  20. Med Errors

    catlvr replied to UM Review RN's topic in Patient Medications

    Last night, I found an IV med error. I work at a SNF, and our meds come from an offsite pharm. The IVs were in a plastic bag, and the label for the ABT indicated that it was two different...

  21. Interested in finding out about Philadelphia job market

    catlvr replied to enelse1's topic in Pennsylvania Nursing

    Philadelphia is a great city; for information on where to live, try these sites: Philadelphia Speaks Forum - Neighborhoods, Sports, Restaurants and more and /www.city-data.com/forum/philadelphia/....

  22. Unbelievable

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

    You are so lucky to have a "crazy" floor...we just stick them in with the other patients, and spend the evening redressing the strippers, trying to redirect the poor lost souls, and hiding the really...

  23. And What Did YOU eat today?

    catlvr replied to Been there,done that's topic in General Nursing

    I work in LTC, and have noticed that *all* of the residents who had been nurses have leaky

  24. Help with Major CNA Problems

    catlvr replied to JSBoston's topic in Patient, Colleague Relations

    I have the same problem with some CNAs (mostly floaters) and made up a sheet of tasks for each resident, and of responsibilities for the dining room. While I enjoy the hands on aspect of nursing and...

  25. Vegastar is an RN!

    catlvr replied to PiedPiperRN's topic in Online Distance Learning

    Yippee,