mlolsonny replied to panurse101's topic in Geriatric, LTC
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,...
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...
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...
mlolsonny replied to military girl's topic in Geriatric, LTC
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...
mlolsonny replied to juley0129's topic in Geriatric, LTC
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...
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...
mlolsonny replied to juley0129's topic in Geriatric, LTC
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...
mlolsonny replied to butterflynurse's topic in Geriatric, LTC
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....
mlolsonny replied to burger914's topic in Geriatric, LTC
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...
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...
mlolsonny replied to CoffeeRTC's topic in Geriatric, LTC
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...
mlolsonny replied to CoffeeRTC's topic in Geriatric, LTC
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...
mlolsonny replied to CoffeeRTC's topic in Geriatric, LTC
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...
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...
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...
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...
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...
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,...
mlolsonny replied to AHarri66's topic in Nursing Humor
"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...
mlolsonny replied to tattooednursie's topic in Nursing Humor
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...
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...