longtermcarern

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 nutrition she needs to help maintain her skin integrit...

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 (29) Our pills come in a packet of 30 so if I give on...

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 how many pills were left in a particular residents p...

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 years and he only makes 4$ an hour more then when h...

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 the surveyors are looking for.

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 nurses.

My son was a cna here in Michigan but decided to move to Chicago to be a flight attendant. While working for the airlines, he let his cna expire. Now he would like to get back into nursing and is having a problem finding a cna class in the chicago ar...

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 about 4 hours. I think I need an increase in the do...

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 completed over an 18 month period. If you have a tite...

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 the bell however many times depending on which one ...

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 positive, I think it can be the most powerful medicine...

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 treatments, 6 diabetics with scans and insulins, 1 ...

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 convenience of staff it is never ok, even if they...

Be sure to read the fine print on packages. We are a latex free facility but every now and then it sneaks in disguised as something so different you would never think it contained latex. our latest was versalon nonadhesive telfa pads, in the fine pri...

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 dementia crept in and 20 minutes after I injected, ...

Have you looked at this site http://www.eldercare.com ?

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 they visit.

I will get most of these same symptoms at times and it is most definitely related to my diabetes. I will always check blood sugar when I feel different and have found when I am having these kind of symptoms that my blood sugar is very high usually 35...

Where I was previously employed, there was 2 nurses hired at the same time. One of each gender. They got to talking one day and she found out that despite her experience, he was hired in at about 4.00 an hour more. He was so upset about the inequalit...

I took the INH for just over 4 months and then developed an allergic reaction to it. Broke out it hives all over every morning 1/2 hour after taking it and they would go away only 1 to 2 hours before the next dose was due. After 3 miserable weeks the...

are you working anywhere right now? do you plan on working while finishing your adn program? if not, what will the lpn do for you? if you are working and the lpn would make a wage difference, then by all means try to do it. I tested for my lpn before...

Tweety in the LTC setting most Doctors don't want to hear from you (at least in my area). Yesterday I called the doctor because my Patient had a blood sugar of 464 and only had an order to cover with 4units if over 200. I was told please don't call m...

straight time if you don't work it, triple time if you do work it.

Seen something tonight I have never seen before in over 20 years of nursing my co-worker said her new lady had something growing on her buttock and wanted my opinion as to what it was. when I went to help her with the assessment, found a 3 inch grow...

I think it is more of a type A vs type B personality thing. I have seen both male and female staff play the part eat our young syndrome and I have seen both male and female staff that just go with the flow and stay calm and collected thru it all.