mlolsonny

mlolsonny

Geri, psych, TCU, neuro--AKA LTC

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All Content by mlolsonny

  1. nurse's aides doing accuchecks

    I'm in LTC and we use TMAs (trained medication aides) who are essentially CNAs who have taken a non-parenteral medication administration class. They are responsible for passing oral meds, eye drops,...
  2. A pat on the back does wonders

    We are a teaching facility for PN students, and remembering what that was like not so long ago, I love to get the students in on as much as we can. Our DON has flat-out told them that their Clinical...
  3. Examining each other?

    We didn't have to strip down, but did have to do cardiac assessment with the stethoscope under the shirt and auscultate lung sounds the same way. We didn't have to do breast exams, though. I'm already...
  4. How much orientation for LTC nurses?

    At the LTCF where I work on-call, they give three-8 hours shifts if the nurse is training for two different shifts. I was on my own alone at noc, not even programmed into the glucometer... I was not...
  5. What to do when family says no to care?

    The actively dying are the only residents that I have seen that option used for. It is included only to cover our rears, just in case. The LTCF that I work at wholeheartedly embraces the Hospice...
  6. How do you orientate the "new nurse?"

    Day one: Follow me, observe me, and ask a ton of questions. Day two: Follow me, help me, and ask a ton of questions. Day three: I'll follow you, help you and ask you a ton of questions. I will be...
  7. Top 5 medicine to pass in LTC?

    Senna S Colace MOM Tylenol
  8. What to do when family says no to care?

    We have a Comfort Care Directive that the family signs when they are requesting limited care. It covers DNH, no antibiotics, no suctioning, no turning, etc. It's a checklist format so they can decide...
  9. Nursing Home Nurses: How many patients are you respsible for?

    WOW, I work in Heaven! 62 beds, Days, 1 MDS RN, 1 Charge RN, if we have MD rounds, 1 RN for MD, 2 LPNs (one does Tx), 1 TMA, 8 CNAs (2 for baths and rehab). PMs 2-3 LPNs (if 3 one is charge), 7 CNAs....
  10. What do you have on count???

    We also have to count Ultram. Our PharmD says it has "narcotic-like" characteristics and the potential for abuse. I don't get counting insulin syringes, hasn't anyone other than me had to throw a...
  11. How do I find a good nursing school in MN

    http://www.state.mn.us/mn/externalDocs/Nursing/Number_of_Candidates_and_Percent_Passing_of_First-time_NCLEX_-_RN__042103083629_PercentPassingNCLERN2003.pdf this is the URL for NCLEX-RN passing rates...
  12. Smoking

    Jude, there are smoking facilities. I know it may not be as convenient, but if the issue is that important to the resident, perhaps they choose a different facility that is more accommodating. It...
  13. Smoking

    I work PRN in a facility that got cited by state for not providing an indoor place for current smoking residents that should have been provided for. I guess according to MN Dept of Health, current...
  14. Smoking

    I work PRN in a facility that got cited by state for not providing an indoor place for current smoking residents that should have been provided for. I guess according to MN Dept of Health, current...
  15. How long did you take to test?

    Mine was 85 questions in about 45 minutes, but I'm that annoying one who's always done first with tests... I'm a very fast test taker, I either know the answer or I don't. And I really don't think...
  16. How long did you take to test?

    Mine was 85 questions in about 45 minutes, but I'm that annoying one who's always done first with tests... I'm a very fast test taker, I either know the answer or I don't. And I really don't think...
  17. In a snowy climate, we're required to stay on campus if staff is unable to get in D/T bad weather etc. We were talking at work and none of us carry a change of clothes in case we need to stay, so we...
  18. Do you carry a change of scrubs?

    I'm in LTC, not a hospital. If the oncoming nurse can't make it in D/T weather, I can't legally abandon my residents. If I work a noc shift, I'm the only licensed nurse in the building... and I'm...
  19. Do you carry a change of scrubs?

    I'm in LTC, similar situation, I just used a Sharpie and marked my name and let them wash it. It got back to me the next day all sanitized and
  20. Now granted I'm a little off topic, but I'm in LTC, and a lot of people (especially the residents) enjoy the colorful print tops. White isn't the answer in LTC either. Forget all the body fluids,...
  21. Charting Bloopers

    "Res. found digging in rectum. Large BM. Ate 50% for dinner with much encouragement.~~~~~~~~~~signed." BWAAAHHHAAAHHAA! Same nurse asked me the other day how to spell pus-sy, because everyone laughs...
  22. How long does report take?

    I tape specifically to avoid the 45 minutes of chatter and
  23. well, I was going to post the response to this poem, but nursetl2002 beat me to it. Here's one for the CNAs... I'm a CNA We didn't know each other. He knew the bride and I the groom. But we ended up...
  24. Do you wear gloves

    I think they were referring to a blood sugar
  25. Do you wear gloves

    I've been saving the right lower pocket for gloves since CNA clinicals. And when I pass meds, that's the only pocket I put Pt. items into (eye drops, neb solution, etc.). I check that pocket before...