bluegeegoo2

bluegeegoo2 LPN

LTC

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All Content by bluegeegoo2

  1. Leander, Round Rock, Cedar Park, Georgetown areas are nice and close to Austin for lots of family things to do. Housing can be a little on the high side, but there are plenty of jobs around here as...
  2. How many graduates were in your graduating class?

    We started with 40, graduated with 23. Three of them were from the previous year, having failed ob/gyn/peds. Med/surg took out the majority of my starting class. A few others had life issues that...
  3. Shift Warfare BS - vent/advice? (long/sorry)

    They get wrote up and referred to HR. If they continue, they are terminated. In the meantime, they have no valid argument regarding any conditions that they may find as they did not fulfill a...
  4. I have worked with several nurses whose very identity is wrapped up in their performance. Therefore, if their work was critiqued, they felt as though they were being attacked personally and would get...
  5. Shift Warfare BS - vent/advice? (long/sorry)

    We have mandatory rounds with round sheets. On-coming shifts are required to show up on time to do walking rounds with the off-going shift. (The off-going shift is not allowed to leave until rounds...
  6. Lady keeps "losing her pain patches"

    Some time ago we had a resident whose patch came up missing frequently. Q shift checks were implemented, which only helped to determine that it was gone. After a short time, we figured out that they...
  7. Since I can't see myself as how others see me...

    Hold on a second...a couple of people misread you and you "have" to change? (deep sigh) I am one of those people with a perpetual look of as I work through my shift. I have been told that I look...
  8. I work at the worst LTC facility ever.

    CNA's can do creams/powders in some facilities. What is your policy on that? What kind of tx's are they doing? Loose meds in the cart? Clean them out and dispose of them according to policy....
  9. Mispronunciations That Drive You Nuts

    Worked with a nurse that consistently pronounced Namenda as NAH-men-da. It irritated us so much that it became her nickname. Non-nursing, the use of "loose" for "lose" is my all time biggest irritant...
  10. ig·no·rance ˈiɡnərəns/ noun lack of knowledge or information. "he acted in ignorance of basic procedures" [TABLE=class: vk_tbl vk_gy] [TR] [TD=class:...
  11. Giving Report

    Generally speaking, you hit the "high points" i.e. acute changes in condition, new meds, med changes, increase/decrease in ADL care, etc. We have a 24hr report sheet that we fill out so that changes...
  12. Length of employment

    10 months. I like it there (for the most part) so will probably stay
  13. Terminal Agitation

    I recently had a young resident mercifully die after the worst case of terminal agitation that I have ever seen. I gave her everything, including the kitchen sink to try to get her comfortable as...
  14. Anyone dating a med-student?

    It worked out for my cousin, who met and dated a med student while they were in college. They have now been married for around 10 yrs and have 3 of the most beautiful kids you've ever seen.
  15. On-the-Job Injuries: What's Our Solution?

    Frequent in-services on proper body mechanics. My personal opinion is even though most of us were taught how to properly lift in school, we have either forgotten with time or just got lazy. (Allow me...
  16. What is this condition called in bariatric patients?

    I'm always quoting Monty Python at work and usually get the "deer in the headlights" look from people. (...Are you suggesting coconuts migrate? ) Off topic I know and I apologize but I just couldn't...
  17. Terminal Agitation

    She was in her very early 60's, and d/t negative family dynamics no family was present, though one of her children did attend to her
  18. No shift differential

    I get a shift differential for 2nd shift, enough to where there's no way I'd ever move to days. Mine is actually more than the shift differential for nights because it's much more difficult to fill...
  19. Terminal Agitation

    No, unfortunately we don't hang morphine at my facility, and point 2 is certainly something to consider that hadn't crossed my mind. Thank you all for your replies and support. I'm glad to know that...
  20. alternatives to morphine

    We use Oxyfast for residents that can't tolerate or have an allergy to morphine at my
  21. When I graduated from PN school, my mother said "So when are you going back to be a RN?" No congratulations or way to go, etc. To put her attitude towards me into perspective, I could have announced...
  22. What constitutes a "fall" at your facility?

    Any unintended change in elevation.
  23. Best Experience you've had as an LPN

    One day I was sitting at the nurse's desk and noticed that there were at least a dozen elderly folks sitting in their wheelchairs. Not one of them appeared "happy" as all were staring off somewhere,...
  24. what else can I do? (burned out)

    Sounds like you could use a vacation at the least. If you have any time available, I would make arrangements and take off for awhile ASAP. That's my plan, to be executed very, very soon. I plan to...
  25. Helping out a co worker/friend

    Maybe I'm too hard-nosed but there is never a justifiable reason to steal. Period. We have all had our hard times. It's how you deal with them that counts. She made a tragic error and will face the...