txredheadnurse replied to katfish67lpn's topic in Geriatric, LTC
Treatment, nutritional supplement or medication any change in dosage or frequency should always discontinue the old order. This gets rid of the confusion because, technically, if the old order has...
txredheadnurse replied to NurseQT's topic in Geriatric, LTC
I was a manager in a LTC for about two years. I and the other nurse manager alternated call every other week. We usually worked our normal 50+ hour week and two sometimes 3 additional shifts a week....
This November marks my 40th year in nursing. Two thirds of my life. I remember being so thrilled when we were allowed to no longer wear uniform dresses but pantsuits.....yes double knit pantsuits...
txredheadnurse replied to Pat_Pat RN's topic in Geriatric, LTC
The problem with your method is in the popping pills from the blister packs while the packs remain in the drawers. Having audited literally hundreds of med carts for years as part of my job I found...
txredheadnurse replied to motherof3sons's topic in Geriatric, LTC
I am a "fluffy" person so I already feel the heat plus I must wear pressure hose year round, I am in Texas and I take Synthroid so my heat tolerance is already impaired. So when I was doing audits in...
If I was the manager I would be inclined to say that both the off going and the oncoming shifts would receive write ups for going beyond the allowed report time frame. Maybe a few write ups for miss...
I meant to include this also. After a master ordering list is obtained then someone will need to amend the non legend drugs for each resident to reduce quantity etc. I suggest doing this whenever...
To expand on what a PP stated reduce the overall variety of non legend drugs stocked in each facility. By that I mean is it really necessary to have so many different strengths and types of calcium...
txredheadnurse replied to Nola009's topic in Geriatric, LTC
This happens when nurses refuse to look past their shift, their list of tasks and take a few minutes to think ahead. When I was doing consulting one of the things I preached and preached was making a...
txredheadnurse replied to CapeCodMermaid's topic in Geriatric, LTC
I want to preface this posting by saying thatI respect CCM & I understand her frustration with the abrupt leaving of her nurse without notice or a face to face. However I myself have twice in my...
txredheadnurse replied to ninjanurse5k's topic in Texas Nursing
There are other threads on here in the Texas forum giving basically the same info as previous posters have stated above. Hopefully you will be able to stay with your family while job hunting because...
I once saw a nurse manager pick up a PDR and throw it at a fellow nurse who was "sitting in my chair". She literally knocked the nurse off the chair, calmly walked over and sat down. I was standing...
txredheadnurse replied to NYtoFLRN's topic in Texas Nursing
I echo the previous poster. Native Austinite here. We have both a community college and a BSN program here so there are 3 graduating classes every year hitting the hot streets looking for a job. It...
I always used awake and reactive to their environment. IMO for the non verbal or lower functional clients this is a more accurate reflection of how they do interact and how the direct care staff...
I have been in a few different management positions in my 30+ years. I find I tend to fall back on the management lessons I was taught in the Army way back in the day. I mention that because the...