mlolsonny

mlolsonny

Geri, psych, TCU, neuro--AKA LTC

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All Content by mlolsonny

  1. RNs- Mostly first born? Alcoholic fathers?

    How about alcoholic father's first child ), OCD Mom's 3rd??? Dad was absent for most of my formative years- but I didn't go to nursing school til I was 33 tho. He was well resurfaced by then. I think...
  2. End of Month Changeover

    Our medical records nurse (MRN) goes through the MARs and TARs 2-3 x throughout the month and we put a highlighter dot (not yellow- which indicates d/c meds) next to the changes that have been checked...
  3. Advice for new ADON

    On-call at our SNF is basically being available for contact by phone (on-call pay should cover the cost of a cell phone each month). I've only had to go in and work the floor one time in 3-1/2 years-...
  4. Student Nurse with LTC question RE: clothing

    Peek-a-boob in the Dining Room--- not pretty. :omy: If it's a matter of fit, extenders for the band are $.97 at Wal-Mart. Has anyone other than me measured a resident for a bra so that family can...
  5. What do you wear?

    I'm technically an RN Care Coordinator, and I'm second on MDS for our 62 bed facility. Our DON wears business casual (usually with a scrub jacket over her top), and our RNs wear scrubs if we want,...
  6. I very frequently give thanks that I work in a christian facility with christian leadership. This has NEVER been an issue for us. If a resident or family member wants prayer, we find a willing staff...
  7. P2e Reorientation

    Recent discussion with our MDS coordinator about P2e. Does this need to be a formal reorientation program, or does it include cues as to meals, invites to activities, the cues that we give every day...
  8. Charting Bloopers

    Give me pleasantly psychotic ANYDAY over unpleasantly psychotic. Even had a recent discussion with an MD who told me that he used give one of our very pleasantly psychotic LOLs to interns and students...
  9. Charting Bloopers

    This used to be a running joke, call into another office and ask how to spell "pu**y." No kidding, On a fax to the MD last week: "Laceration to wrist now draining pu**y drainage with redness...
  10. How Long are Your Care Plans?

    At our SNF, our care plans are in the same order: Hospice (if applicable): Dressing/ Grooming/ Bathing: Nutrition/ Hydration: Mobility: Toileting: Skin: Oral/ Dental: Activities: Social Services:...
  11. late entry

    Our computerized software even labels notes as late-entry if the date is changed from the current date. It puts them in the correct order with the date that you've back-dated to with the note...
  12. How do you manage to get to work in snow storms ?

    I live in central MN, and snow and ice are commonplace from November thru April. I plan ahead. If we know a storm is coming and the roads will be bad, I pack a bag and plan to spend the night at work...
  13. From your username, I'm guessing that you're a non-traditional CNA. Unfortunately LTC can be very hard on on men especially. We've never had a male nurse, but have had a few male CNAs. Some are...
  14. At our SNF, it's never OK to leave someone alone with a procedure that they've never done before; and my wish for all the new nurses that I've worked with is: If/When you decide to leave, if nothing...
  15. Share your "problem patient" stories!

    We have a man in our SNF that refused to walk initially, until we took the w/c away. Now will walk to BR with staff and wait for them to pull down his pants and for them to pull them back up when he's...
  16. Funny dreams about your job as a nurse

    In my dream, a young male CNA kept telling me every time I saw him that "My member hurts." Over and over, "My member hurts." And so I was trying to assess him via questions without a visual. When he...
  17. Help me out on this, please

    As a nurse that worked as a CNA, medication aide, and LPN while in school to complete my RN, I can say that the hands-on experience as either CNA or LPN will really get you more comfortable with the...
  18. Policy for passing fresh water?

    Please help... Does your facility have a policy regarding passing fresh water? Would anyone be willing to share? You could post here or PM me. Thanks in advance!
  19. How to prevent fainting???

    OR nurse told me first thing, "If you feel faint at all, get your back against the wall." I guess so if you do faint, you'll slide down, rather than falling forward into the sterile field. I don't...
  20. We actually healed a huge tunneled coccyx would with wound vac then Autologel treatments. I guess the Autologel is expensive, but only needed to be changed once a week, so the hours saved made up for...
  21. opinions on in-services

    Doesn't anyone else have healthcareacademy.com? We do almost all of ours online at our
  22. State Surveyors....

    I don't think they could pay me enough to know that everyday, no matter where I'm working, everyone will hate me. BTW, we're being surveyed this
  23. Shout out to MN nurses!

    Unfortunately in this area, it's hard to find RN positions unless you're willing to do LTC or Psych. My SIL is in LTC by default since she couldn't find an RN position anywhere. I'm equal distance...
  24. Nursing Wearing Sandals To Work?????eeeeeeeekkkkk!!!

    I'm in LTC and our dress code includes well-made, supportive sandals-- WITH socks according to health dept. I do agree that it probably doesn't present a very professional picture of this particular...
  25. In need of some CEU's any suggestions

    http://www.state.mn.us/cgi-bin/portal/mn/jsp/content.do?subchannel=-536882455&programid=536898785&sc3=null&sc2=null&id=-536882404&agency=NursingBoard This site should answer your...