longtermcarern

longtermcarern

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About longtermcarern

20+ years in nursing, mostly in long term care

Latest Activity

  1. Venting...Hosp pts coming from skilled nursing facilities

    in my 25 years in the ltc field, I have only seen a couple of patients like this. In this day and age, no one should ever get this bad. Being tube fed, they had the ability to give her the proper...
  2. Dilemma with Narcotic Med Count

    Our individual sheets have an area for date/time, number of pills dispensed, signature and remaining pills in packet. so I always do it this way: 3/5/5 1800 one (1) longtermcarern twentynine...
  3. Dilemma with Narcotic Med Count

    a couple years ago, I had the nurse who followed me change the numbers on the count sheet to reflect differently from what we counted together. When the DON called me I was able to remember exactly...
  4. What does your spouse do?

    my husband works as a roughneck... that is oilfield term for working the floor of a drilling well. For the price of gas and oil you would think he would make big bucks but he hasn't had a raise in 8...
  5. Tube feeders and the state inspectors

    follow the P&P for your facility exactly. in our facility, we flush between each med with 10cc, off for 1 hour before and after dilantin etc. every facility has their own policy and that is what...
  6. cheapest place to get a littman (other than ebay)?

    I paid $50 for my cardiologyII from a DR at our facility. The sales reps always give them to him and as he gets them he sells them to the
  7. Neurontin

    I have been using it myself for about 4 years now. 300mg tid for peripheral neuropathy. it worked good for 3 1/2 years, the last 6 months it takes up to 1 hour for the effect to start and only lasts...
  8. chickenpox and hep B

    The second shot can be given one or 2 months after the first. You get a better response if it is one month. The studies I did when I was infection control nurse stated the the series could also be...
  9. Sad story 480-pound woman dies after six years on couch

    As a child I grew up next door to a woman who stayed in bed all the time. She was a stepmother to my best friend and I often played over there. We each had a number assigned to us and she would ring...
  10. CHEMO: peripheral or portacath?

    I know just how you are feeling. I lost my 56 year old sister in Dec.97 and my 53 year old sister in Feb.98 from cancer that had mets to the liver. just 3 months apart. Keep focused on everything...
  11. Long term care nursing

    The pay around here is the same or more then the hospital. A typical day? No such thing!! For instance on Tuesday of this week I started work at 3pm, took report on 20 patients, 5 with scheduled HHN...
  12. NOC Patient bathing

    It should be what ever the pt normal home routine is. If this person was in the habit of getting up everyday at 4am and taking their shower then that is ok, but to bathe a person at night just for the...
  13. Lantus insulin use

    Lantus can be given anytime. But if blood sugar is not controlled on it, it is probably not right for that person. Myself for instance. I was taking 82 units of lantus every evening and one night my...
  14. What are some common concerns with geriatric patients?

    Have you looked at this site http://www.eldercare.com
  15. Therapy dogs....what do you think?

    We have therapy dogs come in to visit 1 or 2 times a month, our residents love and look foward to it. We have one lady with massive damage from cva that just comes to life with the biggest smile when...