txredheadnurse BSN, RN

Correctional, QA, Geriatrics

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txredheadnurse has 39 years experience as a BSN, RN and specializes in Correctional, QA, Geriatrics.

obviously I'm from Texas and a redhead

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  1. txredheadnurse

    How would you transcribe this order?

    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 not been discontinued then it also needs to be follo...
  2. txredheadnurse

    What does "On Call" mean to you?

    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. It was brutal and I fell asleep in the car on my ...
  3. txredheadnurse

    Dying with Dignity? Can't Everyone Die with Dignity?

    I, too, believe that the definition of a death with dignity is determined by the patient. The person that inspired this article wasn't afraid of unbearable pain or being alone. She was experiencing uncontrollable seizures, had lost most of her abil...
  4. txredheadnurse

    I've been a nurse since.....(fill in the blank)

    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 with a flared pointed collar. And when the pantsuit...
  5. txredheadnurse

    "Right" way to pulls meds from cards?

    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 more loose pills in the carts where staff popped fr...
  6. txredheadnurse

    It's Already Gone On Long Enough

    Whenever I read a posting like this one I am eternally grateful that I was an only child and didn't have to contend with siblings who wanted to not follow my parents wishes or were convinced that there would be some kind of miracle recovery. My par...
  7. txredheadnurse

    Heat and LTC facilities

    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 SNFs I would be literally soaking wet after an hou...
  8. txredheadnurse

    Open up....Spoonfed report

    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 slow poke will change her style.
  9. txredheadnurse

    Legend / Non-legend Drugs

    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 the orders are reconciled on a monthly basis. Start...
  10. txredheadnurse

    Legend / Non-legend Drugs

    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 (with and without vitamin D), or multivitamins or G...
  11. 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 good guestimate as to the number of daily doses u...
  12. txredheadnurse

    I Hope No One Hires You

    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 nearly 40 year career left without notice. Both s...
  13. txredheadnurse

    PA-RN looking to relocate to Austin

    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 apartments close to the hospitals tend to be on th...
  14. txredheadnurse

    how to deal with an evil boss...

    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 there with my mouth hanging open shocked. The nur...
  15. txredheadnurse

    What is the job market like in the Austin area?

    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 really behooves anyone with less than 4-5 years o...