gettingupthere

I need HELP!!!! Came to work this weekend on my rehab unit. Haven't been there in a week. New pt. with a G/J tube. The J part is attached to straight drainage. No one knew what to do with this thing! No Dr orders, nothing on the TAR, nothing in her h...

Aren't your CNAs and LPNs working under the license of the DON? Or am I mistaken?

Good job! Whenever I have gotten "stuck" at work in a snow storm, somehow the residents seem to sense that there is something going on, they are almost always on their best behavior as well as so much more teamwork than usual. ALL the services help o...

OMG! That was a long time ago! $1.50 in 1968!

Congrats!!!!!!!!!!!!

OMG! This is ME! I am ALWAYS ready to help my pts and coworkers, WHILE I'm at work! Once I get home, I don't want to talk on the phone evn. I check in with my kids, quickly find out if everyone's OK, make dinner and either go knit and watch TV or iro...

Non of those were wet to dry! wet to dry is not done 3 times a day. The reason for wet to dry is to debride a wound. If it's done 3 times a day, there isn't enough time to allow the gauze to dry. That being said, this is cruel! Think of it, it's mean...

I graduated in 1968. I started working in a LTF for $3.50 hr. Whem I got married in 1969, I moved to New Mexico and started working in a small hospital making $1.50 hr! I make $34.00 hr now at a LTF, the same one I started at back in 1968!

Ahhh, now THAT DID happen to me many years ago! The cath wouln't deflate, my supervisor said to "cut the cath and pull it out" Guess what? I wouldn't come out!!!! Had to send her to a urologist! Bad thing to do! Never did that again!

I have been inserting foleys for 40 yrs! I have never pre-tested a foley bulb! Never was taught this practice in school! BUT, yesterday I was placing a foley in a pt with a new graduate assisting me. She asked me if I was going to pre-test the bulb? ...

I have a client who arrived at my facilty with a stage 4 wound to his ishium. After a few weeks of the wet to dry dressings he arrived from the hospital with, we decided to try the wound vac. It has healing well up until a point. We are now having mo...

Thanks CMARM! As a matter of fact, I did have a KCI rep come in, she really had no more suggestions than what we were already doing. BUT, I really never thought of the condom cath! DUH! As it turns out, we had wound rounds today and the doc I usually...

Only every three days????? I never heard of calcium alginate dressings being changed so infrequently! Ca alginate is for draining wounds, so why would this be ordered q3days? That's neglectful! If this pt is on hospice, they are at the end of life. T...

I work in Long Term, I understand the need for Agency Nurses and the need for nurses to work for agencies. I don't feel positive about them at all! I find MANY medication errors, I see how some do treatments ( if they actually do them). They don't do...

In our facility nurses are not allowed to remove staples!

If you have patients on Med A, you need to be very specific in your documentation. For instance, should this resident have a hip fx, then you need to document on pain level, meds given and effectiveness. How they transfer, do any self cares, self fee...

We have had residents come into our facility with a pink MOLST form from the hospital for awhile now. Does anyone know how they work? We haven't been given guidelines and I don't think anyone at my facility knows how to use them. We still have DNR fo...

I personally don't like " NURSE JACKIE" ! It has this nurse Jackie as the charge I believe of an ER, she has a back injury and pops pills that she gets from the pharmacist, his pay is that she screws him in the pharmacy behind a shade, however, she h...

You are just the type of nurse I want to take care of me. You can't " turn off " your brain because you are consciencous! You CARE! That's why you can't sleep at nite. I have been working long term for almost 40 yrs, I have no trouble dropping off to...

I have a story, there is a lesson to be learned, it was a hard one for an LPN I worked with. A few weeks back, this LPN was giving meds on my rehab unit, we had 2 pts with the same last name. They are sister in laws. We had them on 2 different halls ...

Actually, the residents in our facility DO wear name bands AND we have pictures on the MAR! Our arm bands have Name, Rm # and if they are a DNR there is a yellow dot on the band. There are things we are NOT allowed to do because it is " their Home", ...

I have a 20 pt med run on the 7-3 shift on a rehab floor. It takes me from 7 am til about 11 am most days. I find that this is a good time to get to know the residents. I take their B/P, Ap, sometime a pulse ox, they ask questions, I stop and answer ...

Hi Alabaster! I have been an LPN in the same facility for over 35 years. I have found that the best way to work with CNAs is to have mutual respect for one another. I work hard and expect that they will too. I don't tell my CNAs that I will roll up m...

Actually, I believe you can get your CT license if you have a NY one, BUT it requires more hours. So, if you get your NY license and work a few months in NY you can then get a CT one. I think!