blue280

blue280

geriatrics

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All Content by blue280

  1. I want out!

    blue280 posted a topic in Nurse Management

    I am the manager of a Memory Care facility. I think I am burnt out. I have been on call 24/7 for the past 3 years. I have to cover night shifts if someone call off and its getting to the point that...

  2. Manager catch phrases

    blue280 replied to Emergent's topic in General Nursing

    Wow, that's a new one that I haven't heard yet. Breaking down silos is big by me. Also the superlatives make me sick. Everyone is doing an AWESOME

  3. alzheimers res w/ combative behaviors

    blue280 replied to allezelenfer's topic in Geriatric, LTC

    We have that problem by us also. Its ok to chart the residents actions as long as you chart what interventions that you put in place to try to reduce the behavior. If there are no interventions...

  4. do you work 8's or 12's in you LTC, and do the managers work 8's?

    blue280 replied to 4treasures's topic in Geriatric, LTC

    I agree, when I signed on to my management job, it was explainedthat I would be salaried. I carry a pager 24/7 and many times work weekends. Granted, I love what I do but the responsibility can be...

  5. What's It All About, ALFie?--Help and Support for Assisted Living Nurses

    blue280 replied to VivaLasViejas's topic in Geriatric, LTC

    Hi Lexibear99, I find my residents LOVE to reminisce! Talk about anything from the past. Having babies and talks of weddings are popular. We have an activity dept that does alot with our residents....

  6. How many residents do you pass meds too in Assisted Living?

    blue280 replied to Little Panda RN's topic in Geriatric, LTC

    Hi, I am a nurse manager in a CBRF and we have approx 120 residents. during the week each nurse has about 30-35 residents to pass meds to but on the weekend they are responsible for around 60-70 BUT...

  7. aricept/namenda: cold turkey or taper off?

    blue280 posted a topic in Patient Medications

    Hi, asking the question to find out in your facilties, when a resident is on aricept and/or namenda and it is no longer giving the resident any benefit, do you taper the resident off or just quit cold...

  8. Getting Burnt Out

    blue280 replied to noc4senuf's topic in LTC: Directors, Assistant

    Congrats on sticking it out! I work in an ALF and I basically do the same thing, I never ask my staff to do anything I myself won't do. I have a wonderful boss and he is very supportive of the...

  9. What's It All About, ALFie?--Help and Support for Assisted Living Nurses

    blue280 replied to VivaLasViejas's topic in Geriatric, LTC

    Hi everyone! HAve not been onsite for quite a while but thats because I took a job as a clinical health services coordinator in a ALF!!! As you know, it can be very busy in these types of positions...

  10. Help! Silver Nitrate stain from cauterization!

    blue280 replied to kellyo's topic in General Nursing

    I used to work in a chemical factory and would get siver nitrate stains on my fingers and hands frequently. They usually wore off in a few

  11. are you burnt out too?

    blue280 replied to godivalady's topic in General Nursing

    Gosh, I feel bad. It's only taken me 5 years. My last 1.5 has been in hospice and it real just sucked the life out of me. Will take a job now with less pt care to see if that

  12. Acute Rhabdomyolysis?

    blue280 replied to adidas99's topic in General Nursing

    Good timing on this thread! I had a pt yesterday with compartment syndrome of both calves. She was in the unit for a week, dx with rhabdo, 3bouts of dialysis. Labs are looking much better now. Big...

  13. Unhappy coworkers

    blue280 replied to gladtobeOB's topic in General Nursing

    Is this strange! Just today I fanally told a co-worker that while I understand the stredd on the unit, whining and complaining about it just makes me feel worse. I told her from now on, if I can fix...

  14. Do you have to attend "rounds'?

    blue280 replied to blue280's topic in General Nursing

    Today my homework from rounds was to find out from the MD why he did not order a psych consult on a ETOH withdrawal pt. MD was firm in his belief that the pt did not need a psych consult. My manager...

  15. Do you have to attend "rounds'?

    blue280 posted a topic in General Nursing

    In my hospital, we have OFT's (I'm not sure what that stands for) that RN's need to attend daily. The nurse manager, CNS, social worker, utilization review, PT/OT and dietary usually attends and...

  16. irrigating chest tubes

    blue280 replied to Lysa's topic in Medical-Surgical

    Just sat on a commitee at work cuz they want us to start this. None of us are comfortable but interventional radiology is always on hand to help. Its not a chest tube per se that we irrigate, there...

  17. Opinion re: getting a new patient at the end of your shift

    blue280 replied to ShimmaShimma0304's topic in Patient Safety Issues

    In our hospital we have a report line that the ER uses. When the ED RN finishes her report, she call the floor and lets the unit secretary knoe the report is on the line. The floor RN has 20-30...

  18. Need examples of Shift Change...

    blue280 replied to PSA, RN's topic in General Nursing

    We do a written report but its not very consistent. Some RN's write sown all vital signs and labs even if they're normal. Others write sown social issues that aren't addressed in chart {pt is whiny...

  19. Lethal Strain of Flu Kills 4 Children In Colorado....With Unusual Symptoms

    blue280 replied to FranEMTnurse's topic in General Nursing

    The nasal vaccine is a LIVE virus and can live in your nasal passages for up to 2 weeks. Where I work, if you got this vaccine you couldn't come to work for three weeks and there was disciplinary...

  20. Survey: Do you think hospitals should require a uniform code for nurses?

    blue280 replied to Brian's topic in General Nursing

    I know I go against the majority, but most people in the hospital would like an easy way to identify the people taking care of them and color seems to be the easiest. Elderly people have poor...

  21. can't do enough (kinda long)

    blue280 replied to blue280's topic in General Nursing

    I'm soo excited! I'm going tomorrow for an interview at a hospital within walking distance of my house and it for FIRST SHIFT!!! I hope I remenber what its like to have a schedule like normal...

  22. can't do enough (kinda long)

    blue280 posted a topic in General Nursing

    I just had the shift from hell! Worked 7p to 7:30a on Sunday to Monday. 14 pts on the floor, 2RNs 1 aide so we take 2 pts as total cares. Not to bad, right? pts with total hips replacements, both...

  23. can't do enough (kinda long)

    blue280 replied to blue280's topic in General Nursing

    this is why I love this bb, you guys are sooo wonderful. I couldn't ask for better support than what I received here. Thanks and much

  24. can't do enough (kinda long)

    blue280 replied to blue280's topic in General Nursing

    thanks, you know who I feel bad for? The 92 y/o crawling on the floor. I can't get her out of my mind. I just feel like I let her down. I really love my patients and this was one time I feel they...

  25. can't do enough (kinda long)

    blue280 replied to blue280's topic in General Nursing

    thanks for the hug! I actually have a transfer in the works. Should hear if it goes thru tomorrow and if it don't, I will look else where. Remember those signon bonuses that were offered? Still...