VivaLasViejas ASN, RN

LTC, assisted living, med-surg, psych

Once a nurse, always a nurse!

Long Term Care Columnist / Guide

All Content by VivaLasViejas

  1. VivaLasViejas

    RNs can a CNA save an RN's hide?

    A good CNA is worth their weight in gold. They are the ones closest to the patient and they can spot things and report them to us so we can take action. I don’t know what I’d have done without my...
  2. Somehow, I'm not surprised. He won't wear a mask and he holds huge rallies, some of them in enclosed areas, where everyone is in close contact and most don't wear masks either. Still, I don't wish ill...
  3. VivaLasViejas

    What Do You Miss About Nursing?

    There are a few things I miss, like using my IV skills to get a line in a “hard stick” or an IVDU. I also enjoyed most of my assisted living residents and solving problems. But I do not miss the...
  4. VivaLasViejas

    Driving 1.5 hrs (one way) to work. Good idea?

    I did a 45-minute commute, five days a week, for three years. I didn’t mind it too much, I used the morning time for prayer and listening to music, and the trip home to decompress and reflect on my...
  5. VivaLasViejas

    Went to inactive license

    I kept my license active for several years after I left nursing, even though I knew I was done and would never work as a nurse again. Eventually I had none of the required CEs or practice hours for...
  6. VivaLasViejas

    Is it wrong to stay in med-surg?

    I was a med/surg nurse for several years and became a CMSRN. I didn't know I was going to have a breakdown six months later which necessitated my departure from acute care. But I'm still proud that I...
  7. VivaLasViejas

    Night shift medications

    Sleep meds, of course. Pain medications at HS and during the night. And antipsychotics...lots of antipsychotics.
  8. VivaLasViejas

    What do nurse managers delegate to RN and UAP?

    Unlicensed Assistive
  9. VivaLasViejas

    need nightshift sleep/health tips

    A couple of things that helped me, in addition to my blackout curtains, fan, sleep mask and a comfortable bed, were baths and blankets. I'd run a tubful of warm, soothing water and soak for about 20...
  10. VivaLasViejas

    Can I realistically become a Nurse with my disability?

    Famous last words...get yourself all the way through nursing school, pay for all those classes, lab fees, student fees and so on, and then have the Board of Nursing tell you that they're putting you...
  11. VivaLasViejas

    Now I know what a Incontinence pad feels like LOL

    I used to have periods when I went through a super-plus tampon, a thick pad, AND a Depends within half an hour sometimes. They were so heavy that I once bled for three weeks and became so anemic that...
  12. VivaLasViejas

    Mental health nursing and cover letter

    You definitely don't want to disclose your own diagnosis to a potential employer, not even in psychiatry. Hiring managers who work in a mental health environment may not have the slightest...
  13. VivaLasViejas

    HOW DO I GET OUT OF MED SURG??

    I was a Med/Surg float nurse who got to cross-train for CCU and postpartum/couplet care. Being versatile made me a better nurse, and I actually came to prefer working those departments over my own. I...
  14. I had only one write-up in my entire career, but it was a doozy. I was working at an assisted living facility that had a male resident who was always pestering the ladies for sex. He was harmless...
  15. VivaLasViejas

    Thunderstorm Asthma Spikes ED Visits

    Well, I'll be darned. I had a severe asthma attack the night of my son's high school graduation, and there had been a fierce thunderstorm earlier in the day. I didn't go to the ER because I had a...
  16. VivaLasViejas

    Why are so many nurses against unions?

    Nailed it.
  17. VivaLasViejas

    What are they teaching?

    I don’t think ANY of us could have been prepared for what nursing is really like. As one of my instructors told me 25 years ago, “there’s school, there are tests, and then there’s real...
  18. VivaLasViejas

    Influenza and COVID-19: The Twindemic

    I get one every year. The last time I had the flu was in 1992 and the pneumonia and bronchitis that it spawned hung on, literally, for months. Spent the whole Winter and Spring bouncing in and out of...
  19. This. ^^ I’m getting older too and I have told my kids that if I become ill or demented, to just let me wander off into the woods and allow nature to take its course. I’ve worked in ALFs and LTC...
  20. VivaLasViejas

    Trump tweet 7/30/20 --Delay the Election

    We've had all vote-by-mail here in Oregon for some 20 years, and if there's been any major fraud committed I'm sure we'd have heard about it. This is a straw-man argument and it just doesn't
  21. VivaLasViejas

    Depression. Despair. Suicide.

    Another excellent resource for people who are thinking about suicide, or just want to talk to someone, is the Crisis Text Line. They have trained volunteer crisis counselors who can be reached by...
  22. VivaLasViejas

    What did you do with your old nursing school textbooks?

    I still have mine from the way-back days (1995-97). They are currently living in my storage unit. Another few years and they should be worth something as antiques.
  23. VivaLasViejas

    RN's required to be sitters???

    When I was a hospital CNA I usually drew the sitting jobs. This was on night shift 7P-7A. I didn’t mind for the most part; I had one patient who was on a psych hold for attempted suicide, and we...
  24. VivaLasViejas

    I'm thinking about going back on meds....

    Ditto. Do think about seeing a mental healthcare professional, even if what you're experiencing is "normal" considering the circumstances we find ourselves in these days. There's a reason you were on...