FLArn

FLArn

Hospice, LTC, Rehab, Home Health

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All Content by FLArn

  1. How would you handle this..?

    @Esme12 I don't want to hijack this thread but wanted to say that I am sorry for your loss and will say a prayer for your
  2. @Jadelpn While I would agree with you 99.9% of the time, There are areas of the country i.e.Podunk USA pop. 250 where everyone knows everyone else and all their business where the lines between...
  3. What was I thinking?

    All I could think of was Pupils equeal, round, reactive to light and accomodation. LOL! However I googled and found out that it is an app for writing research papers! Learn something new every
  4. Tell about your personality traits and experience (as a volunteer) or just life experience in other jobs that will make you an asset to their facility. For example, fast learner, work well as a team,...
  5. Patient refusing Hospice

    Is your "sister hospice company" the only hospice provider in your area? and is the reason they are saying hospice care can not be provided is because it would be a conflict of interest in some way...
  6. The point I was trying to make was that there is a limit to what you can "make" other people do. I DID suggest going up the ladder to the DON and the State. I also suggested dumping it back in the...
  7. The short answer is no, unless that facility has only 1 female patient. Good links provided by justbeachy, never hurts to
  8. I would make 1 last attempt to bring it to the attention of the 3-11 staff and the DON. After that, if there are no changes I guess your only in house option is to give the B bed patients bed baths or...
  9. I guess I am not following your post, Does the MD order give the reason he/she wanted the patient to have a glycerin supp?. Do the nurse's notes or MAR indicate if the supp was refused by the patient?...
  10. Possible to see patients 3 days/wk FT?

    I am not sure if you can or not. That would mean you would most likely need to work a 12 hour day, see at MINIMUM 8 patients per day and convince some patients to have early morning or early evening...
  11. IV narcotics?

    I pull up the med into a 3 cc syringe to measure (a TB syringe for really tiny amounts) and inject the med into the pre-filled 10 cc flush to
  12. Confused and scared...I need advice...

    Is it possible for you to find another position with another company (not necessarily hospice, maybe home health) and pay off your contract to this company? It might be difficult but it sounds like...
  13. d/c'ing routine meds,insulin

    It depends on the patient's acuity level. For the patient you described, no we would not d/c insulins or accuchecks. Maybe would d/c meds like simvastatin etc but not cardiac, thyroid and such meds....
  14. I was not a CNA before getting my RN, however, I also will toilet patients or put them on a bedpan and let my CNA know they are on the bedpan (or go back myself to get them off if I need to). I also...
  15. Hourly wage with "normal" hours (South)

    Staff RN w/19 yrs experience working 12 hr shifts overnight; work in FL. $61K/year.
  16. Not a good mentor

    Go to your manager and ask for an outline of what they want you to be orienting your new hires to know. Explain that you are feeling a little (or a lot) unsure of exactly what they want you to cover...
  17. @ Taketwoaspirin. The term Med Tech is not used in some geographical locations. I had never heard of a med tech until I moved to FL and began doing visits in ALFs. We had no Med techs in any other...
  18. Too busy to explain? How much longer to say "it's like a nurse's aide" rather than "same thing as a nurse" ? Too busy? Didn't want to take time to explain! Puh
  19. Elevated PT and INR

    For resources start with an online pharmacy site. For example Google / search the name of the meds as a place to
  20. FYI: Most places have printed on the occurance form that the form is NOT to be copied. Do NOT indicate to ANYONE that you made a copy of the form for yourself as the copies would be "discoverable" if...
  21. Question...

    I would have to say giving out your personal information is a bad idea. I would give her a card with the LTCs address and suggest she send a card to those she wishes to acknowledge via the
  22. Am I Irresponsible?

    If you are emailed your schedule be sure to print out the email so you have documented proof of discrepancies between the email and the schedule book. That way you have some back up in case you miss a...
  23. Rectal use of opiates???!!!

    Recently Oxycontin was reformulated and no longer is able to be given per rectum as the med has been altered to prevent absorption through the lower GI tract. It also is not absorbed if
  24. To the OP; I am always encouraged when I hear new nurses who have made a mistake say they are so upset! That tells me that they are teachable and will be better nurses in the future. I worry...
  25. Destruction of Narcs/CS

    No, haven't heard of this. Still disposing of meds in the cat litter/coffee