witchypoo

back in the olden days (1980's). it was used much like saline is used today. it was used to cleanse and used as wet to dry treatments and to soak wounds like a foot bath or and hand bath or in one instance we used a sitzs bath for a sacral wound it was a mess but it did help.

PS if you want to work in a hospital you have to try more rural areas,of nys

Then either try working with an agency or try a assisted living or nursing homes, believe me I have trained more young nurses to move on to better things, and you can do as I did and get a New Jersey license and come here. I know we have many new grads here and I can tell you of a few open positions in our sister facility in Paramus if you are willing to travel

peaches does a nice job in uniforms for us full figured women.

I have been a LPN for almost 30 years and although the job market has been tight in the new york metro area because of some hospital closings i have always had at least part time employment. the LPN rumor of phasing out has been around since i attended school. We are the largest percentage of staffing in long term facilities and assisted living and in clinics and since you are in NYC. there are plenty of jobs available

My experience with Filipino nurses started some 30 years ago. They have always been smart, well educated, hardworking and just like most of the nurses I have worked with over the years some you get along with and others you don't it is strictly a personality thing. I have seen them exploited by some of the host employers, and found that helping them out of the company store revolving debt scheme our one employer had them under was far more fun for me and my co workers than for them. They were ashamed that we thought that they needed charity, till they came over to my apartment furnished in cast off 's and used stuff from friends and family. after our 3 to 11 shift we would side walk boutique, we would go out, In the morning we went to good will salvation army and other thrift stores to furnish their home, have curtain, and house hold good exchanges. My husband who i was dating at the time checked out car's before they bought them. and taught them to fix simple things on them. Our employer had been garnishing their wages to reimburse himself the cost of the motel they stayed in when they first came in. with loan shark interest rates, charged them for the used nursing home furniture as if it were new, he also paid them less. I was called to his office and asked why I did this,after all he could replace me with one of them tomorrow. and in my cockiest new york accent I told him because I was a grandchild of miner and I heard tales of company store but never thought i see one and since I was told it was wrong to exploit anyone I have to follow my grandmothers advice and help these girls, like her family had during the Molly McGuire days. We still laugh when we get together about going to dance clubs, trying to shove a chair in my pinto or the living room set from my sisters in the back of my husbands truck, rummaging through my grandmothers attic and finding those awful fiberglass curtains that nan recently sold on e bay can you believe it. or at Beth's wedding my husband and I were the tallest people there. How happy they were to see the Marco's regime fall. I do not know if i could leave my family and start over in another country, housed with complete strangers, working with complete strangers. I am grateful to know them and have has some of my best times in their company.:heartbeat

sweet heart you did not fail her. her children did her doctor did but you served her in dignity. And as much as it breaks your heart that we are not listening to her requests that are written down in a legal form, they can be overridden by a well meaning family member. It is unfortunate That this happens all the time. my mother has sat down with all 7 of us, the only dissident to her wishes is my one sister who believes that mom should be hooked up to everything, only my brother and I are listed as power of attorney, he lives with her and I am to advise him with my knowledge, this was agreed upon by everyone but my one sister who is angry because, we fail to see her religious views, about the sanctity of life. we told her if she dared to fight us on mom's wishes We'd make her life a living hell. Unfortunately I know first hand how hard it can be to rescind these orders once they are initiated. my oldest daughter had sids her monitor failed. I was in a hospital in another state trying to get the pregnancy I was carrying to term and she was with her dad and his mom. the baby was put on the respirator and other equipment, but was brain dead, and in organ failure, when we went to turn off the equipment the right to lifers came in with my mother in law to fight us. She stated We do not do this in our family. I reminded her both her son and i had thought about this and it was a extremely hard decision to come to but Holly would never come out of this. Holly died 4 days later while we fought in court. I thank God the local media chose to leave it a private matter and we were not made a public specitical. i think part of that was the fact i was 6 months pregnant and eclamptic. and the Judge told the right to life attorney. that his group was looking to save one child who would have no quality of life and kill another because of the undue stress they were putting already grieving parent through. our relationship with his mother never healed and was always very strained. I think I'm having dnr tattooed on my chest like one of my residents did so there is no question as to what he wants he wants no infighting from the ambulance crew about weather it is a state form or just a legal form.

