IowaKaren

IowaKaren

Assisted Living nursing, LTC/SNF nursing

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All Content by IowaKaren

  1. who is at fault?

    IowaKaren replied to pink_shoes99's topic in Patient, Colleague Relations

    Fire her, sounds like the only thing to do and explain this to the new

  2. Best shoes

    IowaKaren replied to pretty70's topic in Geriatric, LTC

    Easy Spirit in the Traveltime family works for me. They slip on very easily and can be machine washed if you take out the liner. Very light weight and I have no problem keeping them on my feet....

  3. Behaviors and Failing to Chart Them

    IowaKaren replied to Tired_Mommy's topic in Geriatric, LTC

    Another huge problem is being able to find the time to chart on behaviors along with new medications (any medication), treatments, falls, skin issues, Dr.'s rounding, faxing Dr.'s, calling the on-call...

  4. Behaviors and Failing to Chart Them

    IowaKaren replied to Tired_Mommy's topic in Geriatric, LTC

    And no documentation = no psych eval or no intervention to help calm or possible correct the

  5. Would you leave current job for a Mon-Fri less stressful opportunity?

    IowaKaren replied to ooMissNurseoo's topic in Geriatric, LTC

    In a heartbeat I certainly

  6. Hourly rounding logs

    IowaKaren replied to afteralltheseyears's topic in Geriatric, LTC

    That is a nice ratio, where I'm at it's one nurse, 2 CNA's for 60 and to be available for the Assisted Living Facility that is connected to the home since the care aide leaves at 8 PM and insulin...

  7. A way to turn stress into gold? Healthcare Corruption

    IowaKaren replied to Naturess's topic in Geriatric, LTC

    Interesting concept that I do agree on. I doubt the families of most residents agree on all this but yes, I do see your point. It's a different world we live in and actually can be depressing when...

  8. Finally a Nurse Manager That Does NOT Tolerate Nurses Eating Their Young

    IowaKaren replied to OnlybyHisgraceRN's topic in Patient, Colleague Relations

    All fine and dandy unless the NM is the bully, have seen

  9. Why such high new RN turnover?

    IowaKaren replied to Calder's topic in First Year After Licensure

    OMG, I couldn't have explained it any better than

  10. I love my job, but...

    IowaKaren replied to sbostonRN's topic in Geriatric, LTC

    In Iowa, nursing homes do not pay better than hospital jobs. Of course, some LTC pay better than others also, just depends on the company you work for and if for profit or not. In my experience,...

  11. How many residents is too many for one nurse?

    IowaKaren replied to arabstarRN's topic in Geriatric, LTC

    Sounds familiar, especially the getting written up for not clocking out on time. The last place I worked was notorious for that, never mind what happened during the shift and the 'you should have done...

  12. Why is it always "Fire the nurse"

    IowaKaren replied to Simply Complicated's topic in Patient, Colleague Relations

    You should read the story about the psych eval since the statement sounds so like she is having a breakdown when it just means they want her to take a psych eval and will delay longer. No such thing...

  13. Excited about night shift in LTC

    IowaKaren replied to NurseLoveJoy88's topic in Geriatric, LTC

    Just wait until your facility is cited for preforming daytime duties and giving daytime med's while the residents are suppose to sleep. My state does require that if they take med's in the noc, they...

  14. How many residents is too many for one nurse?

    IowaKaren replied to arabstarRN's topic in Geriatric, LTC

    I can only hope that one day staffing will be better, hopefully in my lifetime:o. Hopefully before I am one of those

  15. Best one sentence handoff report

    IowaKaren replied to emtb2rn's topic in Emergency

    "All I can say is they all lived through the night."

  16. What is "Assisted" about Assisted Living

    IowaKaren replied to lovinme43's topic in Geriatric, LTC

    I hear

  17. Flu Shot Reaction, anyone??

    IowaKaren replied to 2bTraumaRN2008's topic in Disaster Preparation

    No problems here

  18. Patients' "home remedies"? What have you seen

    IowaKaren replied to flyingchange's topic in General Nursing

    During my anatomy and physiology class, the instructor mentioned that earwax did work as a healing agent, just sounded

  19. O hai hospice!

    IowaKaren replied to SuesquatchRN's topic in Hospice, Palliative

    Good for you Sue! I aspire to be a Hospice Nurse

  20. Morphine and Hospice Patients that are dying

    IowaKaren replied to suzi0612's topic in Hospice, Palliative

    Most the time we took it out of the E-Narc Kit

  21. Morphine and Hospice Patients that are dying

    IowaKaren replied to suzi0612's topic in Hospice, Palliative

    Hmmm, it seems where I worked, they would start the Morphine Sulfate at 2.5mg (20mg/ml) and that was such a tough dose to even measure and give, much less count out between shifts (narc count for NH)....

  22. Ten Ways To Know You're Burning Out

    IowaKaren replied to VivaLasViejas's topic in Health, Stress Management

    Marla, you always tell the right story at the right time for me. I've done the same, gave 3 weeks notice and left. Finding it very hard to find a job but keep praying/thinking that the right one...

  23. Hourly rounding logs

    IowaKaren replied to afteralltheseyears's topic in Geriatric, LTC

    Or, 1 nurse and two CNA's for 60 residents on the noc

  24. Thanks for applying, but......

    IowaKaren replied to fallinnstyle's topic in General Nursing

    How about this. I applied for a Home Health job through a hospital website since I was told that was the way they took applications in that system. Anyway, a couple months later learned that the...

  25. frequent fires

    IowaKaren replied to nola1202's topic in General Nursing

    So sad LTC has come to