gentlegiver

gentlegiver ASN, LPN, RN

Geriatrics

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All Content by gentlegiver

  1. What is the state guidelines for nurse to patient ratio in SNF's/LTC for California?

    gentlegiver replied to ChickenJoyRN,BSN's topic in Geriatric, LTC

    For our patients (even if they don't know it) we

  2. What is the state guidelines for nurse to patient ratio in SNF's/LTC for California?

    gentlegiver replied to ChickenJoyRN,BSN's topic in Geriatric, LTC

    As far as I know there are no ratios for staffing in LTC/SNF/Rehab. Otherwise there would have been a very loud yell when I had 58 patients on my floor (all with various medical/mental dxs/treatments)...

  3. Stigma with LTC

    gentlegiver replied to Derek1975's topic in Geriatric, LTC

    LTC is a very demanding job. On any give day you are overworked, short staffed, lacking supplies and support from the higher ups. The position calls for you to be Nurse, caretaker, emotional &...

  4. Falls versus Culture Change

    gentlegiver replied to ejpip1's topic in Geriatric, LTC

    Sad to see this happening. Unfortunately there isn't much you can do. If he is oriented enough to remove alarms and disconnect his seatbelt he will continue to do so. Just try to keep him in sight,...

  5. Is it okay for a CNA to call herself a nurse?

    gentlegiver replied to Mrs. SnowStormRN's topic in Patient, Colleague Relations

    How many times do we have to say.... This is never ok, Do Not call yourself a Nurse until you pass the NCLEX! I have corrected CNAs in front of patients, family members and other staff, somehow it...

  6. What would the Easter bunny put in a nurses basket?

    gentlegiver replied to tokmom's topic in General Nursing

    A night where ALL my pts sleep peacefully! Just one night, thats all I'm asking for!! OH, Yes! Pens... lots of them with nice thick bases that never dry

  7. Patients refusing assessments

    gentlegiver replied to rkitty198's topic in General Nursing

    I agree with those who said to talk to her about why she is refusing all treatment. Speak to the Dr. about a psych consult. and Document the heck out of everything she says and does!! I had a...

  8. Please help i hate nursing so bad!!!

    gentlegiver replied to snickerdoodle17_1's topic in Nursing Career

    Snicker, I really am not sure what to say. If you are so dead set against Nursing why not look to see what other fields you can go into that your pre-req's will be accepted. Before I started...

  9. do you put patient teaching in a nurses note?

    gentlegiver replied to JM RN's topic in General Nursing

    It just makes sense to chart what you taught and how well the pt learnt the lesson, also if the pt is having difficulty in certian areas it's a good idea to have it written down so they can't come...

  10. time clock question

    gentlegiver replied to gummibear's topic in General Nursing

    I had this problem at the last place I worked. Nurses would punch out and stay 2 or 3 hours to complete paperwork. A few of us would tell these "offenders" that if they continued to do this it set a...

  11. Why are most nurses hoarders?

    gentlegiver replied to CapeCodMermaid's topic in LTC: Directors, Assistant

    I would replace the Vodka, you never know when a surveyor will ask for it!

  12. The Med Pass is Ruining My Job!

    gentlegiver replied to westieluv's topic in Geriatric, LTC

    In LTC, Med pass is 85% of your day. You are given 2 hours to pass meds for 25+ patients. meds are usually scheduled for 8AM so you have from 7AM until 9AM to get it done. But, from 7AM until 7:30 you...

  13. Nurse suicide follows infant tragedy

    gentlegiver replied to babyNP.'s topic in Nursing News

    When I read this thread, my first thought was how sad for the child,the Nurse, and both families. My second thought is that all Nurses are guilty until proven innocent. And sadly this is very true,...

  14. Pulse Ox Recommendation?

    gentlegiver replied to al586's topic in General Nursing

    I supply my own gear for working LTC. Saddly, the equipment supplied by the company is usually broken, in poor condition or missing. Filling out slips made for repairs doesn't work, and when I have to...

  15. Please help me, I'm in trouble.

    gentlegiver replied to ShellyRn1117's topic in General Nursing

    I would demand a written statement stating the "clerical error" in detail so it doesn't come back to bite you in the tush! Get out of there as fast as you

  16. The "hospital smell"

    gentlegiver replied to Traum-a-Rama's topic in General Nursing

    No the smell is more like a rabbit hutch, we raised rabbits when I was growing up and I will NEVER forget that

  17. ANNOYED! HELP!

    gentlegiver replied to Oklahoma101010rn's topic in General Nursing

    In LTC Nurses rarely run accross something they "haven't done before" or "don't know how to do". Straight Caths & orders around them are very straight forward, Pt not voiding, call to Dr. get...

  18. Scheduling...

    gentlegiver replied to winter_green's topic in General Nursing

    Guess I lucked out! We have a great scheduler, she listens to the staff and tries her best to give you the times you need. No, I wont tell you her name cause I don't want her to leave

  19. Are LPN's being phased out?

    gentlegiver replied to JSlovex2's topic in LPN, LVN Corner

    HMMM. Problems with LPNs??? There are very few things that an RN does that and LPn can't do. My BON says as an LPN I can't push IV meds, hang blood, insert a PICC line. I can do everything else. (A...

  20. A reson why nursing is a bad career choice...

    gentlegiver replied to KalipsoRed's topic in General Nursing

    I'm not sure if it's the hospitals eager to discharge quickly or the insurance comanies refusing to pay for more than the most minimal stay possible. Either way, I would have called the Dr, probably...

  21. Do you give meds without seeing the MDs order if he MAR has been checked?

    gentlegiver replied to canadianRNeducator's topic in Patient Medications

    We also have the 3rd Shift Nurse doing 24 hour chart checks, she is the one who looks at all new orders, compares them to the Dr's orders and checks that they are entered correctly onto the MAR....

  22. Nurses Enjoy LTC

    gentlegiver replied to Juwon's topic in Geriatric, LTC

    I love LTC! There is nothing like looking into the eyes of the elderly, they are sweet & love to laugh. These people were brought up to be hard working and honest. Granted you do on occasion get...

  23. What specific tasks do you do as a LPN in a nursing home?

    gentlegiver replied to studentnurse1989's topic in Geriatric, LTC

    There are many times in LTC that there is no RN in the house, so the LPN has to be able to do everything the RN would do (except push meds in IV - out of scope). but you all forgot; help feed, push...

  24. How about a reality show about Nurses....like "COPS"

    gentlegiver replied to MouseMichelle's topic in General Nursing

    The producers would have to get premission from the various facilities they would be filming. I could see my company now! The film crew will be in next month to film, MAJOR hiring spree happens,...

  25. Your Favorite one liner used with patients

    gentlegiver replied to scaredofshots's topic in Nursing Humor

    For those who ask if the water I give with thier meds is cold: "I chipped if off the glacier just for you!" For those who make faces when I give them thier meds: "They can put a man on the moon but...