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LibertyBellPN's Latest Activity

  1. LibertyBellPN

    NO autonomy!

    Yes, absolutely. Of course you call! Granted, there are nurses who page a covering late night to report a lab WNL, or a tylenol order..maybe she was afraid you'd have those tendencies Common sense. Patient advocate=you.Nursing license=you. LTC is weird;)
  2. LibertyBellPN

    question-- new to LTC

    Fantastic ratio!!!!!!!!! umm, are ya sure??? seriously, that actually sounds wonderful, and I'm sure you will still be very busy.
  3. Not really travel nurses but agency....We have a few agency nurses come to our facility, and I am disheartened to often hear that they don't do IV's, wound vacs,etc. My question is WHY would a brand spanking new grad apply for jobs that really do require some experience?? (Great assessment skills, the ability to work independently--the ability to perform routine skills!) I just don't get it! I see new grads take LTC positions where they are alone on a large floor at night. Yikes!
  4. LibertyBellPN

    MORPHINE and Dying Patients

    Great topic. No..never! We have frequent hospice pts, and often treat them with Roxanol and Ativan..I want to make them comfortable.That's all I CAN do to help them.( My Mom died of pancreatic cancer and all I could do was make her death as easy as possible.I believe that personal experience made me a better nurse.) I think all of us should have to take CEU's or something along those lines on death and dying, truely. Beyond nursing school. I work with more than one nurse who feels uncomfortable giving these meds to the dying, and have actually seen them refuse to do it!!! Thus, education...our beliefs/fears cannot outweigh our duty. If the meds are written PRN, scheduling times can benefit the patient also.
  5. LibertyBellPN

    Oh, the irony . . .

    Unbelievable! Our pharmacy drives me nuts! I work LTC/skilled unit. We had a pt readmitted from the hospital on IV ABTx, and the med never arrived on my shift OR the next! I made all the phone calls, (which didnt get me the med) and in retrospect the poor pt should have just stayed in the hospital--since he couldn't get the appropriate tx from us in a timely manner. UGG!!! Anyway, I didn't realize I could do this, but I wrote them up--as an incident report! And that was one long piece of paperwork that didn't bother me in the least! Of course, I am sure nothing ever happened; we still contract with them, and they are still slow, make mistakes etc. I know they are overworked. Maybe it's the facility's fault? It's just frustrating for me as the nurse.
  6. LibertyBellPN

    Families from Hell

    What drives me wild is the families (and even "friends") who occasionally call the floor to see how their loved one is doing.. These are the people who never visit, and I get the impression that their 'phone call absolves them of any guilt they might have...(and haven't they ever heard of HIPPA?) Being the burnt out witch that I am, I resent them for calling--always at a bad time--that damn phone!---and I do actually remind them, nicely, that our visiting hours are VERY flexible if they'd like to come in and see for themselves how the person is doing...they usually hang up quickly. I just hate that 'phone. It rings constantly and how am I supposed to do my job if I am always answering the phone!!
  7. LibertyBellPN

    Lipping the bottle

    Yes, we were taught this as well, and I admit to still doing it when I crack a new bottle of saline--(although I rarely have to do sterile dressing changes) I bet the facility hates the practice, as it's not frugal. Ha. I'm surprised to read nurses are touching pills with their fingers--isn't that basic knowledge to pour into the cap first, and then the med cup?
  8. LibertyBellPN

    Fighting Residents

    We have to write incident report on both residents, as a patient to patient verbal altercation. With all that paperwork, somebody has to follow up. Maybe a contract they have to sign, and then move them if they don't honor it. It's disturbing to other residents, and there's always the worry that it will escalate to a physical altercation. *sigh* It really does consume our precious time .. Referee, waitress, maid, janitor, plumber, cook, secretary..... AKA nurse.
  9. LibertyBellPN

    Survey begins

    Did they exit today? Hope your facility did well. Can you tell us; was there a specific area they focused on? Hopefully you'll have a long weekend, and enjoy it. Surveys stress me out!
  10. LibertyBellPN

    Silliest thing you ever did after a long shift...

    Me too!!! Coffee cups half full all over the place. After working 2 doubles in a row, I made something to eat before going to bed..next morning I was looking for the milk and I finally found it....in the OVEN!!:uhoh21:
  11. LibertyBellPN

    So I'm fired. Again.

    The thing I've noticed about Sue since I've been reading this site is that she's about as up front and forthcoming as she could be. She doesn't need us to be critical; she's hard enough on herself already. So my point is,knowing this, we should take her word that they gave no specific reason, and support her! Perhaps you will better understand the politics of the healthcare profession once you actually start to work in it. No offense meant by that.
  12. LibertyBellPN


    I barely got through the rest of this topic after that sentence. *Hysterical laughter* I feel the same way. We're not nurses. We are waitresses, maids, janitors and cooks!!
  13. That's a great point. Most of the elderly took a weekly bath (on Saturday night;)) Why would they want to be washed up and down 2 txs a day! Half the time the water is barely warm, and there's not enough blankets either. Brrr!
  14. LibertyBellPN

    Drug Screening

    I gotta tell ya, I think it's a total violation to have to pee in a cup for an employer, or give a hair/saliva sample. Ugg. I might also add upfront that I have nothing to hide..However, think for a sec all the nurses you know, or even yourself, that take prescription meds for anxiety, bipolar disorder, depression, etc. Do you really want your job to have that information? I know it's supposed to be confidential, but in the 15 yrs I've been working, everything is fodder for the rumor mills. The gossip is awful! We know people judge us--there is a thread on the main forum about nurses with mental illness; the stigma can be awful, and I'd not volunteer that info unless it was absolutely necessary. I see no reason for an employer to test people unless they have good reason.i.e.impairment, narcotics missing, all those red flags.Then absolutely.. as far as rumors---don't we have enough of that and the drama at work to last a lifetime??
  15. LibertyBellPN

    LPN's to work as CNA's

    Yes, years ago in LTC all the nurses (Lpn's and Rn's) were required to work as Cna's because of staff. shortage. It was a temporary thing, but I actually enjoyed it, and of course we recieved our regular nursing pay. I agree, it would be tough on me physically now---but so is nursing!
  16. LibertyBellPN

    How unprofessional is this NP??

    Thank you! I'm not easily offended, but I work with several nurses who are very religious, and I've never heard them even swear...I can't imagine their reaction if the NP spoke to them like that! She's allowed to get away with this behavior, because similar incidents have happened and I haven't seen any change in her behavior... When I got report I was determined to reach her and get that patient his meds. (I sort of figured the other nurse wasn't assertive enough.) My smugness didn't last very long.I still can't believe her attitude! I'm on the fence about reporting this. As I said, she is very friendly with the director, and nothing has been done before.I would like to tell the doc about her behavior, but I'd be willing to bet he's heard it before too! I just wonder what happened today with that pt? Again, thanks! Oh...I should add, most all the NP's I've worked with are terrific! Polite, professional, and respectful to our input.