dcnballmom

dcnballmom ASN, RN

LTC

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All Content by dcnballmom

  1. electronic med passes

    My facility recently started on BCMA ( bar code medication administration) - and we are having lots of problems with it. Our system shows that there have already been over 100 med errors in 2 weeks...
  2. need a good idea for this patient

    I have a patient in my facility that is being tapered off psych meds. She has continual movements of pelvis, legs, etc. In addition to this, she was admitted to us with some pretty fragile skin on...
  3. need a good idea for this patient

    Thats a good idea but I am not sure it would work for her - I know that the sheepskin is pretty soft, but with her constant pelvic thrusts from meds (or coming off her meds) I think she might do...
  4. Guilt: Not being able to do it all!!!!!

    I was in long term care as a new LPN and lasted for 15 years before it was time to decide if it was gonna be me or them- alas they won, and I left for a new position where my nursing skills are sort...
  5. you didnt write too much at all - i know exactly how you feel
  6. I know your situation too well - I was in nursing home for 15 years before I had to make the decision that it was either them or me - We were bought out by a corporation that of course is more...
  7. Nurses that write their own orders

    well back to writing orders without physician approval - this week rumor has it that my nursing home ADMINSTRATOR did that very thing too for a wound specialist consult - and the physician was not...
  8. the meanie struck again

    the worst part of my job is having to deal with my PCC, who used to work my wing until she got an admin position - she is an LPN like me, just with a few extra letters after her name for QA - anyway,...
  9. Good Activity Staff

    in my LTC we are told there are too many activity people too - one director , 2 regular staff, and every so often someone from a different department shows up in activity too - this is my issue - - my...
  10. Nurses that write their own orders

    i am in long term care - i had my unit supervisor do the same thing - write order for a swallowing eval that the doctor had already said he didnt want - wrote the order, made a nursing note - then...
  11. i have read the overtime threads time and time again - and i thank those with all of their good input - but the question to me now is - anyone out there actually finish their 8 hours without overtime...
  12. thanks to everyone that posted here - i took the site info to work with me today, let a few more people there know what it is like - not just with us but with everyone - then i hear of another...
  13. OMG do they every - we now have a slip to fill out to say why we are late clocking out - i usually put on it CUZ I WAS DOING MY JOB - 50 patients to tend to, 25 labs, 15 fingersticks, not counting...
  14. is this legal?

    i was always taught that when you needed a physicians order for any type of treatment for a patient, you asked the physician first - before writing any type of order. in the facility where i work,...
  15. Is this understaffing (or is it me?)

    i just re- read your post - and i agree with you there - i know for a fact that my med error rate has at least doubled - (for little things, but my NM feels the need to write up everything ) and my...
  16. Is this understaffing (or is it me?)

    i work in LTC also - i am responsible for 40 patients on 2 long hallways -we have med techs that pass meds to all of these patients, but that is on 2 units, some days she is required to work also as a...
  17. Why Do Nurses Allow Understaffing?

    i agree - staffing has more to do with cash flow than patient care - my corporate offices have determined that for my facility - which is 2 stories and 4 wings - that there should only be 1 GNA on...
  18. my supervisor has issues with being wrong and then doing "paybacks" - sometimes very nasty ones - she constantly belittles everyone that works on the unit, and thinks that the only important thing in...
  19. is this legal?

    i believe that no one has actually considered turning this in because the facility that i work in - well it has that " termination at-will" clause in our contracts - myself included in that - - but...
  20. Any WV Nurses That Use This Site?

    nice to know that a few of us WV nurses are out there - lets go WVU - and Herd - not sure what Sheppard's team is called
  21. is this legal?

    NM knows - we have this fall protocol that tells us to write orders for prevention methods even before the doctor gets back to us about the patients incident - NM even asks us to write orders - this...
  22. My DON makes me feel like I am worthless

    i can sympathize with you on your concerns - my LTC employes medication aides, which entails med passes and non invasive procedures, however they also do more that is not within their legal boundaries...
  23. LPN/LVN Additional Certifications

    thanks for all the links for certifications - i am happy being an LPN, and would probably not be able to afford college at this time to become an RN - but those certs sure would look good on my...
  24. Can we feed the Family?

    I work in LTC - and have a resident whose wife comes in right after breakfast and stays with her husband until after supper. She wanted to keep him at home but was not able to do his occasional...
  25. Can we feed the Family?

    well this kind hearted lady today didnt have a lunch - and didnt make a qualm about it except to say " i am sorry i got you all in trouble" - and she still stayed with her husband all day and treated...