marjoriemac

marjoriemac LPN

nursing home care

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All Content by marjoriemac

  1. reorientation in dementia

    marjoriemac posted a topic in Geriatric, LTC

    :wink2: Just a wee note to say how disgusted I was recently to hear a nurse in my facility tell a resident her husband 'flying in heaven'. The lady in question was not terribly confused but probably...

  2. funny story

    marjoriemac replied to facetiousgoddess's topic in Geriatric, LTC

    Whenever we have a 'full moon' it usually results in wandering naked, escape attempts, shouting at each other and raiding the biscuit barrell (and that is just the

  3. leaving patient in bed with wound

    marjoriemac replied to Ms.RN's topic in Geriatric, LTC

    We've had patients with real bad wounds on sacrum etc, we would normally alternate between sitting up (with appropriate pressure cushion) and being in bed with regular positional

  4. Is there a state rule on how to count narcotics?

    marjoriemac replied to Ms.RN's topic in Geriatric, LTC

    I'd say whilst both trained staff are present at handover, both shold count drugs and check the amount is

  5. What do you bring to work?

    marjoriemac replied to OldMareLPN's topic in Geriatric, LTC

    I bring scissors, pens, fob watch, nail clippers, lip balm, notepad for me and a goody bag containing alcohol gel, tourniquet, spare scissors and spare nail clippers, oh and a measuring tape. My goody...

  6. ted hose

    marjoriemac replied to proud2b1's topic in Geriatric, LTC

    TEDS are usually applied but my gripe is with bandaging, particularly when C/A's just pull on a pair of shoes over knee to toe bandages without care to ensure the bandage stays on the

  7. Rounds, Falls, and Skin issues

    marjoriemac replied to handyrn's topic in Geriatric, LTC

    Geez, 2 hourly toileting, unless anyone has been identified as always soaking every 2 hours, we generally do 4 hourly toileting, plus the continence nurse only gives each resident a quota of 5 pads a...

  8. The life of a guy nurse in LTC

    marjoriemac replied to PsychNurseWannaBe's topic in Geriatric, LTC

    The women in our home are man daft (not just the residents!!!), it is great to have male

  9. Do your residents get a lot of visitors?

    marjoriemac replied to Lovely_RN's topic in Geriatric, LTC

    We have families that visit regularly and those that don't and those that you never see! I think it is hard to judge why people do or do not visit. I also think spending 10 minutes visiting and...

  10. LTC Smell?

    marjoriemac replied to michael79's topic in Geriatric, LTC

    I have never worked in an LTC that smelled. To me it is a sign of poor housekeeping. Yeah, there are always times when Mr X has stunk the toilet out, but a good odour neutraliser and ventilation...

  11. Split days off?

    marjoriemac replied to eldragon's topic in Geriatric, LTC

    We get every other weekend off but always have days off together. It just means you have a long week and a short week. I like having days off together as then I don't get too tored doing

  12. most common meds on night shift

    marjoriemac replied to rosepetls's topic in Geriatric, LTC

    May be different names in the states, but common night meds in my facility are simvastatin, trazadone, paracetemol and other analgesia, zopiclone, nitrazepam. Mainly night sedation

  13. Nails

    marjoriemac replied to michael79's topic in Geriatric, LTC

    I dont think we are supposed to wear any nail polish nor have long nails as there is the infection control risk and the risk of scratching patients who already have very fragile

  14. How do I manage difficult CNAs?

    marjoriemac replied to MegRyanGirl's topic in Geriatric, LTC

    Make your complaints formal and if nothing is done, go to your inspection authority. Poor care cannot be ignored or you risk your own

  15. Having the "Right to Fall"

    marjoriemac replied to TheCommuter's topic in Geriatric, LTC

    I think it is a term that can be interpreted in many ways. If we are talking about risk involved, then sure, someone who is mbile but may be a 'high' risk of falls has the right to continue to...

  16. Back to basics

    marjoriemac posted a topic in Geriatric, LTC

    Just wondering, if you checked a BP with an electrical device and it appeared very low but the patient was looking fine and talking etc, would you then check again with electric sphyg or a manual one....

  17. Security

    marjoriemac replied to CapeCodMermaid's topic in Geriatric, LTC

    We have key codes known by competent residents and relatives. Night shift bolt the door

  18. Communicating with Pt with Aphasia

    marjoriemac replied to SarasotaRN2b's topic in Geriatric, LTC

    It can be difficult to go by yes and no answers sometimes. We have a man who has a white board and an alphabet chart but more often refuses to use either. His hand signal which used to mean change the...

  19. Driving me mad!

    marjoriemac posted a topic in Geriatric, LTC

    OK, we got a wee lady just now, has mild dementia, bloods all normal, urine sample normal. Gradually getting worse at going in a huff! I swear, you even look at her too quickly or slowly and she takes...

  20. Ear syringing

    marjoriemac posted a topic in Geriatric, LTC

    This is especially for any UK nurses. Do you need to go on a course to syringe ears? I have always been told you do but my boss doesn't think so and wantsto go ahead and do it

  21. Driving me mad!

    marjoriemac replied to marjoriemac's topic in Geriatric, LTC

    Thanks to Danissa for all your kind words. Luv

  22. Bowel Routine/Protocol

    marjoriemac replied to Scrabbler's topic in Geriatric, LTC

    We must be quite lucky, we have loads of folk on cocodamol etc but never have much of a problem with constipation. A few folk use movicol regulalry but we generally encourage to drink loads and take...

  23. Hostile Family Members!

    marjoriemac replied to NrsheartTS's topic in Geriatric, LTC

    I had to call in cops after a staff member got beaten up in car park (love triangle!) and various times when vandals have targetted homes I have worked in but never fpr residents family or staff -...

  24. Sending Patients to the Hospital

    marjoriemac replied to *Pepper*'s topic in Geriatric, LTC

    I agree with us knowing our patients best and it is out judgement whether to move a resident or not however I am often puzzled at just how long a resident with a suspected broken hip is expected to...

  25. Give me some attention!

    marjoriemac posted a topic in Geriatric, LTC

    Well not really me, but there's this lady in our unit and she is driving me crazy by her attention seeking behaviour. Seen by doc who says she has no mental problems, no infection either BUT she...