Furwillfly

Furwillfly

Geriatric/Psych

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  1. Iffy practices at my new job...

    What's a
  2. "no further hospitilization" order

    I think perhaps I'm taking this a different way. If we have a resident who let say has lung cancer. Of course a DNR, but only hospitalize if in extreme distress. To me that means if I can't control...
  3. Iffy practices at my new job...

    In our state we can write anytime(allowing proper spacing) if the order is for bid or tid. We can make that med 5 am, 1300 and HS. If the order is for a specific time we have to get another order...
  4. Interruptions During Med Pass

    Ya, this is a tough one! It's non-stop isn't it:angryfire I worked at a facility once where on the nurses cart or at the nurses station there was a notebook that would be written in so the nurse...
  5. Pain management in LTC

    Wow.....shocked that durgesic patches are being cut. Anyhow, Lidoderm has worked well, have you thought about Neurotin? Sometimes when we have a resident who requires a lower dose of narcotic, we...
  6. Liability and giving opinions

    I don't see where you said anything wrong either. I had to read your post 3 times to see if I was missing something! You gave an opinion of possibilities, not a dx. Your MD is being anal retentive...
  7. Need help for a paper on Geriatrics nurses

    Do you still need this? It is a month
  8. FDA ALERT: Antipsychotic Drug Use

    I don't know if they die sooner taking antipsych. meds, but because they cause so much damage of organs, I would have to say yes. I do think they are calmer and able to actually enjoy the remainder...
  9. FDA ALERT: Antipsychotic Drug Use

    I work in a facility that uses all these drugs. If we didn't, we would have to close down. All interventions are used and failure documented prior to giving these meds. Families are notified and...
  10. RN responsibilities in LTC

    My fellow posters: It seems most of us agree on the matter of the 'BITTER RN', the comments are horrid and disrespectful to our profession as a whole. As bad as we want to address her insults it...
  11. What do you LOVE about LTC/N.H.?

    Love. Lost a young male resident the other day. (Our facility has a contract with the 'state mental hospital'= psych) He was only in his 50's, polysubstance abuser/addict. Very violent, health...
  12. What do you LOVE about LTC/N.H.?

    Ladyjrn1: Yes, of course I have worked with some awful nurses....but that includes RN's...LPN's...BSN's....and CNA's. I don't say>>"All of them are bad, gossip and will backstab you and create...
  13. What do you LOVE about LTC/N.H.?

    Ladyjrn1: You are being mean all over this forum. Why don't you crawl in your bitter hole and keep to
  14. RN responsibilities in LTC

    Didn't get a chance to finish my post. LadyJrn1: It is RN's like you that think they are higher than anyone else that gives our profession its awful reputation. Yes, you have a right to your...
  15. RN responsibilities in LTC

    I am an RN/Charge nurse .........and work the floor passing meds, etc while being the charge nurse. I work with an LPN who has more experience than I and I go to her for advice quite a bit. I'm so...
  16. What do you LOVE about LTC/N.H.?

    Are you ready? LOL! I was a CNA for years upon years and have been a nurse for about 8 I think. All in LTC. I tried hospital, but wasn't for me, I knew I belonged in LTC. What I love about it is...
  17. Some ideas please?

    Upon admission we put all our residents on MVT c min., Vit C, Vit E(unless on 'thinner') for prevention. Just a tidbit. Anyone who at risk is put on 4 oz of HPS at med
  18. what is your facility protocol?

    My first question is: is he taking his medications? Our protocol is 2nd day MOM, 3rd day supp, 4th day enema. Have you ever done a Mayo Clinic enema....those work like a charm! It is Baking soda...
  19. how do you relax outside work

    I read in the winter and garden in the spring/summer/fall. I relaxes me to get out in the garden and nurture those
  20. Need Advice Again!!!

    Not every LTC facility is like this one. If you truely want to work in LTC you need to find some other place. Sounds like this is one of the places that give all our LTC's a bad name. Trust your...
  21. What overwhelms you the most? What did NS NOT prepare you for?

    Sunnyandrsn: Said it very well! Great read! I've been at the same LTC facility for 5 years now and I still have all those worries on your list. It gets better, but they are still there almost...
  22. Strange things found on (or in) a pt.

    I couldn't figure out why this ladies call light came on and off; thought there was a short in it. It was the kind with the 'easy' button on the end. Yup, using it as a vibrator.
  23. What overwhelms you the most? What did NS NOT prepare you for?

    I would personally have to say that nursing school didn't prepare me for the emotional/mental aspect of nursing. I went from being a CNA for over 15 years to an RN, where you go from physical to...
  24. Re-directing tips needed for Alzheimer's/behavior pts

    I work in a facility with many alzheimer residents and like the other poster said, you need to do labs if this is a sudden or pretty gradual onset. We use behavioral intervenions first, before we...
  25. Anyone with Panic Disorder?

    I do have panic attacks. They are unpredictable, but manageable. I do not take medication for it. It is getting worse as I get older, but don't want to take meds unless it comes to the point of...