onyx77

Current regulations in my state do NOT allow for any type of e-kit in an AL facility. Period. Not even for those who have staff administer them. Residents who self-administer their meds take care of getting their own meds. Those that have staff admin...

Actually this is incorrect. A resident in an AL (and LTC if not on a med a stay) privately pays for their meds. If staff is administering meds they are more than likely coming bubble packed and labeled for that individual. A pharmacy will not send th...

When staff have time to complain for 10-20 minutes about how they don't have time to get their work done. Or the CNA who complains that the nurses never help. Trust me.... we do want to help. And will as our time allows. (The good ones will anyway) ...

Once you pass the NCLEX you have your license. ADN and BSN take the same test. Getting your BSN doesn't change your license.

This spots hurts something terrible!

That is very unusual. There must be more to the story that they aren't telling you. Its not common for CNAs to know the payer source of residents. And a lot of times the nurses don't know that information either. Its really not needed (unless residen...

Know your limitations. We all have at least one thing that "gets" us. Some of us have more. During my ER rotation in clinicals I quickly went from nursing student to patient when watching a hip reduction. I work in LTC and love it! I have seen many d...

Having a CNA certification was required in my state for nursing. There were several people that just got their certification and never worked as a CNA that failed our first clinical because they were still working on developing their basic care skill...

Try your best to read the chapter before class. This way you are armed with questions when they are being discussed. Review the information discussed in class at home (or where ever) that same night. Reviewing it while still fresh makes it easier to ...

I work in a large CBRF as a unit coordinator and am really frustrated with the floor nurses' charting. Its not all of the nurses, but most of them. They just don't chart or don't want to chart on a sick resident longer than 24hrs. I just don't get it...

Are you sure this resident is actually staying for free and not on medicaid?

Oh... and if you start with something like "I'm really sorry to bother you, but I'm calling regarding your pt Mr. Icantstayoffthefloor....." They might not be so hard on you. I love the caller ID at work because I can tell where a MD is calling from....

My motto is "When in doubt- check it out! or call the MD." Definatley go with your facilities P&P for updating MDs with any COC's. Some only require faxes. If you're unsure, call the MD anyway. They may yell at you (literally) but at least you'v...

To the OP..... It seriously sounds like you're suffering from burn out. I hope you get time off soon so you can take care of yourself as well. If we don't take care of ourselves, we can't take care of others. Our pt/residents DO sense the stress and ...

I was always told not to write found for the reason that others have stated..... the word "found" could be misconstrude that the resident/pt was actually lost. (which unfortunately does happen from time to time in LTC with wanderers ) I always write ...

I was really fortunate in that the full time days RN was a new grad and wanted to work in a hospital. In the meantime they did some rearranging of management, so I was promoted to oversee clinical issues of our longterm residents. Sometimes its just...

I left a job I was miserable in for half the scheduled hours and $4 less an hour. Best move I've ever made! I now LOVE my job and don't mind going to work in the morning. And to make things better...... I've since been promoted to full time and that ...

If there is a MD's order that its ok to leave at bedside then you are ok.

$21/hr for LPN in WI is a GREAT starting wage! That's more the average starting pay for an RN.

:rotfl: I totally agree! I wish I could give the Ativan to certain coworkers as well!!!

I love being a Christian nurse working in a Christian facility.

Have you ever encountered an Orthopedic MD that would NOT give a pt pain meds when they are clearly in a lot of pain, knowing that currently all that pt had for pain was tylenol and that they couldn't get in for a hip replacement for 4 months?