WillyNilly

The staffing is unstable. If someone codes on the unit it pulls both nurses in the room which then leaves the aides on the floor alone. If there is a companion case who covers the case while someone takes a break? The age age group can be more physi...

Follow the advice the others have given. Previously I have told others "If you can not speak to me in a professional manner, please don't speak to me right now" There was one incident where I saw him cursing and ranting and he was coming towards me. ...

Some insurance companies offer this type of job, however more and more of them are downsizing and asking them to become case managers and work in the field as travel or home care nurses. Is there a reason you would like to leave? What about gaining m...

Would you consider a social work aspect of psych? It would offer the counseling and not as much of the physical interactions that you may be seeking. You would also be able to make a decent earning, work in a hospital setting, counsel/interact with p...

The acuity we are dealing with is getting higher. Our goal is to use techniques to calm prior to reaching this level however it can happen. Only you know your body and it's limitations. Would you qualify for a replacement now while you are still in g...

Every person has a bed alarm at night. No exception. Explain it is for safety reasons, most are agreeable. Slipper socks on everyone as soon as they walk in the door. Orthostatic vitals daily. During the day, most are pulled to a common room to encou...

It is dispensing without a license. I will not be cited for it. Some have asked me for Mylanta or Tylenol and I refuse. They get upset but I tell them "The store is down the street. If you would like to take a break to get something, let me know". I ...

If she was a threat to self or others, verbal redirection was ineffective, altering the environment did not work and redirection did not work you are with in your means to use a medication. Just be aware of physical holds can be considered restraints...

This may sound dumb BUT never put your mouth on inflatable equipment at work. You can use almost empty oxygen tanks to inflate the rest of the way. Have seen others mouth chair pads to beach balls, etc.

Before starting a group, do a potty round and snacks/coffee/drink pass. Fill a tray with drinks and misc snacks. Ask each if they need to use the potty, if not ask about a snack. Tag team the snacks and potty with another person. Thennnn proceed. You...

4530 is heavy with busy work too-4520 is cake compared to that one. Easy but repetitive to mind numbing.

Who wouldn't want to walk around comfy in their undies if given a choice? 10:1 if it is asked it would be met with a "Because I want to!" or with a "Because I like it" or another oldie "Don't you want to see it?" A 1:1 for naked? Cheese! There are p...

Are we talking underwear or full on birthday? Is it psychosis or dementia? Can this person follow commands or limits? If redirection, environment altered, and unable to follow commands has a PRN been utilized? Has the dr been notified of behavior? Fo...

Badge is on a retractable clip. Keys are clipped on a hook with a short lanyard to the inside of my pocket so they are never left behind and no one can easily take them. When going in to an emergency situation, my badge is secured away prior to enter...

It will also open up questions "ooh so you are married? Tell me about your husband!" Plan your response of "Policy states we aren't allowed to discuss personal items" or " well it's been so long I don't count the years anymore" My fake is 2.99 from ...

I was hoping you meant Merckens as in chocolate.... Not the other merkins

I take a lot from moment to moment. What is best at this moment? Eventually moments lead to hours and days lead to years. My years have shown me it is important to laugh with others, sing softly when the sun sets, dance like a fool and encourage othe...

Yes, I believe your perception is wrong. It may seem nice to take a break and talk to a patient but as someone else posted being assaulted is not "easy" as you put it. There are still medical issues that need addressed.

Mid 20s ,married, babies and on our own. No regrets today.

Why are you doing it? Is it relevant to the population you are serving? Is it just an informational topic or educational piece? Curious for background

Why not lpn to bsn bridge?

Perhaps it needs to be addressed at the admission or review level. Have the residents been behavioral before? Do they need a different level of care? Are they being placed in a regular environment versus a dementia unit or a behavioral unit? Are the ...

Polypharmacy is a problem in LTC. Seen psych med doubled on psych med with benzos on top and the pt is sent out for threat to self or others . high doses of an ssri in an elderly person doubled with a benzo is not a good mix. Benzos will disinhibit...

"Policy states MD needs notified. I am letting you know.Would you prefer I call you at 2am when my paperwork and assessments are completed to notify you? " Don't take it personal. Some are just stinkers and need reminded.

Please look at the 36hour day to understand dementia. As far as meds and time management learn commonly used meds, side effects,etc. Make tip sheets if needed and a time schedule to keep yourself in check. Otherwise you will find yourself slipping.