busy-bee

busy-bee

Long Term Facilitly

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All Content by busy-bee

  1. triple lumen feeding tubes

    Maybe I should know this..but I don't...and I can't find any literature on this. If a patient has a triple lumen feeding tube...first g-tube...second J tube...and I think third is BAL...Which site is...
  2. Scape Goat

    I have been requested by the facility I work at to write a statement that I verbally reported. When I verbally reported the situation, to my knowledge no action was taken. Several days later, after...
  3. Scape Goat

    They have yet to bring this up again with me. I think they understand that by bringing this up after I have told them I am uncomfortable with their request would not be in their best interest. The...
  4. Scape Goat

    This is a non union facilitly. I have done nothing wrong and I am not quiting my job just because they think they can force me into doing something I told them I do not wish to do. If I write what I...
  5. A Flutter with RVR

    Had an elderly pt with A flutter with RVR. History of two MI's, one a year ago or so. PT respiratory rate like that of cheyne stoking and rapid response called on him several times without change in...
  6. A Flutter with RVR

    No sure what the final outcome of the patient. The rapid response doctor did not write an order to send him to ICU, why I am really not sure. This was the second rapid response that was called on...
  7. My two least favorite words

    "I'll help" but the help never
  8. calling the doc

    I work night weekends on a med-surg unit. I have been there for about 7 months. When I first started, the LPN's prior to calling the doc, had to discuss the reason for wanting to call the doc to the...
  9. calling the doc

    Thanks for your replies, it is frustrating due to the the time that is wasted prior to getting permission to notify. They say you can't put what the doc actually says if he is rude for that is called...
  10. Med-Surg

    Thank you all...tonight I had a great night, I hope for many of
  11. Med-Surg

    I have been a nurse for seven years, all in LTC. I recently took a LPN position on a med surg unit. It is pretty overwhelming. The patients are fine, it's the computer I am having problems with....
  12. It is me or them!!! I can't stand it anymore!

    Write each and every occurence up. I know taking time to do this is aggrivating as all h*ll, but you need to do it. Just write it quick, simple, and to the point..hand it to the CNA and be done with...
  13. Nursing Home to Hospital

    I have just accepted employment at our local hospital. I have been a nurse for seven years all in which I have spent in nursing homes/rehabs. I am feeling a bit anxious and hoping I have made the...
  14. MRSA/Urine

    DX MRSA in urine...tx macrodantin....no cath placed....is this common? At all the other facilities I have worked, we always placed a cath. No a private room either, and both patients use the same...
  15. care plan

    Today my intent was to put altered nutritional status as the nursing diagnosis related to a patients low albumin level. Suggestion was to put...."low albumin" as the care plan since this was the...
  16. No D.o.n & No A.d.o.n.

    I went to an interview the other day at a LTC facility, everything sounding very well and I have been offered a LPN position. On a return call, I asked if there has been a big turn over at the...
  17. MDS Cordinator

    Does anyone know how to become a MDS Cordinator? And if someone has worked this field, do you enjoy the job,
  18. suctioning

    A patient sick for more than a week with pneumonia, took a terrible turn for the worst. We called in hospice and all. The last few days she was drowning in white thick mucus. Terrible thing to...
  19. Getting done

    I work in LTC Facility and have 29 residents. There is not one resident that I do not pass the bulk of the medication to. I work 6a to 2p, which I absolutely HATE. Anyhow..I can't get done. I get...
  20. So Who Runs Your Floor, You or the Aides?

    Just the other day, CNA told me "I am not getting ____ up!" I asked "Why not?" her response, "I said I am not getting her up, if you want her up, you get her up!" So I did, along with an CNA I...
  21. New Sick Leave Policy: Strange Or Not? Whaddya Think?

    In the facility I work at.....you must be off four days to begin you sick pay. If you are hospitalized then your sick pay may begin from the first missed day. I haven't heard of this either. Most...
  22. therapy

    I took an order off last week for a resident to receive PT to decrease left hip pain. I tried to call the therapist to ask...when did pain start, etc, resident has dementia? Unable to contact PT,...
  23. therapy

    That will get someones
  24. Stop Smoking

    I have been smoke free for 14 days....my husband as well. I took Chantix for 3 months and was able to get my cigs down to 8 to 10 per day. Once I ran out of Chantix, I hit the smokes again for...
  25. therapy

    The therapist wrote the order: PT to decrease left hi pain on 1/28/07. The xray order was written on 2-1-08 by the Dr. because the therapist stated the resident c/o left hip pain. The therapist...