Anne36

Anne36 LPN

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All Content by Anne36

  1. Dangerous and Demented: What Usually Happens?

    Anne36 replied to Ruby Vee's topic in Geriatric, LTC

    I wish violent/agitated behaviors were as easy to solve as being diagnosed with a UTI. Sorry, I get tired of hearing that one, especially when these people are already diagnosed with psych disorders...

  2. Geri-Psych: Does it exist? (asked the naive new nurse)

    Anne36 replied to ElizaW's topic in Psychiatric

    Ive been working in LTC for the last 6 months. The longer I am here the more I feel that I am just working in a psych ward. It seems like 80% of our new admits since I have been working here are...

  3. One month on the job and still not getting it.

    Anne36 replied to sunmaidliz's topic in Geriatric, LTC

    I have been told that it takes most new grads at least 6 months before they start to feel comfortable. Ive been working for about 6 months now and still have tons of questions and not always certain...

  4. Tell the CNA to clock out and go home

    Anne36 replied to Blackcat99's topic in Geriatric, LTC

    Hey, this just happened to me a couple of weeks ago! I had an amazingly insubordinate CNA , and by 2 am I knew I was writing her up, by 6 am I found her sleeping on the job and that was it. I told her...

  5. Isn't it best for the RN's to take care of the "medically unstable patients"?

    Anne36 replied to Blackcat99's topic in Geriatric, LTC

    I was asking myself the same question a couple of months ago when I noticed the same thing where I work. I cant understand what they are thinking. There is usually only one RN in the building and when...

  6. Looking for support re: first full code

    Anne36 posted a topic in General Nursing

    I need some support, should probably have started my own thread. I had my first full Code last night. Im very upset about it. I had seen my resident within the one hour before this occured and had not...

  7. Does your LTC get mad when you send patients do the ER?

    Anne36 replied to Blackcat99's topic in Geriatric, LTC

    Yeah, pretty much. We have to call at the very least and get approval and I have had what you described, a very unstable patient who had family staying the entire time and I was called frequently into...

  8. Bill would require nurse-to-patient ratios in Michigan hospitals

    Anne36 replied to herring_RN's topic in Collective Bargaining, Union

    Wow, what about Long Term Care? Guess where all those patients with Picc lines and IV antibiotics are being discharged to? Figures there would be nothing in the bill about LTC. I'lll have 40 residents...

  9. Mass exodus of staff

    Anne36 replied to beeker's topic in Patient, Colleague Relations

    Im not in hospital but sometimes I feel like I work in one. Our facility has been taking on more acute residents lately , IV antibiotics, post- operative patients, isolation patients, extreme...

  10. VENT!!!

    Anne36 replied to WldChrry's topic in Geriatric, LTC

    Wow, is that Nurse still employed at your facility? I cant imagine walking out because of an assignment. I feel for you, the last few days have been Hell where I work as well. Each shift has been...

  11. Replaced by Certified Medication Aide!

    Anne36 replied to ladyjanelpn's topic in LPN, LVN Corner

    Med pass is a major part of my job as an LPN in extended care. Working short a Nurse is not even an unusual occurance, it just results in 2 Nurses splitting up the work of what is supposed to belong...

  12. Embarrassing? (Ladies opinion)

    Anne36 replied to msnursecp's topic in General Students

    I can relate to that. If I were you, I would bring an extra change of scrub pants and underthings during that time. Ive leaked through my scrubs , but luckily they were a dark

  13. I Just Lost My First LPN Job

    Anne36 replied to mejajo08's topic in LPN, LVN Corner

    I understand that type of situation, it does not mean that LTC is not for you. You are a new Grad and combined with not knowing your residents its no wonder that it took you so long to pass meds. Dont...

  14. Medication & treatments on midnight shift

    Anne36 replied to Micki72's topic in Geriatric, LTC

    CapeCod, what does your midnight shift consist of, outside of medications and treatments? I keep asking myself when do these residents get to sleep? LTC is every bit as bad as a hospital. Lights on...

  15. I received a "write up" warning at my LTC

    Anne36 replied to Blackcat99's topic in Geriatric, LTC

    I had to work over for the last 2 shifts I worked. The reason is that very near to end of my shift, right before I give report an incident occurs, such as a skin tear or resident behavior. What am I...

  16. Bleach and C diff

    Anne36 replied to sauconyrunner's topic in Infectious Disease

    I have noticed that there always seems to be a room that is used for C-Diff patients. Is a 9/1 part bleach solution adequate for cleaning because I think that is what they are using. Ive been noticing...

  17. Medication & treatments on midnight shift

    Anne36 replied to Micki72's topic in Geriatric, LTC

    I have one hall that I never get to all the treatments, there just is not enough time. If you get a routine down it should help. If you are able to know who gets midnights meds without having to flag...

  18. How much training did you get?

    Anne36 replied to sue1000's topic in Geriatric, LTC

    I had about 5 weeks of orientation as a new Grad. I still have lots of questions and dont feel totally confident yet. Ive been on my own for about 3 months part

  19. Typical Med Schedule for one of my patients

    Anne36 replied to mindlor's topic in Patient Medications

    I wish someone would stop the insanity. I have had exactly one resident that has a particular and oddly unreasonable schedule similar to the one you listed with meds given all night long and she is...

  20. reporting a med error

    Anne36 replied to wiley6coyote's topic in Patient Medications

    I have seen med-errors handled in a few different ways. Either an incident report, calling the Doctor to get approval for a one time order to "correct" the med error, Nurses circleing doses as not...

  21. Medication Error

    Anne36 replied to BSNRNINRI's topic in Patient Medications

    Ive been in similar situations and almost did the same thing. I hate that there is not a fail proof way of identifying the residents. (no id bands here either). Imagine being on a hall with over 30...

  22. How do you get everything done on time??

    Anne36 replied to LaceyRN12's topic in First Year After Licensure

    Sometimes I dont get everything done. I had one night last week when I didnt even touch either of my treatment books for the first time, it was also a night when I had to send someone out to the...

  23. OK Managment you win. Nurses are leaving on time now.

    Anne36 replied to Blackcat99's topic in Geriatric, LTC

    Clocking out on time is also an issue where I work. We are not supposed to have overtime, but we are not allowed to clock off the chart either. In my 8 hour shift I cant chart on everyone if something...

  24. New nurses in LTC

    Anne36 replied to Sweeti738's topic in Geriatric, LTC

    I have to agree with LTCangel. Ive been on my own for about 6 weeks and still have a lot to learn. I have residents with wound care, foleys, peg tubes, IV antibiotics, etc. Im still trying to make...

  25. How to write a good nurses note?

    Anne36 replied to Elaine Mickens's topic in Geriatric, LTC

    I'm still working on my charting, its not that great yet. One thing I notice with the medicare charting is that they ask for things that I may not witness because they are ADL's or acceptance of Food,...