Todd SPN

Yes, I chart it. When I send a FAX I always ask "Any new orders?" Hopefully I'll get response of yes or no.

I'm finding out that there is a whole lot that wasn't taught in school and judging from what I am seeing at work in the NH, I am not alone. It seems everytime I do a dressing change, the nurse before me has done it their own way. One day I will see a...

I have been in LTC for 3 years at 2 different facilities. From my observations and experience they are not good places to work and things seem to get worse, not better. I'm sure it has to do with money and facilities getting less, having to wait long...

" Being a good nurse is not always the same as being a good employee." Timothy, I love that quote. Ain't it the truth.

I know exactly what you are talking about and how you feel. Last evening was my last shift and will be starting at my new facility in a week. I was not the first to leave and it sounds like I won't be the last. Our new DON is a midwife with no LTC ex...

Just from what you have written, I wonder if you are over thinking this. By this I mean delirium has more than one etiology and you should only have to address the one specific to the resident. You should be able to identify the etiology by the dx on...

Sequim Mt Vernon Port Townsend (looks gorgeous) Whidbey Island/Oak Harbor/Coupeville Sequim and Port Townsend means quite a drive for work. If concerned about schools, cross off PT. If in Sequim, you would most likely be commuting to Port Angeles for...

Put me in the column of those who went back to school so I could escape being an aide. It is hard demanding work and I will admit I can no longer physically do an 8 hour shift of this type of work. I don't think that means I can not be a nurse. If al...

Daytonite, Thanks for the links. I will check them out after work. To the OP, we are seeing many more cases of MRSA at our facility. The problem I see is that it may be colonized, but it can and does become active again. How do you know when it becom...

Congrats!! It has been my experience that there are fewer nurses on this shift, so you won't find it slow. Also, it seems that most of our deaths occur on this shift. Seems like a lot of prn pain meds are dispensed and suppositories! Also IVs are run...

I posted about a week ago about payscales. I have been limited to 3% annually. I found out that most of fellow students I graduated with have received COLAs. I also found out that my facility has had to change their payscale in order to attract new h...

Why even mention you are working where you are presently? Do they have to know? Todd

OMG. What a stupid person.

Not unless they go to medical school. However, I am for allowing any nurse who works LTC to prescribe prn Ativan! Todd

I would like to know from you nurses that work LTC how your raises are figured. I have been working at the same facility for almost 3 years now. I was hired right after getting licensed. It has come to my attention that my facility now has a 2 tier p...

Two weeks ago the facility had a leadership class. One of the points was when you tell someone you will look into something give them a time frame. Well, when I told my supervisor I wanted a raise I was told I would have an answer in a week. It has b...

Huh? I work at a NH and deal with this stuff everyday.

Exactly. So they allow you-with experience at their facility-to leave and then they have to replace you with a new hire at the higher rate of pay when they could have paid you the new scale and retained you. I don't get it.

Hey kat, The Olympic Pennsulia is a beautiful spot, but can be boring for a person your age (generally). PA as the locals call it was known for the lumber industry which has taken a downturn. I have worked with nurses that grew up in that area and we...

I'm not sure Sequim has a hospital. About 10 years ago I had a sales route and Sequim was one of my stops. A guy who worked at the local grocery store put it this way: "The people who live here are either raisins or granola's." Meaning retired old pe...

I just saw an article the other day stating Physical Therapy jobs were to be a hot commody in the coming years. Was listed as number 3. Might consider that? Todd

I'm so sorry this happened to you. Gaining confindence and becoming proficient at nursing is hard and takes time. There were many times when I first started that I felt totally inadequate and wondered why I didn't get fired. Lucky I guess. A month af...

As an LPN, I would advise going directly to RN. Todd

Sounds like you have a lot on your plate with an upcoming move. If there is a possiblility of a move within a few months, do you really want to be learning the ins and outs of a new postion, or would you rather go with what you know?

"The RN supervisor over the weekend said that if I refuse to accept the aide assignment she would write me up for neglect and I would lose my job. I just don't want them to think I'm not a "team player"." Well, that's just great. There is your typic...