Oh and ps my excessive over time is anywhere from 10 to 15 minutes it is on occasion an hour but usually includes verbal orders from doctor's who are passing through and gave them to you because They doesn't like the evening "girl" so you just write them up for me ok susie. or a fall or other emergency that does need 2 nurses to get the paperwork done to to get the pt out 911.

i found the fastest way to stop the Memo's is to act like they do not bother you. My Don asked me last week if i was sick of being constantly written up for my excessive over time, i answered not really, i have a foot of bath room wall open and i'm using them to wall paper it. it was a master charge moment it was priceless. Then she came up to me at 4:25 to have me research some missing paperwork for pneumovac inoculations that are missing from some patients, {i work in ltc} from 2005 and 2004, they are not in the computer{ funny they were on computer generated sheets in the charts if you looked}. i told her i would gladly do it, and i did i punched out at 5:15 when she called me on the ot i reminded her that i was looking up the missing inoculations and inputting them in the computer just like she asked me to do as she was leaving for the day. Now i work from 8am until 4;30 i have a handicapped son who i have to get to school and i was hired this way, on weekends i now have to come in at 7 am and leave at 330 i do not have a problem with this but when i did this earlier i was told not to because it was too hard for payroll.{schizophrenic moment} i often do not go for lunch because the lunch room is near the boiler room and smells like fuel oil and makes me ill it also has mold issues. and my asthma hates it so it's lunch in the car or on the benches outside in nice weather but you may end up sharing it with a dementia patient. so i sometimes stay on the unit to eat. or will read in my med room, it is my lunch, and some days there is no time to eat unless you catch food as you run from event to event When will management understand we are not gymnasts we can only bend so far and do so much at one time .

I hate to be a kill joy, but unless you change the times on the orders and mar, if you get caught giving the meds to suite your schedule you are risking your license, you have a window in which to give meds and if you combine them in those time perimeters, you will have no problems but if you are combining lets say 4pm meds and 9 pm for your convience, then you are endangering your license. if lets say sara old lady wants all her meds before she goes to bed at 8 pm then talk to dr kildare and have him change the times if possible, most of our 9 pm are sleepers or poopers and that is usually not a problem, but lets say it is coreg which is usaully 12 hr apart that should stay at that type of interval but if given at lets say at 8 a and 8 p will fit in to acceptable parimiters, only you can protect your license. look i'm not perfect, i am anal, and i have been a lpn since 1980, and in ltc and psych all of my career, no one gave me my license i earned it and so did you, i have 31 resident on 7-330, i dont have a ward clerk and right now have no unit manager, i do the pharmacy corrections, labs, drg's, medicare charting, the doctors all come on my shift, all the meds and treatments and have the don screaming at me over the overtime 8 to 12 hours a week, but it is my license i look out for and if i can save yours i will. and i have patients i have to go back to to give them their meds,because they won't take them because they are delusional and think you are poisoning them, and in 45 minutes they will thake them willingly. remember it is your license

I too have to agree with cape cod, they work but you have to watch the pressure points. if they are too low in the chair they cause a wind swept positioning of the legs not a good thing either.

I have been a nurse for 28 years and the mom of a handicapped children for 21 and 17, and have been the care taker of a retarded relative since we started school together in 1965 my aunt held him back so he would go to school with his 4 cousins to protect him. That being said let me play the devils advocate, we all become ****** when our child is hospitalized, factor in the fact he is a child in an adults body, his mother is a forever parent, I do not know the childs cognative fuctioning but i do know that pain is subjective and he may be a pleaser and will not express his need for pain meds. she also came from a less accepting time, she had to fight for his education, services and she has to contenplate her own death and his future and with the death of her spouse it is amplified. she is not a witch who hates her field she is a frightened parent who is her childs only advocate. and yes she was educated in a diffrent era of nursing, whe is in her 60's most likely, back then the focus would have been atc pain meds. her stats are probably on the money. instead of alienating her learn from her start a conversation with you are an excellent advocate for your son or i think you have done a wonderful job with your son. I can tell you first hand it sucks to be the parent of autistic, with another rare genetic disease called laurence moon bardet biedl syndrome and having walked a mile in the shoes i thank God for that generation because they did not sit back and except the glorified babysitting of early special education programs. Rain man is fun to watch but stinks to live with. and he is 17 I have to face becoming his permant guardian, fight to get him an education and services, and know that the average wait time for a group home is 9 years bit daunting isn't it

