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marjoriemac LPN

nursing home care
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marjoriemac has 5 years experience as a LPN and specializes in nursing home care.

1st class hons degree in nursing, love working with the elderly, passionate about eden alternative

marjoriemac's Latest Activity

  1. marjoriemac

    What do you bring to work?

    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 bag is because someone always asks for the items!
  2. marjoriemac

    ted hose

    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 toe!
  3. marjoriemac

    Rounds, Falls, and Skin issues

    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 day! At night, they do hourly room checks, not waking folk up but checking on breathing. During the day, we are a small unit so everyone is readily observed anyway.
  4. marjoriemac

    The life of a guy nurse in LTC

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

    Do your residents get a lot of visitors?

    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 talking with a resident is far more worthwhile than visiting for a half hour and just sitting there. Or sleeping, yes, I have seen visitors come in and ago to sleep beside their relative!
  6. marjoriemac

    LTC Smell?

    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 should solve that.
  7. marjoriemac

    Split days off?

    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 overtime.
  8. marjoriemac

    most common meds on night shift

    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 really.
  9. marjoriemac


    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 skin.
  10. marjoriemac

    How do I manage difficult CNAs?

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

    Having the "Right to Fall"

    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 mobilise if they are aware that risk is present. If they are not aware of their own risks, we have a duty to protect but not to restrain from normal meaningful activity. We do not have to restrain to prevent falls, we can use our investigative skills to see why residents are more mobile at certain times and to move obstacles out the way etc. On the other hand, I have heard regulators say we cannot put a lap belt on a tilting chair of a resident who is severely demented and unable to walk as it is their right to fall. I find this ridiculous as the person cannot walk anyway so it is a foregone conclusion that they will not voluntarily get off their chair, so we are not taking away a right? I think a lot of it goes down to the paperwork regulators push on us that categorises people into a high risk group or low risk group depending on various conditions. Sometimes we cannot prevent falls, sometimes we can, we just have to make sure our desire to 'help' someone does not inhibit their desire to 'act'. I walk out my home, I trip and fall, I was not looking, is that my right to fall, I know there is a risk in anything I do that I migt have an accident???
  12. marjoriemac

    Give me some attention!

    Lady has not got dementia, doc cant find anything wrong, her family have read the riot act as well as the manager and she just changes the subject. Now she keeps asking other residents to help her and they are all shouting at her to 'do it herself' or other less than pleasant comments. Social worker coming to review situation.
  13. marjoriemac

    Give me some attention!

    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 recently has decided she cannot walk and will actually push against anyone holding her so that she will fall, she also pulls buzzer constantly and denies it is her, did I mention she walks fine when doc comes in and and when she thinks staff are not looking, and she wants to hold everyones hand. Even the other residents are telling her where to go now (and it ain't disneyland!). Her family are irate with her and have told her so and it makes no difference..... Aaaargh. I ended up putting a chair in the corridor the other day because despite the fact she said she can't walk, she kept getting up with the zimmer taking a few steps and starting all over again. Staff are at their wits end with her. What can we do?:angryfire
  14. marjoriemac

    Danger money/ early retirement

    I learned off a colleague that some nurses working in psychiatry get extra wages and early retirement due to the dangers in their work , ie getting physically abused and the mental strain of working with mental disorder. It got me thinking about working ltc, I get hit by patients, I have to endure 50+ repetitions of why am I here, what time is it, have I had my tea in one personal care session, there are days I feel like banging my head off a wall in the resident lounge (not that the residents would notice as they would be too busy fighting with each other!). Where's my incentive???
  15. marjoriemac

    LTC or Hospital

    I dont think it would be hard to get hired in a hospital after working ltc as we all have different skills (when you mive from one speciality ward to another you would have to learn new skills anyway). I have worked ltc since qualifying and I love ltc and personally would never want to work in a hospital but everyone os different. Working ltc requires lots of stamina and you learn to captain the ship quickly when you work alone with no medica by your side.
  16. marjoriemac

    Interview for long term care facility...

    Most homes I have worked in ask the same kind of questions... what would you do if you found a resident on the floor, what would you do if you made a drug error, what would you do if you saw two c/a's arguing with each other in a lounge....