litbitblack

litbitblack ASN, RN

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All Content by litbitblack

  1. Patient Abandoment?

    LOL I would have handed them my badge.....No way would I stay in that
  2. GT meds when pt eats PO

    does he have the tube due to his swallowing? or something else. Some people have to get a feeding tube in preparation for needing it later like in radiation of the throat. Once they have the tube and...
  3. I worked assisted living living prior and during nrsg school. I assisted with meds to about 40 residents. we did 2 hr checks. helped with assigned showers and bath days. served breakfast lunch and...
  4. Assisted Living Nurses

    Sounds like you need to present to admin the reason why they need one. benefits, drawbacks of not having one, the good sameritan law, cost of different ones ect...maybe open thier
  5. Leave the phone at home !!

    ok so why are people who continue to do it keep getting warning after warning after warning. My family comes before my job. I carry it with me on vibrate. The kids know to leave a message. If i...
  6. ready to quit

    Don't quit now. There are so many other positions out there besides in a hospital. And they are all not the same. Sure you use your assessment skills and things you learned in school but its...
  7. Ogden Utah

    My inlaws live in layton and my husband is from there. I was researching jobs there and it looks like a huge pay cut from texas to utah. As I am also from texas, utah may be seeing us in the near...
  8. Bsn giving up

    I would take a college nursing refresher course. THere are a lot of things that have changed in all these yrs. then i guess basically they may be able to hire you as like a new grad. good
  9. Getting Fired or Resign?

    I really wish I had listened to myself when I felt my job was in jeopardy. BUT I let tons of things talk me out of it. We would have a good day, money was good, but then after ten years it all came...
  10. What is the law on this....

    Ummm its state required here in texas to report anything that is child abuse, neglect ect. Just the simple act of being human I would think that leaving a child in a car buckled in would be a fone...
  11. Juveniles/Probation officers

    UMmm isn't there something in there agreement to follow juvi probation that all that is released. I think they have all access to anything the child is doing. Health wise, medications, anything that...
  12. Clinical Care Councils/Unit Based Practice Councils?

    I was on the clinical practice council and in all i think it does a world of good. Its a way for the nurses and care team as a whole to make changes instead of admin making changes or one person...
  13. Overwhelmed on a Rehab Unit--Mgmt No Help

    Ok well if they are for profit then where are these residents family members and y arent they taking thier complaints to admin. If **** gets to admin and starts threatening thier bottom line then they...
  14. Saw something that really disturbed me tonight

    Call around to all the group homes and ask to talk to the director. Explain the situation asking if they knew of someone in thier facility taking a group out at about the same time. If they need to...
  15. flu clinics anyone?

    I am just starting them, one company is summit and another is
  16. At home jobs

    some companies have at home case management
  17. for those of you with non-hospital jobs...

    I left the hospital after ten years and started part time at a ltc alz./ dementia specialty center. Its assisted living really with suites that look at the residents move thru the stages of alz. I...
  18. Medication Error/Unruly DON

    I think it was ur med error. I would probably look for another job if that don put u in the position that u had to stay because she didn't want to come in . Kudos to u for going above her
  19. http://www.texmed.org/template.aspx?id=2107 i found this on the net.....i wouldn't be worried about any liability....only if i didn't stop and somehow someone new i was a nurse. the law was designed...
  20. Gosh I have been out of the hospital for 3 months and it is so niceeeeeeeeeee!!!!I actually get to sit with my residents and visit, although it is an alzeimers facility so they probably don't remember...
  21. Perforated Bowel, S/S in narcotic user?

    I also understood that if you were already having severe abd pain that another sign is the sudden disappearance of that pain. Had that happen once, i did catch it and the pt went to surgery within 2...
  22. Milking a JP drain?

    I understood you needed an order. If the manager didn't have an answer then its her job to find you one. If in question, ask the doc. Whatever the floor protocol, if he/she doesn't want it done they...
  23. Salem sump to intermittant suction?

    You also have to think what the suction can do to the inside of the stomach. If the suction is to much it can irritate the lining even going so far as causing bleeding. Have seen this
  24. Common skills needed for med-surg

    1. dont be afraid to just jump in there. 2. don't be afraid to ask questions 3. familiarize yourself with the basic labs 4. don't be intimidated by the docs. most of them are open minded and...
  25. New RN on med-surg floor

    I generally after report check my mars and see what meds I have due immediately. I can assess the ones that first meds first. only takes 5 min to do a head to toe assess. then am meds, assess them...