michael79

michael79

LTC

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All Content by michael79

  1. Range insulin dosage versus sliding scale

    michael79 replied to michael79's topic in General Nursing

    Wow! That is complex! The orders were something like For BS: 200-250: Give 2 units Novalog 250-300: Give 3 units NOvalog 300-350: Give 4 units Novalog 350-400: Give 5 units Novalog For BS > 400:...

  2. Range insulin dosage versus sliding scale

    michael79 replied to michael79's topic in General Nursing

    I'm asking for an example so that I can show it to someone at our corporate office. I know that it is different for

  3. LPN nurse manager in LTC

    michael79 replied to RubyRN,CHPN's topic in LTC: Directors, Assistant

    No one is saying that an LPN does or does not work UNDER the supervision or direction of an RN. BUT we DO NOT work under their license. We have our own. A mistake an LPN makes could not and would not...

  4. Anti-psychotics and geriatrics

    michael79 replied to michael79's topic in Geriatric, LTC

    This is exactly what is happening on my unit. I feel intense pressure from corporate to reduce the number of psychotropics as well as our DUR to below the national average. These are also non medical...

  5. Who to blame- MD or ER nurse??

    michael79 replied to freedom22's topic in General Nursing

    what is

  6. Supply, Demand, and Use of Licensed Practical Nurses

    michael79 replied to NRSKarenRN's topic in Activism, Healthcare

    Very interesting! I know a concern I have had recently is that (in my state) they crank out about 20 LPNs a semester from several schools and I don't see the jobs to match these LPNs. They just aren't...

  7. Golden Living Centers

    michael79 replied to CapeCodMermaid's topic in LTC: Directors, Assistant

    We have 2 Golden Livings both about a mile apart from one another. One is fab! Execellent care, the patients are clean and seem happy, the staff seems adequate. The other...we call it Golden Urine. It...

  8. Exercise Induced Cardiomyopathy

    michael79 posted a topic in Cardiac

    Settle a debate a co-worker and I are having: A young, healthy person can get cardiomyopathy from exercising while suffering from a viral illness such as the common cold. True or

  9. hobbies to keep dementia pts happy?

    michael79 replied to makes needs known's topic in Geriatric, LTC

    Can you PM me the link? I googled what you said and couldn't find anything

  10. CNAs and the dining room in ALF

    michael79 replied to michael79's topic in Geriatric, LTC

    Quick clarification, are you saying dietary is wrong or I am? Not sure what you

  11. hobbies to keep dementia pts happy?

    michael79 replied to makes needs known's topic in Geriatric, LTC

    ACtually, crayons and coloring has been proven to decrease agitation in seniors with dementia. We ask the residents to 'get a picture started' for a preschool group that comes in so the children know...

  12. hobbies to keep dementia pts happy?

    michael79 replied to makes needs known's topic in Geriatric, LTC

    I am a memory care coordinator for a dementia unit and I deal with this all day! Purpose is the biggest thing! I made several activity kits that can be done with one or 2 residents. I put them in...

  13. Just Changed Jobs because...

    michael79 replied to Vacationtime247's topic in General Nursing

    Whoa!!! What did the state have to say about all those missing narcs? That is scary!!! You were right to

  14. The PT said WHAT????

    michael79 posted a topic in Geriatric, LTC

    I had a resident admitted to the hospital for pneumonia and a UTI. She is recovering from a stroke about 6 weeks ago and making great progress with HH PT. Her family called me yesterday and said the...

  15. Descrimination: A full hot meal or soup and a sandwich

    michael79 replied to Truth66's topic in General Nursing

    One more thing....the ALF I work for provides us with free meals AFTER all the residents have eaten. We can REQUEST certain things, but it is not guaranteed. If they run out of food, we get a...

  16. Descrimination: A full hot meal or soup and a sandwich

    michael79 replied to Truth66's topic in General Nursing

    I agree with the above poster...sounds like you guys are just trying to find something to whine about. Sometimes management decisions are made that don't seem to make sense to those they affect. I am...

  17. Insurance woes

    michael79 posted a topic in General Nursing

    Our company HR rep told us a few weeks ago that the company is thinking of switching to a new insurance plan. She gave us a summary of benefits, but no prices for the plans because they were still...

  18. The PT said WHAT????

    michael79 replied to michael79's topic in Geriatric, LTC

    The PT did mention her Medicare days were running out....so that means she isn't going to progress??? SInce when is there a correlation between Medicare and ability to improve? The whole system...

  19. The PT said WHAT????

    michael79 replied to michael79's topic in Geriatric, LTC

    I went out and assessed this lady yesterday. She was weak, but who wouldn't be if you were confined to a bed for 6 days. They aren't even letting her get up! I asked for a gait belt to transfer her to...

  20. Pumping breast milk at work

    michael79 replied to firstyearstudent's topic in General Nursing

    what does ds and dd mean? Sorry, not familiar with all the

  21. Dementia Patient Frequent Faller

    michael79 posted a topic in Geriatric, LTC

    I have a resident that is falling every time I turn around. He has a very mild amount of dementia, but is otherwise very sharp. HE JUST WON"T LISTEN!!!! We have asked him not to use his walker unless...

  22. Help I'm being kicked out of nursing school!

    michael79 replied to miwachiru123's topic in General Nursing

    What is the facility protocol for wasting a PCA? Most instructors are not allowed to do

  23. Help!!

    michael79 replied to miwachiru123's topic in General Nursing

    My thoughts are with you! Let us know how you are doing and how things go with school. Rough

  24. What things do your family members do that drive the nurse in you nuts?

    michael79 replied to blondy2061h's topic in General Nursing

    A friend that c/o migraines CONSTANTLY and pops Imitrex like it's candy DAILY. After an long night of drinking she woke up with 'the worst migraine ever'! Suprised that the Imitrex didn't help. IT'S A...

  25. Dementia Patient Frequent Faller

    michael79 replied to michael79's topic in Geriatric, LTC

    We can't have restraints in ALF...thanks though! Any other