agnewRN

agnewRN

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About agnewRN

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  1. LPN assessment in LTC

    In my practice. LPNs can "gather data" which includes completing admission paperwork, assessments. An RN must cosign the admission assesssment then.
  2. DNR status

    I can understand how you may think this, but think of what this poor resident has gone through in the past by going in and out of the hospital. Has it really improved her quality of life? Has she returned to her previous health status or better? Pro...
  3. Treatment nurse VS no treatment nurse

    Hi, good subject for a paper. I've worked in facilities that have done both. I think having a treatment nurse fulltime following the wounds definently helped in the coordination of the care of these pts. I have some nurses that really had a knack for...
  4. Wanderguards & Pacemakers

    There is a wanderguard device that I worked with when we first got it put in. I was reading the Manufacturer information about it and had a sample policy to use- it specifically said the device should be worn on the ankle and not the wrist. It didn't...
  5. Should I leave nursing??

    Hang in there. I think any job is overwhelmiing when you first start out. There is always soo much to remember and follow up on. Someone gave me good advice when I was in similiar situation - It takes at least a year at a job to really get to know ...
  6. Getting Dumped on

    I think this is seen in all areas of nursing. It's a shame and then nurses wonder why they're always short. Maybe if we treated our coworkers better they'd stick around. I tend to agree- complaining about it to your supervisor may cause more tension ...
  7. Great Nursing homes to work in?

    I prefer to say I'm trying to find the facility with the "right fit". I know what my expectations are and try and find a job that meets them. There are no perfect NHs. Problems are in all of them just to varying degrees. I left a longtime employer l...
  8. ID Question

    In the Nursing facility I worked as designated IC nurse- MRSA in sputum meant droplet precautions and PPE included mask. If Pt cane out of room ( which was limited) they had to wear a mask. If it's MRSA in the wound and it's contained with a dressing...
  9. Widow's tattoo states dying wish

    I also cared for a middle age gentleman with terminal cancer that had a tattoo on his chest DNR. I didn't believe it at first when I read the admit assessment but he gladly showed it and had all his "legal documents " in place to support it. He said ...
  10. BPH and Catheters

    Our doctors have evaluated some residents with recurrent UTI and put them on Ascorbic acid to help acidify urine . As much as I hate to see it, some residents are on prohylactic antibiotics to prevent recurrent infections.( I also have done infection...
  11. Crash Carts

    Be careful not to label it a "crash cart"- it's really an Emergency supply cart. I worked somewhere where nurses had put together something similiar except we also had IV supplies in it ( there was always an RN available. You called 911 and tried to ...
  12. the sacred med pass

    I've worked in LTC for 10 + years first as STNA then as RN. I look back now and wonder how I did what I did as charge nurse with 25+ residents and actually visiting and talking with families and residents. I use to feel like part of the "family". I l...
  13. What keeps you at your job???

    Left a job 6 mos ago due to difficulty dealing with management styles of a new DON. She didn't like mine, I didn't like hers. Unfortunately I still miss my coworkers. There was alot of comraderie and teamwork. I would've stayed had it not been for t...
  14. Better staffing ratios would be top for me. The fact that you are literally handling pts lives and things can easily take a turn for the worse if you are rushing around. Think of all the mishaps that could be prevented if you only had more time with ...