bluegeegoo2

bluegeegoo2 LPN

LTC

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All Content by bluegeegoo2

  1. Sad night

    It's OK to cry. Really. I don't mean great wailing sobs, if I feel that coming on I do excuse myself. But there has been more than once I've cried with the family. We do care, and how can we not have...
  2. your most memorable patients

    I had a mother/daughter duo in a room together. The mother was in her 90's and aphasic, the daughter was in her 50's and greatly debilitated. That mom still did her level best to care for her...
  3. job duties of lpn

    In all seriousness, what will you do when, not if, you have an ostomy pt? Not only do you have the bag full of poo, you have the ostomy that is very likely non-stop draining poo down their side until...
  4. ATI EXIT EXAM

    I honestly don't remember how many ?'s there were, but I do remember it wasn't difficult. Scary more than anything. Good
  5. Being a bi-polar nurse~what's it like?

    Being a bipolar nurse depends entirely on what's happening at the moment. It can be tough when there is a million things going on...call lights going off...phone ringing...family trying to flag you...
  6. Resident Centered Care

    My facility does, to a point. We have the "walkie-talkie" rehab unit, 2 assisted living units, and the "not-so-walkie-talkie" long term care/rehab unit. The AL residents do as they please, when they...
  7. Question for those who work the 11pm-7am shift

    "...i realize its not the greatest place for employment. i'm just worried about having such a short term job on my resume.............. *shrugs*" Most employers really don't care about short term...
  8. We admitted a new pt a couple of days ago with a dx of brain CA, and all seemed "normal" at first. However, true to the nature of nursing, things went to hell in a handbasket from there. A man...
  9. Resident Centered Care

    My facility does the resident centered care thing, and it's a far better place to work than the "regular" LTC type facilities for a variety of reasons: There are no "get up" lists for 3rds, so no...
  10. I have an older pt on my unit who will literally gag herself (I've watched her do it) to produce a very small amount of emesis, then ring for her phenergan. She insists on the IM, but I always start...
  11. The "shift wars" issue has been around as long as nursing from what I understand. As a night shift nurse, I have but 3 simple requests: Make a honest effort to get your work done. I understand that...
  12. how does hospice work in other ltc facilities

    I, for one, would love to work hospice someday. (After I've had some more time under my belt). That's due to the excellent hospice nurses I've worked with in the past. Most of them are very good....
  13. What do you think about universal workers in LTC?

    Originally Posted by Moogie BTW, that administrator once told me about a "study" that showed how nursing personnel in LTC only spent something like 50% of their time productively. They must...
  14. Morale of the Nursing Home

    We have a monthly party, where there are games to play (like bean bag toss and such), food, and drawings for prizes. The prizes are usually like a nice blender, or maybe movie tickets, or something...
  15. I got chewed up one side and down another by a super who proclaimed, "I don't need no super-nurse on my floor!", then proceeded to threaten my job. When I told her I wasn't afraid of unemployment,...
  16. medication strip packs

    We use the bubble cards as well. Pharmacy doesn't stock squat, I do. The meds all come in a big grey "totes" that are zip-tied shut, and I have to go though each one and check them off on the med...
  17. OMG...not again

    The one that irks me the most of all? "I am afraid I'll LOOSE my job." It's LOSE!!! L-O-S-E FOR THE LOVE OF PETE!!!!!!!!! You LOSE something, and something is LOOSE!!!!! I see it EVERYWHERE. I...
  18. What do I do now?

    I got my 1st job out of school before I got a license, of course the stipulation being I DID get a license. I worked as an aide, then as a QMA (med aide) until I passed boards. Give it a shot! It...
  19. Staffing concerns - short vent

    Dear (insert supervior), I am tendering my 2 week notice. My last day will be (2 weeks from date). I feel that the way the nursing staff, CNA's most notably, are treated is so disrespectful that I can...
  20. Would you repeat your LPN year again?

    I would not in a hundred million years redo my LPN classes! Oh, how the thought drains the life out of me! I think I need a nap
  21. LTC psych meds pleaseeeeeeeeeeee help with this

    Get the families on board with you, if they tell you they don't want their loved ones on all of these meds, the prescriber has little choice but to follow their wishes. If this psych nurse doesn't...
  22. Giving narcs

    I always give my terminal residents pain meds! I usually don't the others unless there are pain markers I can see. I would (and do) continue to give them, just be sure to chart what you were seeing...
  23. what is the 11-7 shift like(new grad wondering)

    You give a lot of levo, prilosec, protonix, (we have a couple of MD's here who thinks every living being needs prilosec or protonix) lasix, some narcs, do fingersticks, cover sliding scales, and some...
  24. what is the 11-7 shift like(new grad wondering)

    When I was a new grad, (all of 18 months ago), I started on nights and it was the best decision I could have made. I had the opportunity to hone my assessment skills, charting skills, med passing...
  25. How to classify blisters?

    Scenario: Res was found to have o/a's on lateral aspect of LE's, where the legs come in (near) constant contact with pillows used to float heels. There was also an intact, fluid filled blister. O/a's...