jayhawk i feel and understand your fustration, i'm building my own group home for my son outside of cooperstown new york, he is 17 he has laurence moon bardet biedle syndrome with autistic tendencies. If i learned nothing from my aunt's mistakes with my cousin it was to plan for the future of my handicapped child, I won't be here forever. she didn't and when she became ill he was place in a emergency facility over 200miles from his friends and family, he was abused and became violent, it took us months to get him home. I will not let this happen to my child or anyones elses. right now the area where i own my property doesn't have the greatest services, for socialization or many job placements outside of wall mart, but i have ridden my broom with distinction before and i am loud. i'll build jobs services if i have to, and cry to every church group and vfw so they'll lend us their hall for dances and workshops, i'll work on charities since i do not trust the availabilities of goverment funding, I am not rich but i have been working on my plans since joey was diagnosed in 93 in that time I have purchased the house and land, slowl renovating the house we were going to have wind turbines but the town made that impossible so that income dried up. we can always build a few more house and rent them out to baseball fans for income. I'm not afraid of working hard and will continue to do so, so my child had the best i can give him.

They may require a physical and may have a uti, but what happens when there is nothing other than dementia. I have a lovely little fresh lady {she is rude to the point of being humorous, the filter is gone and what ever she thinks comes out of her mouth}. who has a body alarm. She went out to a doctors appointment, with an escort and an ambulance driver, they left her in her room because that is where she wanted to go, actually she told them to her house . I was not at the desk to tell the escort to either put her in the dayroom or by the nurses station, which is what is care planned. she had been fall free for a year and a half. she got out of the chair alarm sounding and fell before the aid got there and i ran down the hall. Luckily no broken bones, or injuries. not even a bruise, just the mountain of paperwork. {maybe we should use that to cushion the falls} . when asked why she told me because she was not home. the sob's drove right past my house,{and knowing where her home had been and where she went they did drive right past it} If she was a child we would have the right to use a seat belt or other safety equiptment. lets face it many of the residents are mentally like children. this woman is pretty much like a 2 year old { like when your child told your MIL that you thought the gift she gave you for your birthday was the ulgyest thing you ever saw, aka no filter}. we make care plans and precautions but different factors sometimes intervene. the ambulance is now told to avoid the street she lived on. and they are instructed that she is to be left at the dayroom, where there is supervision.

I realize this is an older post, however the lewd behavior is to be documented and care planned. A " family meeting" with the resident, administration, nursing and social services and set up boundries. He is entitled to see what ever programs in his room he likes. We are entilted to work in a sexually harrassment free establishment. He is just as liabel as any one else, who harasses you. It doesn't change because he lives at the home. A resident in tlc as long as he is a&ox3. Just because he is a quad doesn't make it different. and this needs to be explained to him. He should only be cared for by male staff or female staff if he were gay or it was a female. they too can sexually harass. if it is only ladies on days and guys on evenings or nights his shower times are changed, if he ever acts out on his behavior. such as attacking a staff member that the police will be brought in. case in point when i first got out of school in 79 vcr did not exist, it was playboy magazines a young male resident who had uncontrollable myoclonic sezures, would look at his mag and masterbate, on the sun deck. I had to explain that although he had the right to look at his magazines, he could not masterbate in a public area. He would have to take it back to his room. If he failed to cooperate with this the pokice would have to step in because it was a public lewd act. He explained he like being in the sun and really had no privacy in his room because in drawing the curtains he blocked visual observation for his room mates since it was a 4 bedder the only privacy was the curtain. our solution was to move him to the end of the room by the window, if his curtain was drawn by him. an his cassett player on a certain tape. he was given his space. we had total compliance after that now i also worked on a unit where we had and old untreated std resident. he was part of a goverment experiment in the 30's had severe dementia and he was strong, he would grab any female member of staff. one girl he pulled into this bed. He hurt her back adn caused her to miscarry, she ended up having to have her spine fused. She went out permenent disability which was bad since she was only 20. we finally refused to work with him. he was moved to a va wing which was all male staffed. It was heavely documented. Now because the std effected his mind he could not be held liabel but the hospital ended up paying s small fortune for her surgery her pain and suffering and pain and suffering