All Content by BearyPrivate
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I'm gonna sue you
Yeah, then when this is reported where I work, you get blamed, because of an unsatisfied customer, and I work in LTC. How far should I bend over to take it up the BUM!!!!!!!!!!!!!!
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Safe Staffing Saves Lives - ANA has started a campaign for us
I just happened on this site and I put in my 2 cents. I am tired of our employer saying nite shift is fully staffed. I work by myself and have 76 residents to care for. I have 4 g-tube patients. They tell me if I can't handle the work load to find another position. This week They decided oh we can afford another nurse but you will have to find them we can't get any apps. Bull poop. They don't even advertise.
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The things you never forget...
Will never forget the day the Physician misdiagnosed my mom, she had a heart attack the physician wrote dx as Chronic back pain, Mom died 1 month to the day, later. COD: Heart Failure, Complicated by A-Fib. Will never forget a very sweet old man I took care of on ward for 31/2 yrs. Dr. came in one evening to assess him Told the family gathered around it was only a matter of days. Before the Dr got out the door My sweet old man died. Will never forget A 105 yr old pt. She still had a lot of spunk up until the day she died. Will never forget doing trach care on a Res and partial Q-tip ended up lodged in her trach d/t facility had these trach care kits for decades. When the patient with a trach arrived they decided to save cost and use the old ones first. The holder of the Q-tip end was wooden. Res sent to ER and piece lodged in Lung. Res lived 5 yrs on. Will never forget 9-11 I was just getting home from work and just turned on TV to see the first Tower smoking and shortly after the 2nd plane hit the other tower. I sat on the couch glued to the tube in disbelief.
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Working Overtime!!!!!!!!!!!
hello everyone, i just now got off work after going in a 5:30 pm last noc b/c the scheduling coordinator doesn't know how to schedule enough nurses, or she lets a group of 3 off on the same day:angryfire. i felt bad b/c adon had just worked 12 hrs so i volunteered to go in early:saint:. not a problem. until 6:30 rolls around and the day shift charge nurses who by the way, live together, were 15 min late and want to look at the schedule and pittle fart around:argue:. gave report got done at 7am, then had to count:yeah:. while giving report on one side of the building the don starts ranting and raving at the nurses station about i&o's not being recorded yet:banghead:. i explained the operative word was yet in that sentence. she made me stop what i was doing and chart i&o's before i could finish report:angryfire. this is all because state tagged the facility for documentation follow up. i clocked out at 7:25 am. long noc had to vent but still don't feel any better:o. it just makes me not want to go in early anymore b/c don does not make you feel appreciated. i wonder if she thinks, umm, wonder what else i can get out of her before she leaves:devil:. what about no overtime, which they have been preaching of late. thanks for letting me vent. hope tonoc goes better.
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I want her fired!!!!
:yeah:Amen Preach On. Night shift only puts up with family members if the Pt's on their death bed.
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CNA duties vs. Nursing Duties
I want to make myself very clear here, this is my opinion only. The nurse that stops practicing basic patient care no matter how small or dirty, is only in this for the $$$$$$$. To all of us real nurses that truly care how the pts we are working with are treated and cared for, we do continue the menial labor of working side by side with our CNA's regardless of the title that follows our name:nurse:. She is new:confused:. Hopefully she will get a clue:confused:. If not, it will only be a matter of time before she moves on.:argue:
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Medical assistants and LPNs
If you don't like the conversation I'm sorry but the consensus is that CMA's are not licensed professionals:nurse:. I do not see any where in this thread where people are not getting along. IT'S CALLED A DISCUSSION!!!!!!!!!!!!:typing
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Medical assistants and LPNs
thank you from this 15 yr lpn that pretty much sums up this misunderstanding for me:bow:. now i wonder if the person who started this thread has ever seen this or even attempted to find it.
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Thank you....all of you
WOW, You definitely have been through trials. Thank you so much for sharing. God will bless you I will keep you in my prayers. I know I am one nurse who strives to be like the pleasant ones you mentioned. It is so refreshing to hear patients that truly appreciate what is done for them. Once again, THANK YOU SOOOOOOOOOO MUCH!!!!!!!!!!!!!!!!!!!!:heartbeat:saint:
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Do all nurses get assaulted by patients?
