Well you should cupcake. You just said that youve seen very experienced nurses in tears because they cant keep up. And as annmariern said in the post right above yours.... You can see why people...
BradleyRN replied to ijuanabhappy's topic in General Nursing
Isnt it amazing that administering medications is one of the most fundamental aspects of nursing, and they dont even have time to do it. Maybe the director of that facility needs to be thrown out...
BradleyRN replied to ijuanabhappy's topic in General Nursing
Becoming a med aide will definitely further you nursing abilities more than becoming a CNA, because their job is really a nursing skill. On the other hand, once you become a nurse, you may begin to...
BradleyRN replied to hollyberry678's topic in General Nursing
This RT certainly sounds either new or dense. Did he think the charge nurse should be the one to draw a line through the mistakes and initial them as well? All our documents are "legal". This...
I dont like this order at all. If the pt is already on routine haldol for some kind of psychosis, then why use it for n/v as well? Are we trying to cause potentially permanent EPS symptoms such as...
BradleyRN replied to FireStarterRN's topic in General Nursing
From the impression i got from the quotes of the pharmacist, i really dont think she was coming from the same point of view as core0. Her responses implied changing the time was for "the convenience...
If there were a way to do this anonymously, i would recommend it. Unfortunately, it is hard to change a system while being dependent upon it for money. The leader of such a tactic will be the one...
BradleyRN replied to FireStarterRN's topic in General Nursing
Well in fact they are. When we fax an order to the pharmacy, they actually put it into the computer where it will then show up on our MAR (on a computer screen). We could then not give the med at...
This behavior is a reflection on the LPN's and RN's that are in charge. There is no need to complain to them, because when a staff of CNA's are sorry, so are the nurses that supervise them. Do...
There is no need for an outline because as DebRN stated, the solution to all the problems could be summed up in 4 words.....better nurse/patient ratios. You could scrawl that on a
It doesnt sound like these problems will disappear. I dont know why your director wasted everybody's time. She probably knew what your point of view would be and that she cannot add more staff to...
The book prologic mentioned is fine, but if you could find out what book you will be using in the fall, then you should just go ahead and get that one from half.com. Start out learning the organs and...
Even when a drug says "may be given undiluted", i always like to dilute to 10cc with NS. It makes it easier to push over a length of time than trying to give a .5-1cc over a few minutes. IV books...
When i was an LPN in LTC, i felt my only skill was to crush pills and mix them in pudding. Certainly skills will be lost. But it is a trade off. Day shift with a family is way more important than...
I would have to say that the aide was a big problem as well. If that pt was in her room, the nurses may have never even seen this discrepancy. Melinurse was completely aware that the reason she...
you have the right and obligation to the well being of your patients to refuse any assignment you feel to be unsafe. there are numerous staffing agencies out there that can send cna's and nurses...
in the words of cardiacrn2006.... i shouldnt have mentioned the administrators. there are enough ill results of the existence of medication aides without including the aspect of who profits from...
the concept of the medication aide is to invent a nurse that makes a cna's wage. administrators of ltc facilities drive $60000 cars and live in gated communities at the expense of the nurses and...
BradleyRN replied to ohmeowzer RN's topic in General Nursing
One dose of Lovenox is definitely several doses short of the prophylactic intent of the prescription, unless she was going home the next day. If the doctor was humoring you, i dont know why he...
CNA's like to do things their way. So, when new nurses comes along, often they may try to intimidate them so that they will fear confrontation should the need ever arise. Once, i was orientating a...
A nursing home being short-staffed is not a red flag. It is quite the norm, which also means it is very difficult to get fired. In order to understand what is going on here, you would have to...