michael79

michael79

LTC

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All Content by michael79

  1. Dementia specific Dining

    We have had great success with the use of sippy cups. Never thought of putting soup in them! Great idea! Thanks for all the great ideas! Keep them
  2. Co- worker troubles

    I am in an administrative nursing position at an assisted living. Recently, my boss fired a co-worker of mine because she was having documented performance issues. This co-worker has gone around...
  3. Co- worker troubles

    I don't believe I said not to post if I don't agree with you. I said your advice was HARSH. You can be supportive and still be considerate. 'Get over it' is inappropriate and honestly...just rude. But...
  4. Co- worker troubles

    don't you think that 'get over it' is a little harsh. i think most people come to allnurses to get support from their peers; not told to 'get over it'. if you can't be supportive in your reply, it...
  5. LPN acronym

    What acronyms have you heard for LPN? I have heard Lower Paid Nurse and Little Play Nurse. The first is true, not so much the second! Just curious what else you guys have
  6. Employee Incentives

    I am part of an employee satisfaction team and we are coming up with something monthly we can do to help let our employees know how appreciated they are. Some ideas we had were scratch off lotto...
  7. Is anyone here going through Culture Change in Assisted Living? If so can you tell me a little about where you are on your
  8. Wrong dose?

    The MD wrote for Tussionex 1 TBSP q12h prn cough. I questioned him and stated that I thought it was 1TSP q12h. He said...and I kid you not...'either or.' Uh...that's 3 times the dose buddy! It's...
  9. Refusing the On-Call doctor

    What happens in your ED if you have a patient that is going to be admitted to let's say the renal floor. The patient asks you who the on call renal doc is that is going to be admitting them.You tell...
  10. Refusing the On-Call doctor

    She didn't have one in mind, bu there are many nephrologists on staff. We just called one and explained the situation. He wasn't happy about it, but he did
  11. I work in an ALF on a dementia unit. We have a resident that has been extremely combative with staff and other residents. SHe has used a knife as a weapon against a caregiver, spits, hits, kicks,...
  12. Combative Resident and Sitter Issues

    Okay, so I have somewhat of an update! On Monday, our Executive Director went onto the memory care unit where this resident lives and caught the sitter red-handed watching tv instead of taking the...
  13. Combative Resident and Sitter Issues

    I will go down to her room and get the resident and take her to the activity and the sitter will let her stay for a few minutes and then take her back down. Unfortunately, I don't have all day to play...
  14. Policy on patient leaving AMA with IV in place

    In the ED this happens all the time. We call the phone number on the chart and, if they answer, tell them they have to come back and let us remove it and document that it was removed. If we can't get...
  15. Gatorade in the Elderly

    I work in an ALF and my administrator is constantly encouraging our med techs to give the residents gatorade instead of water. She says they will drink more fluid if it is flavored. I agree. I just...
  16. Gatorade in the Elderly

    I get that they need the fluids, but my question is: Is it a good idea to be giving someone who may or may not need it an electrolyte solution? I worked with an ER doc that thought it was the worst...
  17. ETOH Safety

    I don't understand why you can't have a safety sitter in the unit...its pretty common to have one....Has your NM explained her rationale on that
  18. Double Briefing

    I recently became the nurse manager of my unit. To get myself better acquainted with the staff and their daily routine I worked all 3 shifts the past 3 weeks. One thing I have noticed is that all 3...
  19. If you could have a different profession...

    I would love to be a landscape designer...I love to
  20. LPN Lactation Consultants

    Hi there! I was wondering if LPNs could become lactation consultants? I am very interested in this subject. Thanks,
  21. How do you treat N/V/D?

    Our Er docs vary on how to treat N/V/D after we have rehydrated and given antiemetics....OUr aftercare instructions vary from 'Eat what feels right' to 8 hours w/o liquids, 8 hours on clear liquids, 8...
  22. Health Unit Coordinator

    Health Unit Coordinator can mean a lot of things. What is your job
  23. I am having a tough time with an employee. Lately she has been giving me grief over the smallest things. She is on disablilty and is only able to work 60 hours a month. She doesn't want to work more...
  24. Travelling to Mobile, Alabama

    I LOVE Mobile. It is a beautiful city, lots to do, friendly people, 3 hours from NOLA! The hospitals are all wonderful! You must eat at the Little Bucket Shop cafe on Dauphin Street in downtown Mobile...
  25. Admissions Coordinator

    Can anyone tell me what an LPN admissions coordinator does at a LTC? I just applied for one , but am curious as to what they actually do?