marjoriemac

marjoriemac LPN

nursing home care

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All Content by marjoriemac

  1. Old School

    marjoriemac posted a topic in Geriatric, LTC

    Now this may seem an odd title when I have only been graduated for 5 years but... I think nursing is becoming more and more hands off. I have seen nurses use electronic sphyg's because they do not...

  2. Overprescribing

    marjoriemac posted a topic in Geriatric, LTC

    Don't you just detest GP's who constantly add more meds to a residents kardex but never actually review them? Even worse are the nurses who do not question why someone is still on a drug they have not...

  3. Taking Pictures of wounds

    marjoriemac replied to CapeCodMermaid's topic in Geriatric, LTC

    I have rarely seen wounds that need to be photographed. I agree that it can be difficult to compare wounds from pictures when they are at different angles, taken from different distances etc. Mainly...

  4. Overprescribing

    marjoriemac replied to marjoriemac's topic in Geriatric, LTC

    Same here, when residents come out of hospital they are never sent back with their night sedations or pain killers or laxatives. Yet we are told by the resident that they were getting them i

  5. Overprescribing

    marjoriemac replied to marjoriemac's topic in Geriatric, LTC

    And you're GP's are ok with that? Your are one lucky

  6. Not all are bad....

    marjoriemac replied to MHP70's topic in Geriatric, LTC

    You said it

  7. Out of my depth

    marjoriemac posted a topic in Geriatric, LTC

    Hi all. I recently got promoted to a management post and started a week back. I just feel so overwhelmed, it's such a big jump from nurse to second in command! I feel there is so much I don't know...

  8. Out of my depth

    marjoriemac replied to marjoriemac's topic in Geriatric, LTC

    No, I worked in another home. I feel even the nurses role is real different here. The nurses do a lot of admin too. I think it is good and bad that I am new to the home as I am not familiar with the...

  9. Mixing GT meds

    marjoriemac replied to Mrs. M.'s topic in Geriatric, LTC

    Yeah, I have to admit I oftenmix them but protocol does say to do them all seperate with 5-10ml flush in between. I have experienced meds clogging the tube before as well though and that can be a real...

  10. Above and beyond the call of duty...

    marjoriemac posted a topic in Geriatric, LTC

    Hi folks,# Just read in a website about a home that puts a welcome basket in the room of new residents with goodies in it as well as info about the home - thought this was a really nice touch. Any...

  11. impaction

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

    Not allowed to do it over in the UK anymore as far as I am

  12. Getting everyone else to sign their books

    marjoriemac replied to MrsStraty's topic in Geriatric, LTC

    Remind everyone the documents are legal and could be the difference between keeping their job in any complaints against the facility. I also gave all my c/a's a pen once as they kept telling me charts...

  13. Number of Meds per Resident

    marjoriemac replied to aander2's topic in Geriatric, LTC

    Hi, I think residents are on too many meds, I'm sure many of them interact and many of them were probably only required in short term but due to poor reviews by pharmacy and GP they end up on repeat!...

  14. Pain Meds

    marjoriemac posted a topic in Geriatric, LTC

    I have a concern regarding analgesia, particularly co-codamol and paracetemol. Our drug times are 10,2,6,10 however the nurse is not able to start the drugs until 9.30 in the morning due to staffing...

  15. dect phones

    marjoriemac replied to knockandhello's topic in Geriatric, LTC

    We don't even have a cordless phone but we try (often in vain) to get the C/A's to answer calls during drug rounds. We also have a badge we have to wear stating we are on the drug round and not to...

  16. For new grads!

    marjoriemac replied to javanurse2000's topic in Geriatric, LTC

    Spot on! I tend to look for inspection reports befire even applying for jobs. I like honesty from management and staff. Smiles gain extra

  17. stroke in LTC

    marjoriemac replied to ajaxgirl's topic in Geriatric, LTC

    Check obs, reassure, contact GP and family. If any symptoms occur that are distressing and cannot be dealt with within the home, ask GP for advice regarding hospital

  18. No Respect for LTC nurses?

    marjoriemac replied to bshaw96's topic in Geriatric, LTC

    I totally agree that we are disrespected. I have also heard people refer to LTC nurses as 'not real nurses' or heard people sate the job is 'easy street'. I guarantee we are some of the few nurses...

  19. Senior Carers

    marjoriemac posted a topic in Geriatric, LTC

    Hi, just wondering what your views are on senior carers? I am thankful for them in that if I have a real busy day, certain tasks can be allocated to them however, I have concerns that nurses jobs are...

  20. Senior Carers

    marjoriemac replied to marjoriemac's topic in Geriatric, LTC

    All our senior carers have svq

  21. confused

    marjoriemac replied to StormySkies71's topic in Geriatric, LTC

    All residents have a right to refuse their medications. As a nurse we have to judge whether this is due to a failure of cognition or a residents reasoned

  22. Reality in the LTC

    marjoriemac replied to pnurseuwm's topic in Geriatric, LTC

    I'm in my 1st week of new job, haven't had a break in 12 hr shift yet, (note this could work well if I decide to diet!). 30 residents, medication takes ages, especially if everything was done to the...

  23. help with basic infection control

    marjoriemac replied to Schmoo1022's topic in Geriatric, LTC

    Yeah we are not allowed to post anything outside residents rooms etc, however I often find the residents know everything about each other. We had one lady who was free to use the communal areas though...

  24. Mrsa

    marjoriemac replied to marjoriemac's topic in Geriatric, LTC

    Thanks for the advice, adhesive dressings seemed to stick to his hair rather than his scalp! I have now finished working in the home but was curious as to the ethics and legislation surrounding...

  25. Mrsa

    marjoriemac replied to marjoriemac's topic in Geriatric, LTC

    On the crown of his head, it is a wound that he has been told by dermatology that will never heal due to cancerous