I work in LTC and it is very rare that nurses get assaulted. I personally have been assaulted several times in my 15 years as a nurse. Last week we had a male pt. in Alzheimer's Unit that became upset with the CNA and took it out on me when I entered the room because the CNA was male the Res felt he could better take me on I suppose. He hit me in the left side of my chest and I took about 4 steps back. It hurt like hell. The male CNA was right there and got the pt. off me. There is no rhyme or reason for most assaults it just happens. This does not mean the pt. is going to do it again. It just means you need to assess the situation and prepare yourself to handle it.
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Fellow RN killed this morning
I am so sorry to hear of your friends tragic accident. Keep us posted on how everything is with her family. You, your co-workers, and the family are already in my prayers.
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LPN as ADON in LTC
I WORK IN A LTC SKILLED NURSING FACILITY:nurse:. LAST WEEK THE ADMINISTRATOR ANNOUNCED THAT ONE OF THE 6-2 LPN'S THAT HAS WORK IN AN OFFICE FOR THE PAST 2 YEARS IS NOW THE NEW ASSISTANT DIRECTOR OF NURSING. MY CONCERN IS THIS: CAN AN LPN BE AN ADON IN A SKILLED LEVEL OF CARE LTC FACILITY. MY UNDERSTANDING WAS RN'S COULD HOLD THIS POSITION. IF YOU KNOW THE ANSWER PLEASE ENLIGHTEN ME I REALLY AM CURIOUS:confused:. I THINK IT'S GREAT B/C THIS LPN LISTENS TO STAFF AND ACTUALLY DOES SOMETHING ABOUT IT. I HOPE AND PRAY MY CURIOSITY PAYS OFF AND IT IS LEGAL.
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my D.O.N. frightens me
You must realize the DON's job is much tougher than the floor nurse:twocents:. She has alot of responsibility and has to deal with corporate, state, family, administration, dietary, therapy issues for each patient day in and day out:eek:. Her job is to make sure your job is completed properly so her butt does not get chewed from her higher ups. Maybe if you ask her if she has problems with your work or you personally, you can find out how she feels. This worked for me and now my DON and I get along alot better and it did calm my fear that she didn't want me gone:yeah:. I know our job is tough, but try putting yourself in her shoes. You know she has so much stress. she has to make sure everything possible is being done to ensure state doesn't come down hard on petty little things. Try talking with her about your anxiety and fears. It couldn't hurt:wink2:. Who knows maybe you can be a help to ease her stress as well.
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IV Rocephin Question
u answered your own question:yeah:
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Medical assistants and LPNs
Kidarroo if you want to be an LPN go to school like the rest of us. I assure u LPN's are a lot more qualified than a certified med tech. How long are u in a class for maybe 6 weeks? No clinicals that put the pts life directly in your hands unless you pass the wrong pill. No they do not qualify you to handle the situation beyond the med error do they? So as to your statement a certified med tech cannot do things a Licensed Practical Nurse can do. So as I said go to school and earn a license, not a certificate.
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Things you'd like to say to your co-workers, but never would ....
Don't get me involved with your petty bs. No, I don't give a care about what the NM told you about me. I do not wish to go outside to smoke with you just so you can tear me down in private I'd rather have witnesses you condescending *****. Yes, I would love to count narc's and get report when I get on shift not 2 hrs after I have been on the clock. I do have my own work to do. No, I do not want to restock the meds you used, into the med drawer, you are the one who used the last one, replace it your damned self. Yes, I have heard of teamwork have you? No, sorry I did not have the pleasure of attending Kiss bosses ass seminar, but sure am glad you learned it so well. (NOT):uhoh21:
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Jealousy or actual favoritism - you tell me
If I were you I would check into discrimination. It does not sound like jealousy to me. I do not care what the others are saying. Move on, or your friend has a better personality. Honey I too have been down your road. I have put in the overtime, worked any shift they want. Time and time again the nurses around me get pay raises or promoted while I keep plugging along. Tell your ANM and NM you want to file discrimination charges and I bet they change their tune. You hang in there if you like that job. If that girl is a friend she should back you up no matter what. I hate to be negative but by golly, we deserve the same as other nurses. It worked for me. Best of luck in what ever decision you make.
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Burned Out !!!
Hey farmgirl08, I feel for you and anything I can do just let me know:nurse:. To everyone else do you know the administration at this facility says the cna's do not have the right to know what diseases they may be coming in contact with:no:. Hippa my fanny. The scheduling coordinator just stated at the nurses desk Saturday that they decline to tell CNA's what the disease is because they are afraid this will affect the way the CNA's take care of the pt:down:. I say this is hogwash:twocents:. Whatever happened to Knowledge is the first defense in treating pt's.
