litbitblack

litbitblack ASN, RN

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All Content by litbitblack

  1. Alzheimer's: The Art Of Giving Up

    As a charge nurse in a cert alz facility, its important to try to look and remember what it was that made the person. I know its a very hard process, and it is a process more for the family than the...
  2. parents please talk to your teens

    I just want to encourage all you parents to please talk to your teens about drinking and alcohol poisoning. I talked to my 13 yr old (yeah I know they are starting so young these days.) Saturday after...
  3. Nuvigil

    The psych docs give it to some of our alz pts who have been very sleepy all the time during the day. Start on low dose and increase. they said they have had good
  4. does anyone out there copy charts to save time?

    We do the same thing with flu shots. Use the same nursing notes and just put in the own adm. spot. Why would she turn you in rather that counsel you if she doesn't want it that
  5. I work in a private pay cert alz center who has recently decided due to the low census to make 1 of the 4 suites a healthcare suite. Each suite hold 15 residents and the staffing is 1 nurse 2 aids....
  6. RN's asking Dr.'s for medical advice

    I had a neurosurgeon look at my MRI on screen and got his opinion before the doc who ordered it ever got the results...but they were in the same office, we saw each other most every day and the docs...
  7. TNCC: Anyone have experience? (Trauma Nurse Core Course)

    Its is actually fun. you learn the mechanisms of trauma and will go thru each station to practice before you actually
  8. What have you done without a Dr. order?

    I used to work ortho and the docs pretty much let the nurses they trusted order labs and stuff and get orders from them, but that did backfire on one of the nurses as the doc said he wouldn't have...
  9. Anyone ever invoke Safe Harbor?

    One shift it was 2 RN's and that was it for 11 pts. Normally that would have been hunky dory but....the other one hurt her back lifting one of the pts and they didn't have anyone to replace her. And...
  10. Question about holding Lantus

    I agree with above. Was taught in diabetic ed. cert. to not hold as it is a basal insulin. The endocrinologists do not usually want you to hold for that
  11. Medication errors

    Im sorry but the nurse who gave the insuling is actually the one who had the error whether she was orienting or not. !st rule of injections....Dont give something you don't draw up yourself. What is...
  12. Rn's are better than lpn's???

    There are more differences than the education. Its the content of the education and the focus of care. I usually just tell the ones complaining to go back to school if they think they are better and...
  13. Gave a patient someone else's unwasted dilaudid

    Ok so you made a mistake and you learned from it. Why are some of you still going on and on. to the OP, its difficult going from a rehab to acute care. If you feel overwhelmed and it doesn't seem to...
  14. alzheimers res w/ combative behaviors

    My problem with the situation is that the other residents have a right to be free from harm. Personally I would keep notes and then make anonymous report to
  15. alzheimers res w/ combative behaviors

    hmmm I have no idea. Did you ask them. Do you guys not treat the combative behaviors? Why not ask
  16. Med aides giving insulin

    You can always double check the test yourself just by going back on the machine. Some places allow aids to change foleys, start iv's, ect. I wouldn't mind the bs check, I would mind the insulin. What...
  17. Huuuge tax refund...bye NS debt!

    Nope ended up paying thanks to that stimulis last
  18. Nursing is not recession proof

    I continue to get calls from recruiters for travel positions all over the place. Not sure if youcan find one without experience
  19. Is this Safe? Census: 45 / ID Bands: 0 / # of Nurses: 1

    I work long term care and none of mine where them either. took a little bit of time to get used to it. I asked the aides and looked at the pics. its gets better once u get to know
  20. California nurses and medical marijuana

    Until people are more out in the open with it and the ones in higher positions start to back it then nothing will change. Its gonna take nurses and doctors in this current generation to be in those...
  21. California nurses and medical marijuana

    If they condoned it then that would be a major hurdle to getting it fed legalized. Im all for
  22. Fired, how do I get over it?

    It takes time to not be bitter. I was fired from a place i had been at for 10 yrs. After all the times i came in and worked extra for them and stayed late. They ripped me off of over 5000.00 in paid...
  23. Accepted a charge position...now a little nervous!

    Yes it sounds doable.you will probably take a pt load also as 15 pts is too much for one
  24. Need help!!! Statistics and Chemistry

    midwestern state requires intro chem
  25. Advice regarding termination

    well before you tell the truth....get a friend to check and see what they say first. I tried the truth and it put me back