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, aspirin, zocor, lipitor, appetite stimulants such as ...
  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 moment!
  3. Charting Frequency Long Term Care Medicaid

    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 familiar w/ the MDS process, I used to be a Food Servic...
  4. Prevacid and G.Tubes

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

    I requested that the order be changed to Prevacid Solutabs. They work just fine.
  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 clear of the uti, but still has the ordered NS flush...
  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 properly. When that happens, I have no problem with ...
  8. MDS Charting Emphasis for Staff

    Could you please email me a copy ? [email protected]
  9. do you work 8's or 12's in you LTC, and do the managers work 8's?

    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 concientious. It did not matter as to which area ...
  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. Recently I had 14 out of 28. What I started doing i...
  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 meds), I have IDDM, and also a heart attack survivor ...
  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 find something.
  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 are definately too many meds, supplements, and pr...
  15. how much time for AM med pass?

    Our facility policy forbids us from pre setting meds.
  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 dementia, (which include some with bad behavior at ti...
  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 together in your own style. Staff development can...
  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 family member, or to solve a problem which needs immed...
  19. Tips for Nurses: Dealing With Annoying Coworkers

    I agree with you. Been there, done that.
  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, and family members are usually on the other end wa...
  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 keep a notebook. make sure that you have a jot shee...
  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, MOM chased with warm prune juice did quite well. If...
  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, evenings.) I work on a skilled unit, where ther...
  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 where it stated "No hospitalizations" but it did speci...
  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 a dietary manager prior. I noticed that they wer...