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. If you are young and a female, it's very
  2. VivaLasViejas

    Cabbage Soup Diet!

    I can't believe this old chestnut is still suckering people in..........it's been around since the 1960s, an era which spawned a host of horribly unbalanced diets which endangered dieters' health and...
  3. VivaLasViejas

    how do you keep your sexy??

    That was SO not a problem for me and my dh. He sported tightie whities in our childbearing years, but all he had to do was unzip his jeans at the other end of the house and I was preggers. It's a...
  4. VivaLasViejas

    Your Recovery

    Through 17 years of sobriety, I've learned that total recovery from substance abuse is impossible, because it IS a disease. All we can do is stop it from progressing by staying clean/sober for the...
  5. VivaLasViejas

    What is this I hear about phasing out the ADNs?

    I think New York was planning to phase that requirement in over the next 10 years, but otherwise I've never heard of ADNs being on the endangered species list before. Personally, I'm not worried about...
  6. VivaLasViejas

    how do you keep your sexy??

    TMI..........
  7. My life song would have to be "(I Have Been) Blessed" by Martina McBride Work song: "She Works Hard for the Money" by Donna
  8. VivaLasViejas

    What's the craziest order you've ever seen?

    "One 40-oz. Hamm's PO Q 6 h PRN
  9. VivaLasViejas

    Tracking devices?

    The day management tries to put a tracking device on me is the day I hang up my stethoscope for good. 'Nuff
  10. VivaLasViejas

    Beer in the morning?

    Oh yeah........tolerance. The thing that makes us alkies believe we DON'T have a problem. At my worst point in the disease, I was able to drink 30 12-ounce beers in one evening...........and I was...
  11. VivaLasViejas

    Gastric Banding to treat Type II Diabetes

    My BMI is 56 and I have metabolic syndrome AND osteoarthritis, but my insurance lists bariatric surgery at the top of its Exclusions page..........how do you get past
  12. VivaLasViejas

    Beer in the morning?

    FWIW, I am an alcoholic, and I never drank in the mornings. Oh, on the rare occasions when I flew someplace, I'd have one Bloody Mary at the airport before boarding, but that was it. The OP's friend...
  13. VivaLasViejas

    CNA's passing meds in Long Term Care

    Are we talking about regular CNAs or CNA IIs, or specially trained CMAs who have taken and passed state exams to be able to pass meds? As a LTC charge nurse, I work with several CMAs who are every...
  14. VivaLasViejas

    Beer in the morning?

    Well, you know what they say: "The sun's over the yardarm somewhere"........ I say, drinking at 9 in the morning indicates an issue. But it's not your job to fix your friend; and frankly, I'm more...
  15. Her age and experience have nothing to do with it---you did the right thing in insisting on pulling this nurse, even after she had her little kitty-fit. I'd have done the very same thing. Besides, YOU...
  16. VivaLasViejas

    10 years or longer in nursing?

    high velocity intracranial lead therapy..........that is freaking hilarious!!!
  17. VivaLasViejas

    Pseudo nursing home: assisted living?

    The 'assessor' at my last facility was the SALES AND MARKETING DIRECTOR. Yes, a non-medical person was in charge of admissions. This girl would go and "evaluate" potential residents, then hand me...
  18. VivaLasViejas

    Gastric Banding to treat Type II Diabetes

    So how come health-insurance companies don't pay for it?? I'd have gotten it done YEARS ago if I'd had insurance benefits that are grounded in 21st-century medical science; as it is, I don't happen to...
  19. VivaLasViejas

    My poor resident

    Magic 4---it's the best stuff EVER! It's a topical cream made up of Ativan, Haldol, Phenergan, and I forget which pain medication.......you rub some on the inner part of the forearm, and it works...
  20. VivaLasViejas

    IV Push tips?

    Maintain steady pressure on the plunger as you push down, and do it S=L=O=W=L=Y. The last thing you want is for the patient to experience speed shock. Slow and steady wins the
  21. VivaLasViejas

    does working as a nurse count as exercise?

    That may be true..........but even some movement helps, especially if you're a former desk jockey and sofa spud like me. I've lost 20 pounds in the last few months without even trying, thanks to my...
  22. VivaLasViejas

    Would you put your initials on verbal orders?

    In a word: No. In two words: HELL NO!! There is no safe or legal way that you can sign for an order you didn't take. To do so would be the height of foolishness. I'm presuming you worked hard for your...
  23. The OP needs more help with this issue than any Internet message board can give. Thanks to everyone who responded; there is a lot of wisdom here. In sum, though, we cannot offer medical nor legal...
  24. VivaLasViejas

    RN taking prescription benzo's for sleep

    It IS possible not to be cross-addicted, although I imagine more people than not do have that problem. For example, my sister has an issue with narcotics, but can take or leave alcohol; she has the...
  25. How does your grandfather not qualify for a nursing home, I wonder? He may not be eligible for skilled services, but he certainly should be able to get an ICF (intermediate, or custodial care...