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

    Words you never dreamed you would say as a nurse...

    I kind of lost it with a resident just the other night. She's a sundowner anyway, the sort who's perfectly reasonably during the day and street-rat crazy in the evening, but after she screamed...
  2. Now THAT'S icky. Although I've gotta tell one on my dh: when our kids were babies, he'd check their diapers by sticking a finger down the back. Naturally, he came up with poo as often as...
  3. At my facility, we have one lady who "fingerpaints" every chance she gets. She is a former RN who would no doubt be ashamed and revolted at her behavior if she still had her wits about her, but a...
  4. VivaLasViejas

    Shaved Mons - Phenomenon

    Even though my oldest daughter, age 27, is a fan of shaving (found that out when she was giving birth to my first grandchild:imbar), I still don't understand why anyone would do that to herself. I had...
  5. VivaLasViejas

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

    After dealing with a "Hovercraft" family recently whose loved one was in our Hospice room---supposedly on a five-day respite---I've come up with a new one: "Why on earth would you waste good money to...
  6. VivaLasViejas

    My first colonoscopy

    Now that is HILARIOUS!!!:rotfl::rotfl::rotfl: I just can't wait NOT to do
  7. VivaLasViejas

    Depressed about my job-long

    Hi birdietiel!! Welcome to LTC, the toughest job you'll ever love:heartbeat I feel your pain, sister, believe me I do. I've worked every nursing job in LTC, from student nursing assistant all the way...
  8. VivaLasViejas

    You Know You Really Have To Pee When......

    I can SO relate!! Ever since I first learned to insert catheters, I've had this psychological quirk that forces me to pee BEFORE I put a cath in another person. Even if I don't have to 'go' at a given...
  9. When I worked Med/Surg, I absolutely hated getting a direct admit from the clinic. Most of the time they didn't even bring a complete set of admission orders, let alone an IV, a Foley, an NG or any of...
  10. VivaLasViejas

    Mandatory Vaccination

    I'm pretty militant about flu vaccine for healthcare workers, and in the past have STRONGLY encouraged/cajoled/begged/pleaded/bribed/guilted my staff into getting them for the sake of our...
  11. VivaLasViejas

    Enjoyable Depression

    What Miranda describes here is dysthymia, or what a layman would call a low-grade depression. Unlike an acute depressive episode, it's possible to function relatively normally with this kind; the best...
  12. VivaLasViejas

    Something to brighten your day

    Thank you! And the same to you as
  13. My son just took his CNA boards yesterday, and we should know for sure by Tuesday or Wednesday if he passed. I'm pretty certain he did, because the rater told him he did well even though she really...
  14. VivaLasViejas

    You Know You Really Have To Pee When......

    You realize that you actually ENVY the patient in whom you're inserting a
  15. VivaLasViejas

    When Is It Ok to Cry?

    There is a big difference between showing some honest emotion and being a basket case. It sounds to me like you already know this down deep, and would probably make an excellent hospice nurse. I've...
  16. VivaLasViejas

    Discouraged, frustrated... tired of switching JOBS!

    I've moved around a lot too in my 12+ years of nursing. My longest-lived job was 2 1/2 years; my shortest, a mere three months. (I only left the 2 1/2 year job because of stupid upper-management...
  17. VivaLasViejas

    I start my new job tomorrow!

    You'll do fine, Sue. There will be nights when it doesn't seem worth the struggle, but doggone it, LTC residents have a way of brightening things up just when you think you can't stand another...
  18. VivaLasViejas

    Ten Things A Nurse Doesn't Want to Hear

    Not that I myself am either one, of course.......just that it's possible for a nurse to be both smart and
  19. VivaLasViejas

    Ten Things A Nurse Doesn't Want to Hear

    I know, some people can't believe that one can be attractive AND smart! What a
  20. VivaLasViejas

    Evening shift??

    That's I roll too..........I love having the time in the mornings and early afternoons to do errands, play on the computer, work on my book etc., so I go to bed shortly after I get home from work....
  21. VivaLasViejas

    MDS Duties

    I don't believe I ever spent more than an hour coding an initial MDS, even for Medicare. If your nurses' documentation and the ADL sheets are done right, inputting all the information doesn't take...
  22. VivaLasViejas

    Ten Things A Nurse Doesn't Want to Hear

    Oh, I HATE that! Makes me want to turn around and go home........especially when they add "Run while you still
  23. VivaLasViejas

    Ten Things A Nurse Doesn't Want to Hear

    Oh, yeah......... Although I don't stress NEARLY as much as I did when I was in
  24. VivaLasViejas

    Ten Things A Nurse Doesn't Want to Hear

    Well, there's one way to stop that complaint..........wear
  25. VivaLasViejas

    Can another nurse chart on behalf of you?

    Generally, no. Instead, you'll need to make a late entry in the chart, which by the time you get back from vacation, will likely be somewhere deep in the bowels of the medical records department. You...