busy-bee

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 used for the feeding. I have always been told th...

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 a series of events...they terminate this person. ...

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 person they terminated was terminated unfairly when...

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 know, the heads will roll and they should know th...

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 condition. Blood pressure bottoming out, desatin...

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 him within 12 hours so one would of thought the plan...

"I'll help" but the help never comes

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 RN/PCC or the Supervisor and they would decide if...

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 negative charting. I would never call unless it ...

Thank you all...tonight I had a great night, I hope for many of these.

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. It just takes me so dang long.......all the other n...

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 it. No long discussions, or going over what is w...

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 correct decision. I feel I am a good nurse, but my s...

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 toilet?

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 problem. Low albumin is not an approved nursing diag...

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 facility (during the interview I picked up that it might...

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

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 watch and to listen to. She really looked so uncomfor...

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 the floor work done, pass meds, tx, etc. But I ca...

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 pulled from a different unit. I wrote her up....she ...

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 places...if you call off ill then you make take a si...

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, but needed to still notify family to let them know o...

That will get someones attention.

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 about two weeks. Then again took Chantix, for one mon...

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 told me she doesn't need to talk with the nurses.......