Donnagg123

Donnagg123

Member

  • Content

    26

  • Visitors

    2,202

  • Followers

    0

  • Likes

    0

All Content by Donnagg123

  1. Legally how many doses can a nurse hold?

    Donnagg123 posted a topic in Patient Medications

    In a discussion today it was brought up about holding meds. A nurse said legally you can hold 3 doses without notifying MD. I thought you have to let MD know asap if you are going to hold meds?...

  2. Frustrated With New Narcotic Rules

    Donnagg123 posted a topic in Geriatric, LTC

    I just need to vent. I am very frustrated with the new narcotic rules. The rule is now even Norco's we have to have a valid script and a code before getting into the E-box. Some may say well that is...

  3. Curious

    Donnagg123 replied to Cart8289's topic in Patient Medications

    We give IV vanco PO. The pharmacists swear it is cheaper to reconstitute and give PO than to give the PO

  4. probably a very basic med question.....

    Donnagg123 replied to onthemark's topic in Patient Medications

    see if you can change to a crushable form of something similar. My pharmacy usually recommends

  5. Family says resident in pain when resident says no

    Donnagg123 posted a topic in Geriatric, LTC

    I know the answer but want opinions. What to do when a patient family is insistent that the person is in pain, yet the patient consistently denies pain and no symptoms of pain when family says...

  6. Patient with Dementia's Right to Refusal

    Donnagg123 replied to oblivionenigma's topic in Patient Safety Issues

    What about a patient that has dementia and management is saying this person "has to" get up for day on night shift as therapy supposedly does this resident 1st when it is very obvious the person does...

  7. Legally how many doses can a nurse hold?

    Donnagg123 replied to Donnagg123's topic in Patient Medications

    Thank you for that. :) She implied it was a law and she said "legally" and I was like ??? I did not think it

  8. Legally how many doses can a nurse hold?

    Donnagg123 replied to Donnagg123's topic in Patient Medications

    I did not mean to imply that you would never use nursing judgement to decide when to hold or not. I was just curious where she came up with the "3 dose" rule. If that was just a standard or some law I...

  9. Legally how many doses can a nurse hold?

    Donnagg123 replied to Donnagg123's topic in Patient Medications

    Even with parameters you can only hold so many days / doses then you have to notify md

  10. snf duties at night?

    Donnagg123 replied to northmississippi's topic in Geriatric, LTC

    Besides passing midnocs meds (frequently) and 5-6 am meds lots of nebs sometimes accuchecks in the AM if they get no coverage. In the meantime finishing up everything 2nd did not get done in regards...

  11. Want to hear your pet peeves in LTC nursing

    Donnagg123 replied to mondkmondk's topic in Geriatric, LTC

    I know this is old, but ...do you work where i work?? It sounds awfully familiar...

  12. Frustrated With New Narcotic Rules

    Donnagg123 replied to Donnagg123's topic in Geriatric, LTC

    Never assume things because it does not work that way where i work. For CII they have to have a copy or the original valid script or you are not allowed to get into the EDK. It is illegal. period....

  13. Frustrated With New Narcotic Rules

    Donnagg123 replied to Donnagg123's topic in Geriatric, LTC

    you are correct! so you don't know they do not have the script till too late. OR if someone has increased pain at noc (even for established residents) if you do not have a script you still cannot get...

  14. When entering orders, please remember....

    Donnagg123 replied to RNBearColumbus's topic in Geriatric, LTC

    how about "shortness of breathe" ..... it is shortness of

  15. No fleets! The sky is falling!

    Donnagg123 replied to garciadiego's topic in Geriatric, LTC

    How many people are you guys responsible to give the lax to and how many do you usually leave for her? Depending on how many I would say that she probably feels like you are doing it on purpose at...

  16. Drowning in LTC

    Donnagg123 replied to lakencassady's topic in Geriatric, LTC

    sorry to say this is sooo not true. I work 3rd and we do all of the above and then some. I have learned more on 3rd because there is a lot less staff to help so you are forced to learn it

  17. What to do with CNAs that sleep during the night shift?

    Donnagg123 replied to Plagueis's topic in Geriatric, LTC

    Here Here! I work noc's and it seems like if I get 15 minutes to sit and do nothing I would consider myself lucky (same for the

  18. Extra Nurse Duties

    Donnagg123 replied to ctm985's topic in Geriatric, LTC

    You are very lucky! I work 3rd and we get 2 nurses for 3 carts, and also have to do census, sending meds back to pharmacy, processing orders, ALL the cleaning, not including a laundy list of meds and...

  19. What are CNA's allowed to know? (HIPAA question)

    Donnagg123 posted a topic in HIPAA Challenges

    Okay, I am curious if I am right or are other co-workers right. Are CNA's allowed to look in charts? I question this for two situations - one was a CNA who went to look in her grandmothers chart for...

  20. What are CNA's allowed to know? (HIPAA question)

    Donnagg123 replied to Donnagg123's topic in HIPAA Challenges

    Okay, first I think I need to clarify. I was not trying to make sweeping judgments on the CNA profession as a whole I was just talking about where I work. I am sorry if I offended some but it was not...

  21. What are CNA's allowed to know? (HIPAA question)

    Donnagg123 replied to Donnagg123's topic in HIPAA Challenges

    Oh no! I would never say it hateful or mean or berade a CNA. If I had to discuss this it would be in private quietly. But the CNA's I work with just pick up charts and start looking in them without...

  22. dnr in geriatrics

    Donnagg123 replied to ulmaulma's topic in Geriatric, LTC

    I can see both sides of the issue. I have seen people end stage brain cancer and the family still refuse him to be a DNR. Another example was a woman who before her stroke was lively and would look at...

  23. Common meds in LTC?

    Donnagg123 replied to RNfromMN's topic in Geriatric, LTC

    as I work 3rd - we see a lot of thyroid mediciine / stomach medicine - IE levothyroxine/synthroid, Prilosec/omeprazole, protonix, Reglan/metaclopramide, etc. Also we usually give the osteo pills:...

  24. Family Conflicts

    Donnagg123 replied to happyhelpert's topic in General Nursing

    I personally have not had to deal with it too much as I work third shift but I have a few examples for you. There was one family member who said well we don't want so and so to see dad (when the so...

  25. Should I stick with LTC?

    Donnagg123 replied to TruDivaRN's topic in Geriatric, LTC

    I agree with everyone else. Do what your heart says. I am an RN who works LTC and the whole timein nursing school I hated every other area of nursing but geriatrics. You get to know every detail about...