bluegeegoo2

bluegeegoo2 LPN

LTC

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All Content by bluegeegoo2

  1. LTC questions

    Will you please call my facility and tell them
  2. Evansville area FT LPN jobs?

    Hi, and welcome to Evansville! I realize it's a little late, I see you posted in July, but anyway there are LOTS of LPN jobs here. I recently put in 4 apps and got 2 responses and a job! I'll list...
  3. Appears nurse is diverting narcs

    Backstory: We have a pt that is on quite a bit of a particularly strong/addictive narcotic that is an injectible. On the nights this nurse works with this pt, the pt receives the injectible at every...
  4. Another Misleading Story

    I am always amazed when a family member tells me something like, "I was really worried about putting Mom/Dad in a nursing home but this is a really nice facility and you all take great care of...
  5. Appears nurse is diverting narcs

    Thank you, southernbeegirl. And the very best to
  6. Appears nurse is diverting narcs

    The pt does have roxanol, but doesn't like it, and they have a PICC so the frequency of med is not an issue. Anyway, this pt went home today, so I doubt anything will come of my suspicions, but I...
  7. Appears nurse is diverting narcs

    She was just released from probation last
  8. Rumor? Re: RN's in LTC & Medicare

    At my facility we have to have a RN available on-call if there's not one on site. Oh, wait. Now that I think about it, there is at least 1 per shift. (Dozens of them on days). Interestingly, they...
  9. Question regarding LPN Scope of Practice

    I have to "fill out" a half-dozen care plans with each new admit I get. I have to get their VS, weight, ht, check them over from head to toe for skin assessment, check ROM, come up with 2 "problems"...
  10. Why?

    I have found that my more "difficult" pts are the ones who are acutely aware they are not leaving LTC, and whose family has just sold the house that they lived in for 58 years, who know their meds are...
  11. My LTC facility is starting to Hire Med Techs

    Just remember they still can't give injections, chart, take phone orders, do staged area tx's (at least in my facility), start IV's, hang ATB's/fluids, etc. We're still useful...for
  12. I might gag

    Yeah, I can't stand feet, either. I can barely force myself to put a band-aid on a toe, much less cut toenails. Anything feet turns my stomach. I always refer the "toenail" issues to the podiatrist...
  13. found a pill/not given....

    I have taken to always emptying my pockets at the end of shift. It actually saved me from accidentally taking home a Dilaudid injection! (EEEKKK!!!!). I nearly died, but gave the injection and went...
  14. Backstabbing in LTC

    Oh, the joys of LTC! Things were going well (enough) at my facility then a former long-term employee return "prn". Well, seems she doesn't want "prn" at all and has begun "digging" for things other...
  15. Supervising/Management tips for new young nurse

    Let them know right off the bat that you are serious about whatever it is your asking them to do. I have posted before that the way I earned the respect and subsequent compliance of my aides was to...
  16. Microphones and Web Cams

    Yeah, that! We have a resident who has dementia. Every single time his brief is checked/changed he thinks he's being raped and yells accordingly. Imagine a family memeber watching a video with audio...
  17. Microphones and Web Cams

    Geez, sounds like they're fishing for a lawsuit! We've had to sign in/out on a pad of paper documenting time, care rec'd, etc., but nothing like that. I would think that the facility would have to...
  18. 16 month old nurse needs advise / help on managing aids

    Do you help your aides? Answer call lights? Toilet people? Help with transfers and repositioning? I know we're busy, but I try to help my aides whenever possible, and they seem to respond very...
  19. perfectionist or not cut out for nursing?

    Don't worry! In school, I dropped a narc on the floor on my very first med pass, had a lovenox injection "bounce" off of the pts stomach, and tried to tube feed with the cap on, (just couldn't...
  20. End of Month Changeover

    Our unit secretary will do the first checks. The second check is done on nocs, over a few days if needed, by the noc nurses. On "change-over" noc, they schedule an extra nurse whose job it is to...
  21. Filling in MAR holes

    Forgive me, I misspoke. We sign out prn's in the back of the MAR, but sometimes forget to f/u with whether or not they were effective. That's where we will begin to get med errors. I think. We get...
  22. fired from my LVN position....

    Was the noc shift aide fired? That's abuse, and I certainly hope she was canned as well. I'm sure they fired you to "look good" for the family. Good luck with your next
  23. Am I wrong to think...

    Write them up. All of them. Once they figure out that you are serious about pt care they will either step up and do the job they have been hired to do or move on. I don't ask a lot of my aides, so...
  24. Filling in MAR holes

    My facility is obsessed with the "holes" as well. We end up with "post-its" all over the mars asking that we fill them in. Wouldn't state just love that? Also, we are told if state does come in, we...
  25. HELP!! Where can one obtain experience!!

    Try applying where you've had clinicals. Most of my graduating class ended up with jobs at our clinical sites, including me. I started on 3rds which was good because that shift allowed me to "ease"...