bluegeegoo2

bluegeegoo2 LPN

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All Content by bluegeegoo2

  1. Dealing With Death After Personal Tragedy

    bluegeegoo2 replied to bluegeegoo2's topic in Geriatric, LTC

    I feel like one of the biggest obstacles I face is confronting death...again. I do agree that grief counseling is probably the best option. This whole situation is way bigger than what tools I have to...

  2. Dealing With Death After Personal Tragedy

    bluegeegoo2 posted a topic in Geriatric, LTC

    I have struggled with how to word this, but I guess straight to the point is the best option. My mother was murdered over the summer, and ever since then I have had huge issues trying to deal with the...

  3. The Right to Die

    bluegeegoo2 replied to BabyGirl1979's topic in Geriatric, LTC

    I have taken care of a few resident's who have state appointed guardians. All of them have been Full Codes, to include feed tubes and trachs if necessary. I spoke with the state guardian of a resident...

  4. Murphy's law

    bluegeegoo2 replied to garciadiego's topic in Geriatric, LTC

    All residents would get all tx's/meds regardless of time issues. Someone with a higher education than me decided the resident needed this med or that tx and I lack the authority to decide otherwise....

  5. Nurses need an outlet to manage stress

    bluegeegoo2 replied to Pride/hardwork17's topic in Health, Stress Management

    I take a 5 minute "power walk" outside if needed to prevent myself from imploding. I'm no good to anyone if all I want to do is crawl under the desk. Just 5 minutes of not hearing call bells, phones...

  6. Fentanyl patch

    bluegeegoo2 replied to nrsbetrn's topic in LTC: Directors, Assistant

    Visual check each shift and chart placement. (Which I think is an interesting "fix" to the problem. If the next shift were to remove it, they could easily say that it wasn't there which would make it...

  7. Resource Help

    bluegeegoo2 replied to ddsmith's topic in Geriatric, LTC

    Honestly the only thing I can think of that will help is to thoroughly read and understand your facility's Policy & Procedure book. It's fine and dandy to know state regs, but if you're not...

  8. Stethoscope? Type...

    bluegeegoo2 replied to minerwife927's topic in Scrubs, Uniforms, Gear

    I prefer the cheap, disposable ones. Seriously. I can hear anything I need to hear very clearly with those. Can't hear much out of the ones I've paid for. Go

  9. Long-term care/SNF

    bluegeegoo2 replied to trillnurse7's topic in LPN, LVN Corner

    My unit census hovers around 66 (68 when full) with 2 nurses and anywhere from 4-7 CNA's and 1 med aide. On one hall the nurse passes all of the meds and does tx's. The other hall the nurse has a med...

  10. Narc Count Disaster

    bluegeegoo2 replied to bluegeegoo2's topic in Geriatric, LTC

    Agreed, but who counts what is based on facility policy. I worked in a facility that med aides were not allowed to give any narcotics. Those were on the nurses cart. In another state, med aides were...

  11. Is This Nursing?

    bluegeegoo2 replied to BoyNamedSue's topic in Geriatric, LTC

    Speaking for myself, I approach my shift as a series of tasks and deadlines and often get my feathers ruffled if someone or some event derails my efforts to complete the tasks or miss the deadlines....

  12. Narc Count Disaster

    bluegeegoo2 replied to bluegeegoo2's topic in Geriatric, LTC

    Follow up: The dust has settled and all involved are still employed. The only change is that 2 nurses must count the bottles of narcs, while the med aides are still allowed to count blister

  13. Narc Count Disaster

    bluegeegoo2 replied to bluegeegoo2's topic in Geriatric, LTC

    Our pharmacist happened to be on my unit when I came on and I suggested this option for all of the reasons stated. Too much time and energy are wasted on counting bottles. Not to mention the drama...

  14. Unbearable heat

    bluegeegoo2 replied to ocean.baby's topic in Geriatric, LTC

    [h=4]"19.309 Other Environmental Conditions[/h]The facility must provide a safe, functional, sanitary, and comfortable environment for residents, staff, and the public." This was pulled directly from...

  15. is anyone else being laid off, reduced hours, etc?

    bluegeegoo2 replied to ceccia's topic in General Nursing

    We have a full building as well with a waiting list. A bed is usually empty no more than a day or 2. For whatever reason, we only have a couple PRN nurses and no PRN CNA'S, so full time staff is...

  16. Post-Fall Neuro Exam

    bluegeegoo2 replied to ckd4035's topic in Geriatric, LTC

    I have them do AROM to all 4 extremities if they are able. If not, I'll do slow and careful PROM after a looking them over for any signs of obvious trauma. Of course I ask if they hurt anywhere while...

  17. Advice for a new grad starting on graveyard shift?!!

    bluegeegoo2 replied to acarrothers's topic in LPN, LVN Corner

    Ear plugs. A really good set of comfortable ear plugs. Just as soon as you get to sleep your neighbor will decide that the tree nearest your window needs trimming...with a chainsaw. Get blackout...

  18. Holiday Pay-- Anyone else heard of this??

    bluegeegoo2 replied to NurseQT's topic in General Nursing

    We have 2 paid holidays a year. (Christmas and can't remember the other one.) On the other major holidays we get paid straight time, but are offered the option to cash in PTO. Nurses get 19 (8 hr)...

  19. Heat and LTC facilities

    bluegeegoo2 replied to motherof3sons's topic in Geriatric, LTC

    My area of the building happens to face west...in Texas. Therefore, the sun roasts my unit from around noon until sunset. The air is on, set at 67 degrees in most areas. It feels like 167 lately, and...

  20. New Grad RN- Being "Charge Nurse" over seasoned LVNs and CNAs

    bluegeegoo2 replied to lifelearningrn's topic in Geriatric, LTC

    I favor educating and giving a general "heads up" about what's going on for my CNA's. I have found that a great majority of CNA's that I have worked with really appreciate me taking a little bit of...

  21. What "isn't" on the MAR

    bluegeegoo2 replied to ocean.baby's topic in Geriatric, LTC

    In some facilities I have seen 1st shift meds/tx highlighted in blue, 2nd shift green, and 3rd shift pink to make it much easier to pick out who needs to do/admin what and when. It helped to have a...

  22. To Treat or Not to Treat Unrelated Dx Hospice Pt.

    bluegeegoo2 posted a topic in Geriatric, LTC

    I have seen this situation far too often since moving to Texas and was curious if hospice pts are treated (or not) similarly in other areas. Case in point: Late 80's female admitted to hospice in LTC...

  23. New Nurse

    bluegeegoo2 replied to CaseyFutureNurse's topic in LPN, LVN Corner

    I still felt like that after 6 months. It takes at least a year of nursing to begin to feel like you might actually be something close to competent. It's perfectly normal to be scared to death and...

  24. Did you work while in LPN school?

    bluegeegoo2 replied to ajerm9's topic in LPN, LVN Corner

    My program was M-F, 7a-4p. I needed about 3 hrs/day after class to study and complete homework. The weekends were spent studying for the every Monday morning test and to finish up any homework that...

  25. Where is a profitable city or state for LPN/LVNs that also has favorable weather?

    bluegeegoo2 replied to thurmswifesanurse's topic in LPN, LVN Corner

    Don't forget to check out cost of living in the areas you're looking at. I live in a suburb of Austin and the rents here are outrageous. Average (by my estimate) rent for a modest 3 bed/2 ba house is...