evilolive

evilolive BSN, RN

Cardiac/Step-Down, MedSurg, LTC

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All Content by evilolive

  1. Blood glucose protocol in LTC facilities

    evilolive replied to rnto?'s topic in Geriatric, LTC

    Great discussion! The lowest BS I ever saw was 37... on a G-tube resident. I couldn't give him OJ because of his dysphagia, and we didn't have anything along the lines of glucose gel. Thankfully he...

  2. IV in LTC?

    evilolive replied to SueNYC's topic in Geriatric, LTC

    In my facility we do not place IVs. If for some reason we need a line placed, I've heard we have an IV team come and place it. Most of the time, if our residents have IVs, they're from when they've...

  3. Med Pass Timing in LTC

    evilolive replied to mariyahsmommy's topic in Geriatric, LTC

    I couldn't tell you why first shift isn't giving the insulins, believe me, it would save me a lot of time if I could solely do blood sugars at 6-6:30am for the day shift, and have them admin the...

  4. briefs or diapers

    evilolive replied to nrsman1's topic in General Nursing

    I say pad usually, to the ladies where I work, and brief to the men. I do flip flop, however

  5. Med Pass Timing in LTC

    evilolive replied to mariyahsmommy's topic in Geriatric, LTC

    The insulins are scheduled for either 6am or 6:30am. Most of them are sched. for 6:30am (about 1:15 before the announcement for breakfast). It's been this way for at least the year that I've worked...

  6. Med Pass Timing in LTC

    evilolive replied to mariyahsmommy's topic in Geriatric, LTC

    My accuchecks are scheduled for 6am. I usually find that if someone is bottoming out, I can catch them early (around 4:45-5am). My insulins always come last at the end of my med pass, between 6:15 and...

  7. Med Pass Timing in LTC

    evilolive replied to mariyahsmommy's topic in Geriatric, LTC

    On the topic of insulins and accuchecks, how long before or after the scheduled time do you do your accuchecks? Do you do your blood sugars way early? I figure I can catch a resident bottoming out...

  8. On the verge of quitting...

    evilolive posted a topic in Geriatric, LTC

    This morning truly (and unfortunately) made me realize how miserable I am becoming in my job. My ADON has been on my case about editing this entire week. There has been WAY too much going on during...

  9. Changeover

    evilolive replied to evilolive's topic in Geriatric, LTC

    Changeover was lovely, I also had a fall that

  10. Changeover

    evilolive posted a topic in Geriatric, LTC

    Anyone else glad changeover night is over with?

  11. Changeover

    evilolive replied to evilolive's topic in Geriatric, LTC

    I have to sign off on the new month's order/record sheets. Usually there are a ton of spelling errors, repeat orders, and even stuff that did not get carried over prior to the 3rd week of the month...

  12. On the verge of quitting...

    evilolive replied to evilolive's topic in Geriatric, LTC

    We got the message today that our license is on the line if ANOTHER nurse makes a med error and we don't make an effort to fix it. So now I have to go through the MAR for 32 people and make sure...

  13. Changeover

    evilolive replied to evilolive's topic in Geriatric, LTC

    I wish my medical records lady would be that proactive! What sucks the most is when someone comes back after a hospitalization and any old treatments that have been ongoing for months don't get...

  14. Changeover

    evilolive replied to evilolive's topic in Geriatric, LTC

    If you don't know what it is, you're lucky! I always hate when it's the end of the month... 11-7 gets to change over all the med/Tx/order sheets from one month to the next - then you get to attempt...

  15. Fax doc ONLY labs?

    evilolive replied to jschut's topic in Geriatric, LTC

    I fax the MD any non-partial lab reports that the 3-11 shift has not followed up on (we write on the original lab report if it's been faxed, then file it). We don't just fax labs though. If a resident...

  16. On the verge of quitting...

    evilolive replied to evilolive's topic in Geriatric, LTC

    Well, I didn't get chewed out today, but changeover took me ALL NIGHT to do. Plus on top of that, we had a fall at 1am. It was a time consuming night, and I really hate when my routine is thrown...

  17. Hours getting cut

    evilolive posted a topic in Geriatric, LTC

    My hours aren't getting cut on night shift, but it's so frustrating to see hours being cut for other staff nurses and CNAs in my facility. For the past week, the 3-11 med nurse hours have been cut...

  18. Hours getting cut

    evilolive replied to evilolive's topic in Geriatric, LTC

    Wow, you must have quite the residents if you only need two aides at night for 59 people! I take it either most of them are continent/ambulatory/not fall

  19. Thank God

    evilolive replied to queen47's topic in General Nursing

    Congrats!

  20. On the verge of quitting...

    evilolive replied to evilolive's topic in Geriatric, LTC

    And as an addendum, I actually did do a "time log" the other morning after work. I thought back through my night and wrote down everything I did. I might try to print that out and bring it with me to...

  21. On the verge of quitting...

    evilolive replied to evilolive's topic in Geriatric, LTC

    Thank you all very much for your support. I have been looking for a new job on and off for the past 3 months, and have put in applications but have not heard anything back. I don't know if my ADON is...

  22. Did you ever have such a bad day, that you regretted becoming a nurse?

    evilolive replied to linda2097's topic in General Nursing

    I regret taking the nursing home job that I have now. If I could have seen what the job would have been like a year from when I started, I would have never even applied. But no, in general I don't...

  23. Hours getting cut

    evilolive replied to evilolive's topic in Geriatric, LTC

    I agree it could be worse. I actually noticed last night that the med nurses and CNAs are not cut for the rest of the week. We got an admission the other night, and will be getting another today, from...

  24. Hours getting cut

    evilolive replied to evilolive's topic in Geriatric, LTC

    Bluegeegoo2: I totally agree with you about night shift getting dumped on! I work 4 nights a week, and I am responsible for a whole list of crap duties to do (aka glucometer checks, census sheets,...

  25. Advice on difficult resident/vent - sorry for length!

    evilolive posted a topic in Geriatric, LTC

    I need advice on a resident who is currently on my floor. I also need a 1-2 part vent about this resident! Bit of background, I work on a 32 bed unit, mostly LTC and some short-term rehab. We have...