IowaKaren

IowaKaren

Assisted Living nursing, LTC/SNF nursing

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All Content by IowaKaren

  1. Stupid mistake that I can't fix

    IowaKaren replied to SneakySnake's topic in General Nursing

    Not a big deal, maybe something your IT person can try to figure out how to put on a spell

  2. Medpass at mealtime a dignity issue?

    IowaKaren replied to GLORIAmunchkin72's topic in Geriatric, LTC

    Oh yes, I know what you mean as far as communication breakdown but TPTB said it will work and by golly, you'd better make it work. They want us to all communicate but they also want to know any...

  3. Medpass at mealtime a dignity issue?

    IowaKaren replied to GLORIAmunchkin72's topic in Geriatric, LTC

    We made a 'culture change' of using AM, Noon, Afternoon, Bedtime, and Midnight (or night time) med passes which did help immensely with the med pass. Times are: Am = 6 AM - 10:59 AM ; Noon = 11 AM -...

  4. While you're at it...can you clean my poop too?

    IowaKaren replied to Miller86's topic in General Nursing

    Yes, this is what I have experienced and do not work for that company anymore. I decided I didn't want to be fired for asking that someone try to be more independent or tried reasoning with them and...

  5. While you're at it...can you clean my poop too?

    IowaKaren replied to Miller86's topic in General Nursing

    With all this 'customer service' attitude these days at places, it's getting to be more the norm of if you don't do it for them, you will be reprimanded for not helping with every need (or non-need)...

  6. So Sick of Pushy Patients and Verbal Abuse

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

    I know how you feel. It's in all aspects of nursing, not just the hospital. And heaven forbid you try to educate about health issues and compliance. If they don't want to hear it, your written up...

  7. Why Don't Companies Care About Their Patients/Residents??

    IowaKaren replied to westieluv's topic in Geriatric, LTC

    But if a resident or family member complains (outlandish complaints, can be a total lies), we sure hear about it and get written up before getting to explain what really happened, all in showing...

  8. Do nurses get fired often?

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

    Well said

  9. Collecting urine sample

    IowaKaren replied to NextSummer's topic in Geriatric, LTC

    At one time it used to be left for noc shift, then they finally started to try and get the UA on the shift the order was gotten and someone would run it over to the lab if it wasn't a lab day. Repeat...

  10. Patients families dictating care and treatment

    IowaKaren replied to MomRN0913's topic in General Nursing

    Yes, we run across this type of dynamics also with family members and the same kind of situations happen in non-profit facilities also (full pay gets there way, almost a motto). Well, that's...

  11. WHY!!!!

    IowaKaren replied to 0hnoes85's topic in General Nursing

    I understand your feelings. I too am feeling the life sucked out me and LTC was my job of choice when becoming an RN although I am a staff RN on skilled unit. I don't want a management position,...

  12. Unions anyone?

    IowaKaren replied to Vonique's topic in Geriatric, LTC

    I wish my Supervisor and DON would stand behind the nurses more. Your danged if you do and danged if you don't when it comes to residents and family complaints. They always have the "you should have...

  13. Pass meds & chart!!! Well, when i get a chance i will!!!

    IowaKaren replied to knowledgeseeker4's topic in Geriatric, LTC

    Oh, and it's only going to get worse and worse with the economy and medicare/medicaid reimbursements. Do more and more with less and less I'm afraid. Supervisors are forever adding to the list of...

  14. How often do you take a vacation?

    IowaKaren replied to PAERRN20's topic in General Nursing

    The PTO hours keep stacking up but if there is no one to work for you when you want time off, you don't get it off. I feel it's not right and really not my problem but guess it's no-ones problem from...

  15. do you care about your patients?

    IowaKaren replied to Rhee's topic in General Nursing

    Caring is one thing, codependent caring is

  16. Alzheimer's unit at assisted living facility

    IowaKaren replied to lauraashley's topic in Geriatric, LTC

    Wow, that would be wonderful for a closed unit so as an assisted living, 1:5 is unheard of in my

  17. Dirty little secrets to managing LTC

    IowaKaren replied to Kashia's topic in Geriatric, LTC

    With the culture change, we've changed how we give daily, BID, TID, QID med's. With the Dr.'s approval we can set daily as morning, noon, afternoon, bedtime, noc depending on the resident. Morning =...

  18. Television Ads for Medicine

    IowaKaren replied to Penelope_Pitstop's topic in General Nursing

    You know, I've been thinking about those dern commercials also, seems like some should be illegal. And some don't even tell you what the drug is for, just go ask your Dr. about it. And don't get me...

  19. One entree per person,please

    IowaKaren replied to jmtndl's topic in General Nursing

    Nothing at my place of employment either, not even a mention of nurses

  20. Dirty little secrets to managing LTC

    IowaKaren replied to Kashia's topic in Geriatric, LTC

    What I see where I work is the CMA replaces the nurse and then another nurse that has all her med's, tx's, charting, Dr.'s orders, etc etc just gets to pick up the CMA's work that they cannot preform...

  21. Family member complaint. Sorry, long post.

    IowaKaren replied to KarmaComesAround's topic in General Nursing

    Yes, we all seem to get families like this where ever you work. Hopefully your DON is strong and supports her

  22. CNA Week

    IowaKaren replied to florianslove's topic in Geriatric, LTC

    Same thing as the nurses got, generic card we signed and a do da packet (poem with a peppermint, a penny, and teabag). Wasn't a memorable one this year.

  23. Calling all Nurses

    IowaKaren replied to palo143's topic in General Nursing

    This are the questions: 1. what field do you currently work in? SNF/LTC 2. did you think that nursing school was difficult, yes or no? yes 3. how many fields have you worked in since you began your...

  24. RNs caught lying

    IowaKaren replied to inland18mempire's topic in General Nursing

    All I can say is, "oh my."

  25. Is Health Care Rationing Needed in the USA?

    IowaKaren replied to Neveranurseagain's topic in General Nursing

    I sometimes wonder 'bout this also. Problem is, who decides when it's enough? Would probably be a very slippery