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

    No Microchip In This Needle

    “This is called a B-52. Try it, you’ll like
  2. VivaLasViejas

    Foley placement in COPD exacerbation pt

    I used to have to change a Foley every month in this superobese, 550-lb. lady who also was on supplemental oxygen. She couldn’t handle lying flat at all and panicked when she felt she couldn’t...
  3. VivaLasViejas

    RN in PMHNP with hx of Bipolar 1 Disorder

    You’re doing all the right things. Your self-care routine is nothing short of amazing! I wish I were that disciplined; maybe I wouldn’t need quite so much medication (but I think I’d still be on...
  4. VivaLasViejas

    RN in PMHNP with hx of Bipolar 1 Disorder

    I think a lot depends on where you’re practicing and how you present. I’m assuming by the fact that you’re an RN in a PMHNP program that you’ve been successful as a nurse; it seems that your...
  5. VivaLasViejas

    Patient Terms of Endearment

    I tried very hard to avoid using cutesy names with my elderly patients. I don’t like it when some youngster who’s half my age calls me “honey” or “dear”; why would I assume someone twice...
  6. VivaLasViejas

    allnurses bleed

    I’ve been here for over 18 years and I still visit almost every day, if not multiple times a day. I was a moderator for six years and have been a Guide for 10. I’ve gotten to meet several of my AN...
  7. VivaLasViejas

    Haunting An Old Haunt

    About six months after my job at an assisted living facility ended badly, I had a wildly successful interview at a State office for a surveyor position. I was feeling very confident, plus I looked...
  8. VivaLasViejas

    Nurse Personality

    One of the most helpful things I did when I was nursing was invest quality time in the “difficult” patient at the very beginning of the shift. I’d ask them what their pain level was, what they...
  9. VivaLasViejas

    Repeat After Me... What's the problem here? | Case Study

    But what’s the temp
  10. VivaLasViejas

    Best practice for comforting embarassed patient?

    I remember being incontinent once after I had my first C-section. I was young, and I was SO embarrassed! Of course I apologized profusely to the nurse and aide who were cleaning me up and changing my...
  11. I am, have been, and will remain a Republican. However, I held my nose and voted for Biden in November because Donald Trump does not represent me or my way of thinking. He’s not a conservative,...
  12. VivaLasViejas

    How Long Do You Expect To Be a Nurse?

    I retired at age 55 due to health issues. I was sick AND burned out, but I kept my license active for several years “just in case” something came along that I could handle. I never wanted to be...
  13. VivaLasViejas

    Posting Styles

    I tend to use the ellipsis too
  14. VivaLasViejas

    Clinicals at hospital you also work at?

    My nursing school didn’t allow students to do their clinicals at the same hospital where they worked. I think they may have thought students might be tempted to go beyond their CNA scope of practice...
  15. I could never have survived working nights without huge amounts of coffee. I used to drink a full pot all by myself throughout the shift. And I drank it strong and black (I still do)—none of that...
  16. VivaLasViejas

    Twitter bans Trump permanently!

    The thing is, when Trump was on Twitter we always knew what he was up to. Now that he and his sockpuppets have been banned, he can fume and plot and plan and God only knows what’s going on in that...
  17. VivaLasViejas

    Happy New Year! What's Your New Year Resolution?

    I don’t make resolutions. I’ve disappointed myself too many times because they never last beyond the initial phase of enthusiasm, which only sets me up for failure. So I just reflect on the past...
  18. VivaLasViejas

    Happy New Year to allnurses!

    I stopped making resolutions about the same time I hit 50, which admittedly was quite some time ago. I mean, how many times can you resolve to lose that same 100 pounds or take that basket-weaving...
  19. Well said. You nailed it.
  20. VivaLasViejas

    COVID Vaccine as a marketing tool.

    Wow. That’s unreal. What a way to attract residents to a nursing home! The management must be falling all over themselves congratulating each other for coming up with such a novel “perk”.
  21. VivaLasViejas

    Find Your Place in the COVID Vaccine Line

    I'm surprised at how far down the food chain I am, being over 60 and having most of the risk factors for COVID. I'm behind something like 300,350 in my state, and 26,500 in my county alone. They're...
  22. VivaLasViejas

    Merry Christmas from allnurses

    I've been with allnurses for a generation now (18 years) and I'm happy to say that you all are family to me. Some of you I've known for a long time and maintain relationships on other social media....
  23. VivaLasViejas

    Should I Quit or Give up? Glucometer Failure ?

    This.
  24. Even though we don’t get snow more than once or twice during an average Winter, I would keep a change of clothes, a couple days’ worth of meds, a blanket and snack foods in the car just in case I...
  25. VivaLasViejas

    Winner!!

    That’s awesome! Congratulations and Merry Christmas