I am new to home health after working in LTC.
My client has ALS, weighs ~200 lbs, no muscle control. They are transferred via hoyer lift from recliner chair to shower chair; after shower from...
MisMatch replied to MisMatch's topic in Home Health
The issue isn’t operating the lift. The challenge is getting the client safely in/ out of the sling 4 times during the HS routine without risking injury to myself. “Safe body mechanics” are...
MisMatch replied to MisMatch's topic in Home Health
Thank you all for your responses.
As the night shift nurse, I was only getting this client to bed once a week which was not often enough for me to become proficient. The solution was to tweak the...
I am an LPN who worked in LTC. I was terminated 01/20/2020, political/administrative games in an at-will employment state. I have been abiding by the "Stay At Home" orders but need to get back to...
Thank you for your imput. Yes, if I was exposed it would have been earlier this year. I have talked to several people who had the typical symptoms (cough, fever, SOB) of Covid-19 before it was...
I am ADHD and think you are likely experiencing new nurse struggles complicated by the challenges of ADD. I have found nursing to be a field that attracts a lot of people with ADHD/ADD so you are apt...
I have worked at a county run, 300+ bed LTC facility for over 5 years and do not recall any resident ever being "evicted". The facility has a locked dementia unit and a respiratory unit to...
MisMatch replied to venousr3tuRN's topic in Geriatric, LTC
Venting is good! I was in your shoes 4 years ago, wondering how I would ever develop proficiency in getting everything done each shift. It has been a long journey, taking 1 day at a time (sometimes...
MisMatch replied to PinkRocksLikeMe's topic in General Nursing
What type of abuse - elder, domestic, child? There are agencies that work specifically with each group, and they can all give you information for screening. I'm sure there's plenty of information on...
The best orientation I got at my facility (LTC) was by agency nurses. As a new nurse, the 2 mentors I looked up to most were both agency. Many of the regular staff seemed to like throwing the new...
:redpinkhe THANK YOU so much from another night shifter :redpinkhe I am a night shifter by choice and love the challenges of night shift. I wouldn't work as well with the politics, drama and...
I graduated at the age of 52; am now 55. My age did not hinder my ability to find employment. One of the biggest challenges comming into a new facility though was people expected me to be much more...
This is a timely topic for me. I have a drs appt in the AM for the same problem described here, sleep a lot, always tired, lethargic, no energy...and yes I work night shift, have since I started...
At the community college I attended, entry to clinicals is very competitive based on a point system, ie: GPA is worth 4 points; A&P classes A=4pts; B=3points; C=2 points. Total possible points is...
I attended a community college LPN program. There were prereqs and getting into clinicals was very competitive. Despite that, of 24 that started the year long (3 semester) clinical part only 9...
We have pictures in the MAR; most have their name and photo outside their door. Some pictures predate their admission, so it's not really a good idetifier. The pictures do sufice as an identifier,...
MisMatch replied to FreshNewNurse's topic in Geriatric, LTC
If we had that kind of staffing, we might actually be able to give adequate patient care! The floor I work on has 3 LPN's and 3-4 CNA's for 70+ patients! Of those 70+, 12+ are vents/trachs, 20+ are...
MisMatch replied to Guest03/15/15's topic in General Nursing
I went through nursing school and have worked at 2 facilities while taking Adderall. When I went for the physical/drug testing, I needed to show that I was prescribed it when being drug tested....
MisMatch replied to SneakySnake's topic in Geriatric, LTC
The LTC facility I work in has precautions for C-diff, MRSA & VRE. Gloves and gowns are stocked on the door of the room with that patient. Gloves and hand sanitizer are everywhere. Personally,...
How does your LTC facility deal with alert & oriented residents who are abusive to staff? I have been a nurse for 2 years now, and still struggle with this. I have no problem with the dementia...
Thank you all for your responses. This is a government run facility and has many residents that no one else will take. Yes, some of these residents have mental illnesses. They have medications but...
MisMatch replied to RNShenanigator's topic in Geriatric, LTC
Let me start by saying I don't like the way scheduling is done at all, especially since I work night shift, FT, five 8 hour shifts a week. We get every other weekend off, which is the only time we...
They recognize us by writing us up for any & every error we make. They reward us with a pay check every 2 weeks. They motivate us by reminding us how lucky we are to have a job. Twice a year, they...