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Peeves at work
cell phones are not allowed on during work hrs at our facility. could you imagine, cna's carrying cell phones, nothing would ever get done.(sarcasm:lol2::lol2:)
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Staffing for 79 Residents in LTC!!
Thank you all for responding:heartbeat. No:nono:, it's not changed:madface:, We now have 80 Residents :banghead:and one that was admitted is a J-tube pt to boot. I have called the cooperate representative. No luck there, he spews the same BS the Administration does about PPD's whatever. I am calling state dept tomorrow:yeah:. Wish me luck. PS; I love ICONS!!!!!!!!!!
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Code Red/Code Blue/Code whatever....what do you have/what are they for?
We have: Code Blue Cardiac arrest Dr Red for fire Dr Black for Imminent storms/tornado Dr Gray for watches of storms/tornado Dr Yellow Missing Res, We actually call Res name over intercom if suspected missing Dr Orange for bomb threat
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Yearly Evaluations
just had my second yearly evaluation at work from same nm:yeah:. last year i was smart enough to completely copy my evaluation. i feel it's a good thing i did. this year has been a rough one for me: family wise, personal life, and work wise as well. family wise 2 deaths in the family: effected the relationship with nm by having to take bereavement leave. nm hates time off work for anyone:down:. personal life: well death in family, obviously goes without saying, my personality, seems nm does not like my particular personality at all:madface:. work wise: great, except nm thinks i stress too much, thinks i am not nice enough to cna's, thinks i have an attitude problem. now this would not bother me so much if the similar things did not appear on my last yrly eval. everything except the family death issues were on last yrs eval.:no::no:
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the state of nursing-jobs
I live in Mo, and the facility I work at is LTC. We are currently looking for LPN's, RN's, and CNA's d/t increase in admits. You are the first I have heard of that is having difficulties such as that. Sorry to hear about the possibility of lay off.
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You Know You're an Old(er) Nurse If . . .
I have only been in this profession for 15 yrs. Here are the things you all listed that we still do to this day. -- Take B/P manually:chuckle -- Lock up narcs in a cabinet in the med room:no: -- Use glass thermometers -- Chart everything long hand and in duplicate sometimes triplicate.( chart in the nurses notes, on the tx book, on the fsbs book, med book, etc) -- Still hand cranking hob and fob up and down. -- Give doses of Tylenol, Ibuprophen, MOM, mylanta, colace,etc out of same big bottle. I know it's a new century but some one needs to let our cooperation know that. Thought it would be fun to let everyone know some of the old ways are still practiced at our LTC facility. I just wish we could still smoke at the desk and chart.
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Staffing for 79 Residents in LTC!!
I am an LPN and have worked at my current position for 3 yrs now. I am the only nurse on Noc Shift with 79 Residents. I will break this down. We have 15 Alzheimer Res. 12 Medicare Residents and 52 skilled / non-skilled residents on 2 other wings. The Alzheimer Unit is a closed locked Unit. The Medicare is on one wing opposite the unit. Now, my gripe is that they only schedule 4 CNA's ( some noc's it's 1 cna and 3 na's I might add),and me, the one nurse. Our fire code is 20 to 1 ratio at noc. This is what all facilities go by, the bare minimum for fire code. It does not take into consideration that there are 4 G-tube pt that need flushed, 3 of which gets bolus feedings q morning, 2 IV's in the building, 3 trach's that need suctioned numerous times during the noc, treatments that need done, one of which is a horrendous decub the hospital caused by not turning our incontinent pt, the decub is so bad we are in the process of dakins wet to dry and the skin is literally falling off. Oh, and I get to pass my own meds. What do they think we are super nurses. It is getting ridiculous. Every time I talk with the DON about more help ( another nurse to be exact) she gives me the same BS there aren't enough PPD's:banghead:. When I talk with the Administrator he assures me we can have a Med Tech but I ask him where are they I don't see one:uhoh3:. He actually told me if I could find one who was wanting to work noc shift let them know and he would hire them:down:. Excuse me, I thought that was the DON's department:twocents:. Thanks for letting me vent:bowingpur. My hope and prayer is to get another nurse for one side of that building cause I can not leave this position for reasons I do not wish to share here.