pmw2007

I can not PM. But I will take that source from you if you don't mind.

How did you ever overcome the black balling? I am going through a similar situation and I can not find work anywhere. As soon as my employment is verified, I never hear from anyone again. I can only imagine what is being said about me, but what ever it is, it certainly has ruined any chances I have to a successful nursing career.

Hello All, I am not sure if this is the right forum to post this, but... When a patient has respiratory distress, how long before a patient will turn blue? Can't a person go bad really fast? We had a patient go bad really quick It was almost like one moment the patient was fine, next the patient was in distress. Thanks for all input

thank you

I have been working LTC/ subacute for about 6 months now and I am confused about some of the standards. I assumed in order to straight cath a patient, one would need an order from the doctor each and everytime. Or it would be documented it would be ok to do it. But, some of the nurses say: oh that doctor wouldn't care. and another question, is changing a nasal cannula to a non-rebreather considered a nursing judgement? What exactly is a nurse allowed to do to help a patient before a physician is notified? I work 11-7 and I find many of my problems arise before I get there. Thanks for any input or guidance. :redbeathe

thank you!

Thank you all for the input. I work in a re-hab facility and I work 11-7. When I smelled this odor, I started to access the patient more thouroughly by lifting covers etc... the patient's husband was not present, but I guess she said something to him. And when she went out to doctors f/u the husband said something to the doctor and the doctor called our administrator. My DON called me and I have to go in and tell my side of the story. I continued to care for this patient for several more nights and she never once said anything to me that she was upset. I had no idea. I am about to throw in the towel at this place.

Hello everyone: If you have a patient with an offensive odor, how do you handle it? I had a patient that had a bad odor eminating from her, so I proceeded to investigate to find the source of the odor. Well, I guess her husband complained and I find myself having to justify/explain my actions. I agree I need to learn to be more tactful, but I was just making sure the patient did not have a physiologic issue occuring. like infection. I would like some input from anyone else that has run across this situation before. Thank you so much:(:uhoh21:

hello, I work nights in a LTC facility and sometimes I am at a loss as to what to chart. Most times I do not see the patients ambulating, or participating in their ADLs. They are sleeping. I also would like to be able to find a reference guide on rules &/or regulations of nursing requirements for nursing homes/ skilled nursing facilities. I have been nursing in LTC about 6 months, and I find it very confusing with all the requirements. I would like to have a better understanding of the requirements. I guess I need some background material on nursing , in nursing homes. Someone told me that the people in admissions actually get paid / admissions. Is this true? Thank you for any guidance.

I thank everyone of you for your suggestions and support. They are all great suggestions, and I will use them. It is already getting better there where I work and I think I have "turned the corner" so to speak. I feel as if I have transitioned from "I am not so sure this is the place for me" to "I am confident this is the place for me." I have developed a great rapport with my DON and unit managers. I found I can be candid and honest with them and they will help me to succeed at this job. It is truly a great feeling when you feel management is on your side. So thank you all for your help, it is greatly appreciated and useful. I wish each and everyone of you a safe and happy new year.

first off, I have worked on my own for 2 shifts now at LTC. I seem to spending all my time passing meds. We have a 5 pm and a 9pm. med pass and I need to pass on about 20 people. I need to figure out how to be more effecient. any suggestions. Oh and I have heard comments like: I should not be passing meds the whole time. thanks

How do you continue to get job opportunities with prior firings? I am having a hard time explaining mine- they won't even let me in the door. I am real close to throwing in the towel with my nursing. Any advice will be appreciated.

what's a coude?

I did not know I was slamming doors and I would never slam a door on purpose! I did not think I was doing as badly as I was informed I was doing. One of the complaints was that I kept slamming doors- I said slamming doors? I did not slam doors- and the HR person said: that is not going to cut it obviously you were- A little later I said the only time we shut doors was night before last- we had a fire drill- I honestly do not think I was doing as badly as they say. They allowed me to pass meds, do assessments- I do not understand- We were being inspected at the time by the big guys- so I know everyone was stressed out. But that is a great idea- I am going to review my night there. I think alot of my problem is confidence and having a hard time at a new place. I should have stayed at my other job - isn't that awful- allowing personel defects to dictate my life- I can not believe that I am scared like I am. Thank you-

I could use some input, advice, opinion or thoughts on the matter-- it appears I have made a mistake with a career change- My nursing skills have been called into question. This is very traumatic for me and I have never been through a situation like this before. Any thoughts? OK- I graduated in 2004- so I roughly have 3 years experience which should be enough- I worked in a surgical stepdown unit- and I liked it- I decided I wanted to work Oncology- to learn it- So I applied for a position and I was starting in it. I was orienting- 4th day with patients- I could not start an IV or draw another persons blood and I was slamming doors- Anyway HR suspended me for a night and we met the next day with the manager and she was concerned about a number of things- -- my body language around the patients- I do not act very self confident and the patients can tell- I am upseting the patients- and they questioned how I ever nursed prior to this. So the big guy from HR is calling me today to give me their decision- - I feel like they think I have broken the law- I don't know what is going on and I am scared- Does this she more light on it?