evilolive

evilolive BSN, RN

Cardiac/Step-Down, MedSurg, LTC

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All Content by evilolive

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

    I agree, I think many people are fed up with him and might respond in non-productive ways. For a little while I thought I had a breakthrough with him on Wed. night - we talked for a half hour, he was...
  2. New Grad Salary @ Anna Jaques??

    No, I am not a new grad, but I still feel like one sometimes! I have worked in LTC for 10 months since getting my RN
  3. My poor resident

    I have a resident in my nursing home who is 102 years old. She has been through the ringer the past year that I've been working here, but she has always pulled through (example: two falls in one day)....
  4. New Grad Salary @ Anna Jaques??

    I'm trying to get into Med Surg there now. I need to get out of my current facility, and AJH is right down the street. I'm praying and crossing my fingers I get this
  5. My poor resident

    As an fyi to everyone who wished both my resident and me peace, she passed away early Sunday morning. Unfortunately I wasn't working, and didn't find out until last night. She and Henry are together...
  6. Advice on difficult resident/vent - sorry for length!

    Santa update #2: The last I heard, Santa was on a 2 week "trial period" where if his behaviors continue, and he keeps refusing medication and treatment, that he will mostl likely be sent to another...
  7. Longing to get out of LTC

    I think a lot of my stress is coming from my ADON right now. We do not currently have a DON at our facility, and she's taking a lot on, and has a more seasoned RN doing some admin work. Things that...
  8. Beer in the morning?

    Not usually. A 6 pack usually will last me 2-3
  9. Beer in the morning?

    Oh boy, I would love one. I can't drink Coke on nights (makes my mouth feel thick) but mmmm that would be good
  10. Longing to get out of LTC

    I've only worked in LTC for about 10 months, it was my first job after unsuccessfully trying to find new grad openings last spring. I am so over the "motivation by intimidation" tactics my ADON uses....
  11. Beer in the morning?

    I'm not an alcoholic but I'm an 11-7'er and I've been known to enjoy the occasional 6 pack in a morning once in awhile. When I have days off, I definitely like to relax and have a beer. It's not often...
  12. Hi guys, I'm a fairly new RN-BSN living and working on the Northshore in a Nursing home. Since graduation I have found that there are not many MedSurg positions listed in my area. Or for these, the...
  13. My poor resident

    Thank you. She did get the okay for a hospice consult, and I believe it was Hospice's recommendation to schedule the Roxanol around the clock, ativan, and implement Levsin for secretions. These are...
  14. My poor resident

    Well, another night, another worked up lady. She has scheduled roxanol now, which still didn't seem to touch her. They upped the dose to 3mg SL. They also ordered 0.5 of ativan prn, which didn't help...
  15. please i need your prayers

    You're in my thoughts... was so glad to see the positive updates... can only hope to hear more
  16. My poor resident

    I actually thought about liquid ativan while I was (unsuccessfully) trying to sleep today. I remembered that another resident had it in the past, and thought it might be easier for one of my other...
  17. My poor resident

    She has no family locally as far as I know. I found out last week her HCP is all the way in Arizona (and we're in Massachusetts). I also wonder if the roxanol is making her even more confused than...
  18. My poor resident

    To answer Whispera, every time I get close enough to drop in the roxanol she begins so scream, shake her head and flail her arms and try to grab the dropper. I don't know if she realizes it's pain...
  19. My poor resident

    Thank you very much for listening, Jolie and nurse hobbit. The alternative route method could possibly work. She did have a Fentanyl patch Rx, but it did not seem to provide much relief. The rectal...
  20. Advice on difficult resident/vent - sorry for length!

    Santa Claus update: Santa Claus continues to refuse medications (ref. Seroquel at 0600 for me, and many other doses). Santa has made disturbing statements to my noc CNAs, saying "I sliced my brother's...
  21. ratio

    Days: 2 nurses, usually LPNs, and 3-4 CNAs Evenings: 1 nurse 3-11, 1 nurse 4-8pm med pass, 2-3 CNAs Nights: 1 nurse, 2 CNAs This is for 32 residents, who are more and more skilled as the time passes....
  22. Any advice for a New nurse starting in LTC??

    "When in doubt, ship them out" indeed! I don't have this happen fairly often, but you should ask about the paperwork involved (for me, a pg. 1 and 2 for the ambulance/ER, copy med sheets/Tx sheets,...
  23. FLUID PASS

    I would say it's fairly reasonable if the resident is incontinent, needs changes, has meds on night shift, or goes to bed late/wakes up early. Try offering fluids when they are awake. I would not go...
  24. Need some extra money

    If it's non-nursing related, and not in your facility then I say go for it! If you need money, you need it!
  25. Sexual Misconduct at work

    I am an RN supervisor on night shift. I recently had a situation where one of my male CNAs spanked a female CNA in front of me. I immediately called my ADON for advice, seeing as I have not had to...