marjoriemac

marjoriemac LPN

nursing home care

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All Content by marjoriemac

  1. Mrsa

    marjoriemac replied to marjoriemac's topic in Geriatric, LTC

    The guy has dementia amd thus it is really hard to isolate him without severe distress! Also people live in the community without isolation and they could theoretically infect more people. I just...

  2. How does your facility handle and unexpected death?

    marjoriemac replied to linzz's topic in Geriatric, LTC

    Over here if someone is not expected to die then the procedure is different depending on whether the patient was seen by their own doctor within a certain time bfore death (not quite sure what the...

  3. Demanding Resident

    marjoriemac replied to abooker's topic in Geriatric, LTC

    I hear you!!! I have a resident just now and between her and her family, I could go mad. The resident is manipulative, wants to go home and keeps making up untrue stories about the staff. The family,...

  4. Smoking in LTC

    marjoriemac replied to banditrn's topic in Geriatric, LTC

    I don't smoke, have always found plenty of C/A's who do and are willing to take residents for a smoke and have a fly one themselves. I wouldn't even know how to light a cigarette or when to stop...

  5. Early stages of dementia question.

    marjoriemac replied to linzz's topic in Geriatric, LTC

    My gran has recently been diagnosed with vascular dementia after a year in hospital with ?Alzheimers? and before that a year at home where I knew she had dementia and was unsafe to live alone but...

  6. How pushy is too pushy?

    marjoriemac replied to CapeCodMermaid's topic in Geriatric, LTC

    I didnt even have an actual interview for my new job, but I phoned and spoke to the manager, them personally called in to drop off my application and spoke to other nurses, loved the place and finally...

  7. floating

    marjoriemac replied to remched's topic in Geriatric, LTC

    I sympathise, I done night shift in my care home to cover holidays. The residents were all yelling because they did not ge their medication quick enough, but nobody had told me who likes theirs as...

  8. Question about skilled nursing and g-tubes

    marjoriemac replied to Jolie's topic in Geriatric, LTC

    I've never heard of folk being refused admission due to feeding tubes. Not familiar with the american term g-tube (is it what we in the UK would call a PEG tube or a nasogastric tube). PEG's are...

  9. Does anyone really enjoy LTC?

    marjoriemac replied to ihollie's topic in Geriatric, LTC

    I love working in care homes, have done so since graduating 5 years ago with 1st Class (Hons) Nursing. I would never work in another area as I love the autonomy, the relationships with residents, the...

  10. LTC patient injury

    marjoriemac replied to Anne36's topic in Geriatric, LTC

    Hi, just wanted to say, I get frustrated when people fall and actions could have been in place to prevent the fall. I get frustrated when residents get a skin tear or bruise because c/a's handle them...

  11. Lazy Workers

    marjoriemac posted a topic in Geriatric, LTC

    I have just been to see my gran who has alzheimers in her LTC ward in hospital. I am sure she gets on well with the carers in a social sense as they are very friendly and joke with her and she smiles...

  12. Staffing Models in ALF---What Works For Your Facility?

    marjoriemac replied to VivaLasViejas's topic in Geriatric, LTC

    In my last work, we had lists of residents given to each carer at the start of each shift ( picked without seeing who was on the list) and now we assign carers to each area of the home at the start of...

  13. Wine Debate

    marjoriemac replied to TiggerBelly's topic in Geriatric, LTC

    I saw a man in hospital getting a can of guinness everyday to help iron levels and to biuld him up, hospital supplied it. I also had saw a lady who was prescribed cranberry juice (100ml) daily and...

  14. Allegations against RN-what would you do?

    marjoriemac replied to kasi's topic in Geriatric, LTC

    It's just another case of tittle-tattle. We had a nasty disciplinary case once which resulted in nurse being given final warning, carer who made allegations being given final warning (she walked off...

  15. To give or not to give supplements

    marjoriemac replied to remched's topic in Geriatric, LTC

    We have quite a few residents on supplements that refuse it all the time (they don't like it and dietician insists this is just a dementia thing and to keep trying), I do not give them it anymore I...

  16. Scheduled to Work the Floor as a CNA

    marjoriemac replied to flashpoint's topic in Geriatric, LTC

    In my place of work, nurses regularly work the floor as care assistants as we have too many nurses and not enough carers. We still get paid as nurses. We do not mind as it is a refreshing change and...

  17. Affectionate terms

    marjoriemac posted a topic in Geriatric, LTC

    Apparently (so say our inspection board) we are no longer allowed to call residents by their first names nor are we allowed to use affectionate terms like dear or pet. Even though they may ask us to...

  18. LTC/nursing homes is my goal...

    marjoriemac replied to robpritc's topic in Geriatric, LTC

    GET THE PARTY STARTED, ANOTHER PERSON HAS SEEN THE LIGHT THAT IS LTC! I wanted to work with the elderly since before I started my training too and 4 yrs since qualiifying I am still working with the...

  19. breakfast

    marjoriemac replied to Schmoo1022's topic in Geriatric, LTC

    In my work, we start at 8. If we are lucky the nightshift have 2 out of 34 residents up. 2 nurses start the meds, 6 carers start getting folk up and 1 carer is allocated 'feeders' ie they start to...

  20. Affectionate terms

    marjoriemac replied to marjoriemac's topic in Geriatric, LTC

    I really should not be surprised by this recent entry in the long list of stupid inspection criteria as the inspectors also increaseed our paperwork tenfold and made us put them in these stupid files...

  21. Communication with a non-verbal resident

    marjoriemac replied to PBAJS's topic in Geriatric, LTC

    Intuition! I think all nurses have the potential of having good intuition with regards to patient needs. I have come across lots of patients with communication difficulties due to language, dementia,...

  22. Wound Care Frustration

    marjoriemac replied to soulfullady's topic in Geriatric, LTC

    My problem is staff who do dressings a) not documenting them properly ie what it looks like, size etc and b) not putting the next dressing date in the diary. Really gets

  23. Collecting urine sample

    marjoriemac replied to NextSummer's topic in Geriatric, LTC

    We usually collect our urine specimens in the morning shift but night shift will write out the relevant forms for us. Our specimens have to be taken to GP practice by 3pm

  24. Giving Baths At Night. Agree Or Disagree?

    marjoriemac replied to kmwlpn's topic in Geriatric, LTC

    I think that is abuse. We would never bath residents at night unless they wanted to be bathed by night shift ( I had 2 residents who wanted bathed at 7am by a particular carer every...

  25. Does your LTC go meatless on Fridays?

    marjoriemac replied to flashpoint's topic in Geriatric, LTC

    My current facility and previous three, have all been meatless on a friday. If the resident does not like fish, an alternative can be arranged. I think its a custom