I am doing a speech on making the most of a visit to a doctor. I want to emphasize the importance of knowing the proper name for diagnoses. I need some help coming up with unusual, weird, cultural, or...
I was a dietary aide when I was in high school...way back in the late 80s. The facility I worked at had a lot of issues with various departments not getting along. The administrator had a...
flashpoint replied to flashpoint's topic in Geriatric, LTC
I think there is a big difference in a resident referring to us as the "girls" and a coworker asking the charge nurse if I can have a "girl" take Mildred to the bathroom. I don't call them the...
I initially posted this in LTC: Directors/Assistants...not paying attention like I should have been! I think I will get better response here. I was a dietary aide when I was in high school...way back...
I have worked in several facilities and there is almost always a battle between housekeeping and nursing. I am always a little shocked when a housekeeper starts barking at me about which pain...
flashpoint replied to CapeCodMermaid's topic in Geriatric, LTC
We don't use because they are apparently too confusing. We specifically write "Hold for systolic blood pressure less than 100". It is a pain and takes up an incredible amount of space, but it is...
flashpoint replied to blondy2061h's topic in General Nursing
Just because something has already been discussed doesn't mean that there is nothing new to say or nothing new to add to the discussion. I can see the point about the PVT, but a lot of other topics...
We had a survey team in our facility yesterday. They were there on a complaint that was unfounded (yay!). One of the people on the survey team looked awful. She admitted that she was not feeling well...
flashpoint replied to CapeCodMermaid's topic in Geriatric, LTC
It really isn't a picnic for me either. When I was hired, I was told it would be temporary...only a few weeks. The few weeks turned in to more than eight months, but I did it because I had the least...
flashpoint replied to CapeCodMermaid's topic in Geriatric, LTC
I am always a bit confused when anyone went through a nursing program and seems to think they won't end up working weekends and holidays. Really? Do they think the residents are only there Monday...
Currently, my facility has one page for each bubble pack. When we give a narcotic, we sign our name, date, time, the current number of tablets (patches, vials, etc.), the number we are taking, and the...
flashpoint replied to flashpoint's topic in Geriatric, LTC
We do the Date Time # on hand # removed-route # left on hand Signature thing every time a med is removed. That isn't what I am talking about. Our consultant wants us to do Date Time # left on hand...
I am my facility's infection control and prevention nurse. During our recent corporate survey, we got nailed for poor compliance with hand washing and use of gloves. My DON and administrator want me...
We don't get gifts, but they do a lunch. Instead of gifts, they give us a bonus at the end of the year. I had been there for two months when the bonuses were given last year and it was over $100....
flashpoint replied to flashpoint's topic in Geriatric, LTC
We don't have a paper MAR, just a paper narcotic sign-out and count book. The last place I worked had us sign each page at the end of the shift. We were supposed to do it with the oncoming nurse and...
flashpoint replied to flashpoint's topic in Geriatric, LTC
It is a nurse consultant. Our pharmacy consultant says that our current policy is fine. I am pretty big on asking to see the regulation when there is a change in policy that causes more work. The DON...
I work at a small LTC. We have exactly enough staff to get the job done...when we are short staffed, things can get pretty stressful. Last night one of the CNAs on duty got a phone call saying her...
I am on call for disasters. However, short staffing is not a disaster. They ended up with three CNAs showing up at 0400. I am a bit speechless at the charge nurse's tactics to ensure staffing. I feel...
flashpoint replied to DierkyBrewster's topic in Geriatric, LTC
LOL...I was once written up for buttering a patient's toast wrong. I didn't spread the butter clear to the edge of the bread. She felt that I was "juvenilizing" by leaving a dry edge. She cried that I...
flashpoint replied to Pat_Pat RN's topic in Geriatric, LTC
We color code our cards according to which med pass we are giving them. We use one card per drug no matter how many times it is given during the day. We pull ours our completely. our drawers are so...
flashpoint replied to BuckyBadgerRN's topic in General Nursing
The things the OP listed make sense. They are not allergies, but might be reasons patients don't want to take the drug. I am not allergic to Cipro. But, Cipro causes severe abdominal pain. I throw up...
We had a resident who seemed as nice as anyone could be. She was patient and kind. She would try to help other residents by pushing their wheelchairs, getting them coffee, and other things like that....
flashpoint replied to Adele_Michal7's topic in Geriatric, LTC
I work with a CNA that thinks everyone should make the same wage, have the same size home, wear the same clothing, eat the same food, etc. She read Agenda 21 by Glenn Beck and thinks it is a good...
flashpoint replied to Jacqueline.Damm's topic in General Nursing
Things like television, Internet, and food are important. If I am already stressed, television or Facebook might be a good distraction. But, we need to find a way for nursing staff not to take a hit...
I survived Statistics only because I took it online. Our instructor encouraged us to "use technology" to pass the class. I built an Excel program to solve the problems. All I had to do was plug the...