bluegeegoo2

bluegeegoo2 LPN

LTC

Member

  • Content

    753

  • Visitors

    19,750

  • Followers

    0

  • Likes

    93

All Content by bluegeegoo2

  1. Thoughts on Covering Own Shift

    bluegeegoo2 replied to J.Adderton's topic in General Nursing

    In my building, the scheduler has been known to deny your requested day off even if you found your own coverage. The kick in the teeth is that the scheduler will use the person you recruited to cover...

  2. Continuing Education --Getting staff to complete it

    bluegeegoo2 replied to CoffeeRTC's topic in Geriatric, LTC

    Maybe have a drawing with the names of those who complete each month for a chance to win a $25 gift card. $50 card for every quarter, $100 every 6 mo and $250/year. We like money. (For the record, I...

  3. Tempted to Tell the Truth in Exit Interview

    bluegeegoo2 replied to Nurse Beth's topic in Career Advice Column

    I generally respond with something along the lines of "I have accepted an offer that better fits with my professional and personal goals." I then thank them for the opportunities that they have...

  4. Rehab pts, cabulances, and toileting

    bluegeegoo2 replied to CrunchRN's topic in General Nursing

    Is she A/O? If so, I would ask her her preference. A Foley would provide more dignity than having to be incontinent into a brief. However, an unnecessary Foley would increase the chance of infection....

  5. LTC Facility Nurse Interview

    bluegeegoo2 replied to Newgurl17's topic in Geriatric, LTC

    Don't be surprised when you get lied to about ratios. Of course they're going to tell you that they're good. Things I look for in a potential employer: Does the building smell like urine/feces when...

  6. Is LVN before RN a good choice?

    bluegeegoo2 replied to AjAy2124's topic in LPN, LVN Corner

    I suggest that if your goal is to become a RN, go to school for RN. I went the PN route in order to get to work sooner with the intention of doing a bridge program...Ten years ago. I am still a LPN....

  7. What would you do

    bluegeegoo2 replied to iwannabeanursee's topic in General Students

    Dementia patients present with restlessness when they have pain, are cold/hot, hungry, need to toilet, or have an infection (UTI?). I have seen plain ol' Tylenol do amazing things for agitated...

  8. Med error yes or no

    bluegeegoo2 replied to saphire55734's topic in LPN, LVN Corner

    Agreed but if the nurse who took the order failed to clarify then the night nurse should

  9. Med error yes or no

    bluegeegoo2 replied to saphire55734's topic in LPN, LVN Corner

    Pre-op orders usually cover what, if any, meds are to be given during NPO status. I've always seen the order written "With sips of water." If there was no pre-op order for meds, the nurse should call...

  10. How do you handle rude comments?

    bluegeegoo2 replied to MA Nurse's topic in General Nursing

    If I may play the role of Devil's Adovcate...When faced with unexpected, shocking and traumatic news, I feel immediately stressed and uncomfortable and in that emotional state, say the first thing...

  11. Shift Preferences?

    bluegeegoo2 replied to Newgurl17's topic in Geriatric, LTC

    I get $3 more an hr on eves, plus less family and management goes home at 5. Residents go to bed right after supper. I get to sleep late and lounge around before work. It's a win-win for

  12. Help me choose the days I work/schedule

    bluegeegoo2 replied to ajaxgirl's topic in General Nursing

    I would personally put the 2 days together so I'd have 5 days off, but that's just

  13. Jtag!!

    bluegeegoo2 replied to ndragonfly's topic in Geriatric, LTC

    I have yet to hear of or see a D.O.N. Keep their job when the IJ is in nursing. Not saying it doesn't happen, just that I have not seen it

  14. ICU RN considering assisted living

    bluegeegoo2 replied to malenurse69's topic in Geriatric, LTC

    Given your current situation, I would probably go for it. As you stated, no form of nursing is stress-free, but in my experience, assisted living is fairly laid back. (Depending on staffing, of...

  15. Right to Refuse

    bluegeegoo2 replied to 311ltc's topic in Geriatric, LTC

    I recently had a diabetic whose FBS was >400. He showed me why: 2 empty containers of single-serve pancake syrup and a regular Coca-Cola. Sooo, Mr. Alert-and-Oriented-Diabetic did 2 shots of syrup...

  16. How long is the window for state survey?

    bluegeegoo2 replied to guest833402's topic in LTC: Directors, Assistant

    One of our nurses did everything by the book with a drsg change, washed her hands...then "dried" them on her uniform. (?!!) Tag. Bad habits earn tags. Pounding the basics into everyone's head drives...

  17. Timeline for a bruise

    bluegeegoo2 replied to iamoph's topic in Geriatric, LTC

    There are too many variables in human physiology to timeline bruises. A bruise may heal on one person in a week but may take a month on another. What are you needing the information for? If it's to...

  18. Geriatric bruising and what to do

    bluegeegoo2 replied to iamoph's topic in Geriatric, LTC

    I agree with the likelihood of there being POC in place. I worked in a building that every single fall was an automatic Xray of the pelvis and bilat hips regardless of clinical findings. Was a pain...

  19. Crushing Oral Medications...New Regulation

    bluegeegoo2 replied to ltcnurse4u's topic in Geriatric, LTC

    I am thinking of a lady that I take care of that has dementia with behaviors. These behaviors consist of beating the hell out of anyone who comes near, scratching (some staff have scars) biting (no...

  20. Non-nurse editing LVN Notes?

    bluegeegoo2 replied to morgan1128's topic in LPN, LVN Corner

    Another thought, how is she able to access your notes? Do you make yourself a copy of your notes to make sure she isn't adding or deleting

  21. Non-nurse editing LVN Notes?

    bluegeegoo2 replied to morgan1128's topic in LPN, LVN Corner

    The boss is not changing the CONTENT of the documentation, only abbreviating where she sees fit. Like I said, certainly annoying but so long as she's not adding or deleting content then the...

  22. Non-nurse editing LVN Notes?

    bluegeegoo2 replied to morgan1128's topic in LPN, LVN Corner

    So long as she isn't changing the content of the notes, I don't see a problem other than it being annoying. Maybe ask her for a list of "approved" abbreviations that you can use. If she is or begins...

  23. Fountain Pens for Charting

    bluegeegoo2 replied to wernicke's topic in General Nursing

    I love my Zebra pens. Won't bleed or smudge and have a fine tip for clear, small print. They can also easily make it through the biggest stacks of carbon

  24. Crushing Oral Medications...New Regulation

    bluegeegoo2 replied to ltcnurse4u's topic in Geriatric, LTC

    Exactly. We will have to decide which meds are "most" important and attempt to give them in some sort of order. Good luck getting that calcium

  25. Crushing Oral Medications...New Regulation

    bluegeegoo2 replied to ltcnurse4u's topic in Geriatric, LTC

    I will carry on as usual until state is standing next to me, then I'll put on a show for them. I swear it's like "they" are sitting around trying to find ways to make med pass as difficult as...