evilolive

evilolive BSN, RN

Cardiac/Step-Down, MedSurg, LTC

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All Content by evilolive

  1. Using words like honey, sweety a no-no?

    My "sweet pea" statements are Massachusetts born and
  2. Using words like honey, sweety a no-no?

    I have been trying to break myself of this habit for a long time now. I work in LTC, and have never had complaints about my use of endearing terms, but I still attempt to use first names or their...
  3. I have a question for all nursing home nurses.

    For some of my CNAs I wish they would understand more where I am coming from in terms of delegating responsibilities to them. Most of my CNAs are very good at what they do, and I know of at least one...
  4. Med Errors: Share Your Stories

    I've made two errors that I can think of off the top of my head. First one was giving Metoprolol instead of Metoclopramide. I believe both meds looked similar. I don't know how I ended up finding my...
  5. Patient ID Bracelets in LTC?

    In the last month suddenly everyone has name bracelets. Many of them have removed the bracelets, but the bracelets are at least on their bed rails. We also keep Polaroids in the MAR for patient...
  6. We've had a woman in our facility who was in end-stage Alzheimer's and quickly declining over the past couple of weeks. She was refusing to even swallow, let puree food just fall out of her mouth,...
  7. when state comes to visit

    Thanks to the OP for starting this thread. I am in my first year at a LTC facility and could use some assistance. I work nights, so I don't think I should run into surveyors too often, but I have...
  8. Advice on difficult resident/vent - sorry for length!

    The last time he went out of the building, he went with his son for a "cancer appointment." I wasn't on that weekend, but what I heard was that he never came back from the appointment. He technically...
  9. Advice on difficult resident/vent - sorry for length!

    I'm not really sure where you're going with this post... Our current facility is technically locked, you need a code to get out. We have a history of wanderers and residents trying to elope. He has...
  10. Advice on difficult resident/vent - sorry for length!

    Last Santa Update: He was supposed to be transferred today to the same facility where his wife! He was beginning to refuse meds again.... I am just glad this headache will be over, and I hate to say...
  11. Longing to get out of LTC

    Has anyone else been burnt out by this specialty? I hate not being able to vent at work about this. My aides and other staff blab too much to even mention that I'm looking for other
  12. Considering HH nursing

    Hi everyone. I'm a 24 year old RN with approx. 1 year of LTC experience under my belt. I've seen a fair range of patients, from the little old ladies (do you call them LOLs? haha), to behavioral pts.,...
  13. Does staff use transfer belts?

    My ADON brought up two gait belts to the floor this morning and plopped them on the desk. She's trying to make sure all the "little things," so to say, are in place since we are in our window for...
  14. music in the nsg home

    Achot chavi, you just made me LOL, and I haven't had one of those in such a lonnng time!
  15. Longing to get out of LTC

    TheCommuter: You JUST got me thinking about that option, home health. Now, are you talking about home health, as in private nursing, or visiting nursing? I think VNA would be right up my alley (I...
  16. Maybe giving it all up

    I wish I had someone like CapeCodMermaid as well! It's tiring, getting the same spiel day after day, is the point I was trying to make. It's impossible to stop everyone from falling, or getting skin...
  17. For all you night owls

    My rundown of night shift, like many others: *Census sheet *Refrigerator temp *24 hour order checks *0000 med pass *Glucometer check *Treatments (my ADON wants me to look at every butt that has...
  18. Maybe giving it all up

    I think you being so concerned shows that you are indeed an excellent nurse, assessing you patients well and learning from your experience. I work nights in LTC and we don't have as many falls as we...
  19. Night Shift: What are your sleep patterns?

    Well, I don't know if I will be of much help, as I work 11-7 and not 7p-7a.... But, I did do 7a-7p clinicals for a few months... I would do 2 shifts a week, usually Sun/Mon. I would work, be...
  20. What we do

    I can't count the number of times I've tried talking about work with my parents, sister, roommate, and other friends. The only people who actually "get it" are you all on allnurses.com, my nursing...
  21. Giving Lantus insulin when patient is NPO

    I did as well, thank
  22. I always do, and I try to help as much as possible, but sometimes I feel like my aides think I get in their way (I work in LTC). I lost my workhorse CNA on 11-7, who recently went to weekends. I miss...
  23. Oooh I could strangle the MD and NP!

    Well there was talk of her going on hospice for 1-2 weeks and it never came to fruition. In the last two days she was declining rapidly. I just felt for
  24. Oooh I could strangle the MD and NP!

    This is a great idea and I will definitely be expressing this to my ADON on Wed. morning. I've felt so insensitive sometimes about asking crying family members what arrangements are in place for their...
  25. Advice on difficult resident/vent - sorry for length!

    And as a quick addendum, he is not in any chronic pain as far as I know. He wears a fentanyl patch 24/7 and has MS as needed. I frequently ask him if anything hurts and he denies it. It's also funny...