I work fast and furious to get everything done AND get a lunchbreak, but, sometimes after I leave work I remember something I didn't do. Little things. Like take off someone's nitro patch at hs.(I call relieving nurse and ask her to take it off) Or c...
In the facility where I work we have been slowly eliminating siderails. State guidelines say that siderails are a restraint, also there is a risk of being entangled in rails. So we are replacing SR's with different interventions. Some patients have v...
Its been over a year since my original post. Both of the pts I referred to have expired (not related to a fall out of bed)! We're having good luck with our reduced siderail programs, but not very good luck with our reduced staff programs. Its very di...
We do a verbal report, we can convey more information this way. I work 2:45p-11:15p, the oncoming shift works 11p-6a, that means we only have 15 minutes to count narcotics and give report for 35-40 pts. And of course the want us to punch out on time...
Don't look for the obvious answers. I had an instructor who described the zebra theory; ' If you hear hoofbeats it's probably a horse, ... but it might be a zebra'. A sore throat might just be a sore throat, but it might be strep throat, etc. The ...
Well, doctors are generally men, and nurses are usually women. When doctors (men) put their foot down, everyone takes notice. When nurses (women) try to make a stand, they are judged. But we keep doing it because we have to. Doctors send us pati...
Hey Ohbet, I know exactly what you are talking about. I like to sit down and write nurses notes halfway through the shift about things that have happened thus far, but it doesn't always happen. Sometimes things are happening so rapid. Pts don't rea...
Sounds like she doesn't have much faith in her aides. In my facility, only nurses do glucoscans. If you didn't trust your aides, would you really feel comfortable giving insulin based on the BS's they got??
When we run short on time we are suppose to ask the sv for help. Hah hah, if I ask for help she spends 15 minutes telling me how to do things faster. I'll muddle through alone, thank you. Reasons it take so long to finish med pass: 1. Interruptions f...
My husband is a correctional officer- works out of town. When he is at work he works doubles 2nd and 3rd shifts back to back for 5 days sometimes. When he comes home he is is exhasted, for about 2 days all he does is eat and sleep and eat and sleep. ...
If MacDonalds is his favorite restaurant he has every right to worry about that bedpan issue. Nurse do alot more than empty bedpans though. We teach alot about healthy habits, and eating at MacDonalds everyday for the last 40 years is not healthy. S...
Our facility is offering sign-on bonuses for new RN's and LPN's, but no raises for us. "Keep the staff so busy and tired that they don't have time or energy to look for another job" That is their retention program. Go to work tomorrow and make ...
jones58 replied to Dave Frederick's topic in General Nursing
I have noticed that patients and patient family members are aware of nursing shortage. They see how hard and fast everyone works. Only 'management' is blind. We need to open their eyes. 'MacDonald's' has a higher staff-customer ratio than health ...
Sometime I pre- prepare meds, never more than two pts at a time though. I don't know if is allowed where I work. My med pass always runs over so maybe I should try this more. I'm always thinking of time saving techniques.
In NYS, management can decide how much staff is required to safely care for residents. So they aim for what they think is adequate staffing, and accept even lower staffing. I think if management had to perform the care they might try to provide for ...
Everyone has a different opinion of what poor staffing is. I work on a ltc/rehab floor. Max is 40 pts, we usually have 34-40. We are suppose to have 4 cna's. We usually have 3, we are suppose to have 2 nurses, but I and every nurse on 3-11 almost alw...
I am an lpn in LTC, and my husband is a correctional oficer. He is always telling me how manipulative the inmates can be. He tells me if they ask for anything, even something simple like a piece of paper, the inmate will build on that and try to see ...
Our low beds have remote controls to raise/lower the height of the bed. A month or so ago, one of our pts got hold of the remote and while in bed raised the bed to the highest position, probably shoulder height. No harm done. He was found sitting on...
Buy the 'pull ups', and tell your daughter that she needs to take more resposibility for her children. Sounds like you work long shifts outside of home. Make her be the mom. My son wet the bed until he was 8, not every night but often. He felt ba...
I was a CNA for 15 years and now I'm an LPN. It's difficult to get all your work done when you have a big sign around your neck that says 'NURSE'. Registered Nurses, Licensed Practical Nurses, and Certified Nursing Assistants all work very hard and...
Where I work if you call in on a weekend, you have to make it up on your weekend off. It doesn't matter if you have sick days coming to you. Does she know there's a nursing shortage? I wonder how this co-worker feels when she works the day someone...
Next Monday we are suppose to get a soup and sandwich meal, from 4p-6p. Unfortunately, I will still be passing meds until almost 7p or later. What I would like is a foot massage, a really good one, at the beginning of the shift and at the end of the...