Skeetersmom119

Skeetersmom119

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All Content by Skeetersmom119

  1. Most common LTC meds

    seroquel, colace, norvasc, diovan, flomax, finasteride, oxybutin, coumadin, supplements such as calcium (oscal, calcium citrate, calcium gluconate), vitamins d, e, c, b12, iron, neurontin, lyrica,...
  2. ADD/ ADHD nurses- which units do you prefer?

    I am a LPN with ADD, and I prefer working on the skilled/rehab unit in LTC. Never a dull
  3. I am a LPN, and I have a mix of patients which are skilled, and some that are LTC Medicaid. How frequent should I be charting on the LTC residents ? (I chart by exception for them now.) I am...
  4. Prevacid and G.Tubes

    Try Prevacid Solutabs, that is what we
  5. Prevacid and G.Tubes

    I requested that the order be changed to Prevacid Solutabs. They work just
  6. Peg tube water sterile vs non-sterile

    I work in long term care/rehab, and I have a patient with an order for NSs flushes for her TF. She has a nocturnal feeding from 6p to 7a. At the time, she had a UTI w/ VRE in her urine. She is...
  7. G-tube Flush

    I have found that cranberry juice is another good liquid to put through the tube to help unclog it. Also, diet gingerale works well. It is also helpful if the preceding nurse flushes the tube...
  8. MDS Charting Emphasis for Staff

    Could you please email me a copy ?
  9. I am an hourly LPN in LTC. Prior to becoming a nurse two years ago, I was a Food Service Director in a LTC facility (salary). Eight hour day management positions did not happen, if the manager was...
  10. Med pass in LTC

    I work 3-11 in LTC/Rehab, where the med pass is not as heavy as day shift, however, I call my hall "Accucheck Alley" because I usually have at least 1/3 of the 30 patients have at least a 4:30pm....
  11. Need some encouragement

    I have been a nurse in a LTC/Skilled nursing home for 2 years. (I graduated nursing school in 2007 at the age of 49) I am the oldest nurse on the unit. I also have ADHD, (which is controlled by...
  12. how much time for AM med pass?

    My patients occasionally fuss at me and tell me not to come in their room and give them anything else (hee hee) until I have sat down myself. You know we are hopping
  13. how much time for AM med pass?

    Any suggestions on how to streamline the med pass to try and avoid a lot of interruptions? Unfortunately, we experience all of the above, and I still stock my cart to keep from having to go and...
  14. how much time for AM med pass?

    Between speech therapy and myself, we finally succeeded in getting one of my patients getting meal trays w/ nocturnal feedings via peg at night instead of the q 4hr boluses he was receiving ! There...
  15. how much time for AM med pass?

    Our facility policy forbids us from pre setting
  16. how much time for AM med pass?

    I feel your pain ! I have been a nurse in LTC/Rehab for almost two years. If I have a full house, my hall has 30 patients. They comprise of a combination of LTC folks with different degrees of...
  17. Concerns about routines

    Your CNA's are your lifeline..establish a good working relationship with them. They will let you know everything. Also, you will have to take the bits and pieces of what is given to you, and put it...
  18. # of residents in LTC

    I have 30, which is generally what I have seen at other facilities. However, I have been called to a room on the opposite end of the unit by a family member (that nurse is MIA), to assess their...
  19. I agree with you. Been there, done
  20. ADD and Nursing...tips? success?

    Sticky notes are a wonderful thing ! The desk is chaotic on my unit, with orders changing daily, charts lined up for transcription, the phones ringing CONSTANTLY because we have a party line system,...
  21. ADD and Nursing...tips? success?

    i have had my lpn license for 14 months, have add, going through menopause unable to take hrt, and i work on a long term care rehab/skilled unit which is constantly hopping. my advice to you is to...
  22. Constipation - Need ideas...

    I have been a LPN for a year, but I am also a Certified Dietary Manager (can run the kitchen, do everything that the Dietician can do but sign "RD" LOL). I have found that from both professions,...
  23. Pain management in LTC

    I have had good results with Ultram 50mg q 6hrs for pain or having it scheduled BID at 9am and 5pm. Then she could have something for breakthrough pain (which generally occurs more in the afternoon,...
  24. "no further hospitilization" order

    I have saw orders stating "No hospitalizations, no vitals, no weights, no IV's". Following that order, most of the meds were discontinued, with exception of cardiac meds. I have also saw orders...
  25. Survey Preparation

    We just finished with our survey. They came in at 7pm Monday evening. It was our annual + 6 complaints which were all unsubstatiated. This was my second survey as a LPN, I went through 6 surveys as...