gentlegiver

gentlegiver ASN, LPN, RN

Geriatrics

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All Content by gentlegiver

  1. Tidbits, facts, save-your-butts...for new nurses in LTC

    gentlegiver replied to CharleeJo.RN's topic in Geriatric, LTC

    I tell all the new orienties: Listen to your CNA's, they are your back bone, they know these people better than we ever will. If they think something is wrong or different, believe them, look into...

  2. What are the worst call in excuses you've heard?

    gentlegiver replied to sasha2lady's topic in General Nursing

    Is that even a legit

  3. Toileting Bariatric Patients

    gentlegiver replied to Toileting Help's topic in General Nursing

    OUCH!!!!!!!!!!! As a CNA we had a lovely lady who had major problems with hygene, when trying to washer peri area our gloves would often slip off and get stuck down there. We solved that problem...

  4. What are the worst call in excuses you've heard?

    gentlegiver replied to sasha2lady's topic in General Nursing

    Grandma died (for the 5th time this

  5. Before we call doctor. What info should we have handy?

    gentlegiver replied to Prado's topic in General Nursing

    I work LTC so we don't really get the latest methods for calls, but I can see this as a good guideline for charting

  6. Signed Contract as a new nurse

    gentlegiver replied to dekagirlsRN's topic in General Nursing

    I am lost on this one, please advise. You graduated from school, got your degree, then signed a contract for training?? As an LPN we are often offered contracts where they pay for our school in...

  7. Before we call doctor. What info should we have handy?

    gentlegiver replied to Prado's topic in General Nursing

    I never heard of SBAR, but I plan on implementing it at work (for myself if no-one else wants to do it)! Thank you, see my day is complete, I learned something

  8. For all of those on Medicaid

    gentlegiver replied to ShayRN's topic in General Nursing

    Only reason I know is from filling out paperwork to ship to ER or Dr's appts. Makes no difference to me, I will treat you with respect & dignity, providing you the same quality care as the rest...

  9. Before we call doctor. What info should we have handy?

    gentlegiver replied to Prado's topic in General Nursing

    Depends on what your calling for. Lab reports -->past labs FSBS --> current BS & any steps taken Falls --> VS, Neuros, Assessment, Fall HX, any blood thinners Pt may be on, c/o pain,...

  10. What to do when a patient falls?

    gentlegiver replied to Nurse_Tricia's topic in Geriatric, LTC

    In my facility if it's an unwitnessed fall... Neuro's Q15 x1hr, Qhr x4hr, Qshift x48hrs. If head injury is suspected --> ER, if c/o pain -->ER. But remember to watch them for a long while after...

  11. don't burn bridges!

    gentlegiver replied to Schmoo1022's topic in Geriatric, LTC

    I was under the impression that legally all you could say is that they worked there, were on time or not (at least in my state), I got this from a laywer. How could you justify calling a former...

  12. Patient Handoff Process

    gentlegiver replied to NursingNotes's topic in General Nursing

    In my LTC we use a combo of face to face and taped. I prefer face to face, hearing "patient is fine no problem" 48 times is not helpfull. Face to face allows me to question.. when was thier last...

  13. Missed fingerstick

    gentlegiver replied to CC918's topic in General Nursing

    When ever I missed finger sticks, I would take it as soon as I realized it was missed & call the Doc, letting him (or her) know that it was taken after they ate & why. If they want coverage...

  14. For all of those on Medicaid

    gentlegiver replied to ShayRN's topic in General Nursing

    I'm not quite sure where your going with this thread. I don't care about insurance either, all my patients get the best care I can give them. But, if on state ins. please don't demand I wait on you...

  15. Today I made a difference

    gentlegiver replied to BackfromRetirement's topic in Geriatric, LTC

    I was told by the Dr's at the LTC I work at that it was ok to administer oxygen for an SOB PT then, when stable, call for the order. They said to remember never to leave a COPDer on 2l to long, just...

  16. What is your splurge?

    gentlegiver replied to Otessa's topic in General Nursing

    Small splurge; Dunkin Donuts Iced Mocha Latte with whole milk & LOTS of whip cream!! Big splugre; a new tool for yard work, (my bf just bought me a hand held roto-tiller to work my garden with.....

  17. LTC helped this new nurse develop a backbone

    gentlegiver replied to Kitty Hawk's topic in Geriatric, LTC

    You have to get your actively dieing patients out of bed????? What in the good graces are they thinking? I have the descresion (spelling??) as to wether or not my people are gotten out of bed. If...

  18. What is the nurses job in regards to restraints in a nursing home?

    gentlegiver replied to ArtofGrace's topic in Geriatric, LTC

    We have restraints, but, they are the type the patient can release. We have a release & stand/toilet order for every 2 hours. Chemical restraints are not allowed. The paperwork is absolutely...

  19. Help! I need advice!

    gentlegiver replied to juliebug's topic in Geriatric, LTC

    Not 15 yrs, only 5, all spent in LTC. I too have seen hospital nurses come & go fairly quickly. In my job I assess, treat, comfort, pass meds, do paperwork, talk to Dr's, family, Pharmacy,...

  20. Question regarding a HIPAA violation...

    gentlegiver replied to samegirl's topic in General Nursing

    I once looked up my own records to find out what my blood type was. Bad move, had a very indepth talk with my manager, was not allowed to use computers for a month, along with having it in my file...

  21. Call offs. I love getting the phone call, hate getting the paycheck

    gentlegiver replied to klone's topic in General Nursing

    I wanted to add, I gave up reading the obits the day I saw MY NAME (it is fairly common). I called work & told my boss I couldn't come in cause my name was in the obits so I must be dead, she...

  22. Call offs. I love getting the phone call, hate getting the paycheck

    gentlegiver replied to klone's topic in General Nursing

    Funeral

  23. Want to hear your pet peeves in LTC nursing

    gentlegiver replied to mondkmondk's topic in Geriatric, LTC

    I work 11pm to 7am - My Pet Peeves: 1.) Having to do ALL the editing for change over on this unit even tho I'm only there 2 nights a week. Others on 11 to 7 should do it, help from the other shifts...

  24. Automatic B/P machines...should I buy my own?

    gentlegiver replied to prinsessa's topic in Geriatric, LTC

    The automatic wrist cuffs are very position sensitive, if placed right they work great, if off by even a little bit they aren't accurate. I have an automatic arm cuff that is a life saver. Very...

  25. 11 Things Your Nurse Thinks (But Will Never Tell You)

    gentlegiver replied to VivaLasViejas's topic in General Nursing

    How many times I wanted to say ALL those things to patients! TY for putting it all into