litbitblack

litbitblack ASN, RN

Member

  • Content

    596

  • Visitors

    9,803

  • Followers

    0

  • Likes

    47

All Content by litbitblack

  1. Why do RN's avoid LTC positions?

    litbitblack replied to amyca's topic in Geriatric, LTC

    I was one who said I would never work long term care but where am I. I work in a private pay facility -certified dementia-so that makes a ton of difference I do t think I could do a Medicare/ Medicaid...

  2. Combative dementia patient

    litbitblack replied to Just_Kidney's topic in Geriatric, LTC

    Summarize his behaviors and redirection attempts to the MD. Make sure they are all documented including changing approach attempts and exactly what is going on at the time the behaviors are...

  3. A Push for the Return of Team Nursing in Medical-Surgical and Telemetry/Step-down Units

    litbitblack replied to Lev's topic in Medical-Surgical

    I think primary care and team nursing both work with the proper amount of staff. If you start doing team nursing but continue to not have ancillary staff it won't matter because it won't work. It also...

  4. Remaining professional with rude, disrespectful family members

    litbitblack posted a topic in Geriatric, LTC

    I had an experience today that left me so frustrated and pissed off that I had to remain professional despite the need to really go off on this family member so I'm just venting. My boss even...

  5. To any and all footcare nurse business owners

    litbitblack replied to dixiesnurse's topic in Nurse Entrepreneurs, Innovators

    Marketing suggestions I would check with the DON's at the long term care facilities and let them know the service is available. We have 2 podiatrist that make facility visits in my city and you have...

  6. Remaining professional with rude, disrespectful family members

    litbitblack replied to litbitblack's topic in Geriatric, LTC

    Thank you for all the supportive words and suggestions. I will definitely remember the responses posted in case there is a next time. We are a private pay facility so despite the fact my don supports...

  7. Independent Nurse Assessor--more than one company?

    litbitblack replied to nlk96's topic in Nurse Entrepreneurs, Innovators

    I would read the contract but Im pretty sure lifeplans does not say you can not.....another company is LTCG or used to be

  8. Methadone restlessness

    litbitblack posted a topic in Hospice, Palliative

    I have noticed an increase in restlessness and jerking in my hospice pt who is end stage lung ca. He was previously on OxyContin 20 q 12 and oxy ir 30 qid prn.before admitting to hospice his OxyContin...

  9. Shift Warfare BS - vent/advice? (long/sorry)

    litbitblack replied to inaniel88's topic in Geriatric, LTC

    I agree with the rounding.we do shift rounds and if my aids on 6-2 find something after the other shift leaves then Oh well you should have caught it on rounds and I say that. Now they don't even say...

  10. Soooo discouraged:( First Med Error

    litbitblack replied to LuvTheNurse's topic in Geriatric, LTC

    The important thing is that you recognized it. Everyone does it as we are all human. And for the ones who say they have not they either are not admitting to it or don't know they did. Just learn from...

  11. RN - Crushing medications

    litbitblack replied to DDdove's topic in Geriatric, LTC

    I also learned to crush medications together in school and have never had an issue. If your starting a new medication and the others have been on board for a long time you will know which medication...

  12. True anxiety and dementia??

    litbitblack replied to motherof3sons's topic in Geriatric, LTC

    I wish prescribers would treatment the patients feelings. Anxiety is a scary thing. Why shouldn't your resident have some peace? Ativan does not always work with dementia. Sometime a mood stabilizer...

  13. What if I can't get meds out on time during survey?

    litbitblack replied to jnnfrbry's topic in Patient Medications

    Why is everyone saying "People at home take blood pressure medications all the time without checking their blood pressure so its ok?" No its not ok. They are in a nursing facility for a reason. They...

  14. Weight Variance Meetings and EHR

    litbitblack replied to the_alchemist's topic in LTC: Directors, Assistant

    I haven't heard of a wt variance meeting at my facility but we use matrix and if a wt triggers then we do a wt variance, notify the family and notify the doctor. I don't know how the dietician gets...

  15. Ethical Dilemma...Shingles :(

    litbitblack replied to pnut520's topic in Nursing Professionalism

    Yeah I would just give them an FYI as you should be ok since your in the classroom. I would also request the cream as well as the pills. It helps it go away faster and helps to keep it from itching. I...

  16. No meds on 11-7

    litbitblack replied to TigerxLiLy's topic in Geriatric, LTC

    So you want to put 1 RN on 11-7 with 6 CNA's with 100 residents? What type of facility is this? Do you currently have an RN that actually accepted that patient load? There really should be at least...

  17. Dealing with dementia residents

    litbitblack replied to hayley87breanne's topic in Geriatric, LTC

    Its hard to say without knowing details about why you were sent home. I can say dealing with dementia residents can be trying and stressful and everyone can benefit from a little education on how to...

  18. How do you deal with dementia residents?

    litbitblack replied to godlycreations's topic in Geriatric, LTC

    I too work in long term care at a dementia care facility that is divided into suites designed to meet the needs of the residents based on what stage of the disease they are in. You would be surprised...

  19. Administer insulin when glucose is 53?

    litbitblack replied to Trixyp's topic in Geriatric, LTC

    I to think your supervisor acted out of her scope. Obviously you questioned your pts diet which indeed had been different than usual. I would have offered her a snack of low fat milk, peanut butter...

  20. Would you apply regular barrier cream to a resident with a fungal infection?

    litbitblack replied to CoffeemateCNA's topic in Geriatric, LTC

    Sounds like the frequency of the nystatin should be increased and the barrier cream should be applied after the nystatin. If it isn't cleared up or showing improvement then it could be something else...

  21. Suspended with pay

    litbitblack posted a topic in Home Health

    A nurse I know who is clinical director of a home health agency got suspended with pay until a specific date and in the paper it says there is to be no contact with any other employees of that company...

  22. Suspended with pay

    litbitblack replied to litbitblack's topic in Home Health

    That was my suggestion as well, Im not that familiar with home health so I just wanted

  23. Suspended with pay

    litbitblack replied to litbitblack's topic in Home Health

    No legal advice wanted just

  24. Suspended with pay

    litbitblack replied to litbitblack's topic in Home Health

    There were other nurse but this incident happened with another nurse and because she is clinical director the owner suspended her with pay for 9 days with pay ad she has to have a physical and mental...

  25. Care of Pressure area to heels

    litbitblack posted a topic in General Nursing

    I have a resident who broke her hip, went to the hospital for a week for surgery ect and returned with pressure areas to bilat. heels. They are dark purple and one had a blister that resolved. It has...