litbitblack ASN, RN

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 apologized to me. My staff on my hall had to bit thier ton...

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 to have a doctors order as well as consent from fam...

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 me doesn't mean the higher administration would if...

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

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 had been increased to 40 bid and he was severely ...

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 anything to me they take it the aids and if it con...

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 the experience.

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 caused the problem. Who in the world has time to cr...

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 (low dose) or even an antidepressant that will trea...

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 pay (or someone does) an obsurd amount of money for...

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 the information as she is contract and comes every 2...

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 have had to deal with it yearly with my niece sin...

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 another nurse on shift for backup. I work in a 60 be...

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 handle different types of situations at different s...

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 how just changing the environment can help a beha...

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 and crackers and rechecked it 30 minutes afterwards ...

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 and should be reevaluated.

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 as well as it was verbalized that there is to be ...

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

No legal advice wanted just opinions

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 exam as well as not have any contact with the empl...

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 been a month and they remain although the areas ha...

The way the job market is i bet you can find some nurses that really care and are job hunting...

The dose ordered should not be changed just because the nurse felt like it. Routine long acting insulin should be given as ordered. If you find that bs are dropping throughout the day or are lower at a specific time of day, notify the doctor so it ca...

I have excellent aids and they know the routine. Have never had a problem. THe wts are scheduled on a certain day of the week per hall to be completed right after breakfast and the sheet with all the weights is given to the charge nurse. A copy is pl...