blue280

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 my health is suffering. We recently have had a c...

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 job

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 besides prn given, it may look like there was nothing ...

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 overwhelming at times

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. Many different kinds of crafts, knitting, ect. ...

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 they have a med aide working with them. 60 by you...

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 turkey? Its a bif issue for us right now. One o...

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 decisions I make. I think healthcare is a very hard fi...

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 but I wouldn't trade it for the world. I manage 2 ...

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 days

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 helps

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 pain control issues! She has 2 facsiotomies on b...

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 it then I'll try. otherwise all the bellyachin' ...

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 sometimes other disciplines will be there too. We are...

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 wanted me to report the conversation in writing (...

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 is a small catheter that is put in the pleural spa...

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 minutes to listen to report and get the room ready. E...

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 and complaining about temp in room} but miss major...

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 action taken against you. The flu is going to spread...

Hi, I'm fairly new to this and everyone seems soo nice. I was hoping you could help me. I just dropped my 14 year old daughter off at the hospital for cutting herself. She was using a razor blade on her arms and she has me scared to death. She has...

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 eyesight and sometimes their memory is not so good. we h...

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 people! No more every weekend! I am keeping my finger...

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 are 92 and confused as all heck. Can't get order...

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 gratitude!

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 didn't get what they deserved. I know I can't bea...