txredheadnurse BSN, RN

Correctional, QA, Geriatrics

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All Content by txredheadnurse

  1. txredheadnurse

    My Poor Legs!

    txredheadnurse replied to nynursey_'s topic in Scrubs, Uniforms, Gear

    Properly sized pressure hose are your friends. Buy at least two pair so you can allow adequate time for them to air dry after handwashing them. Wear them even when off duty because the varicose...
  2. txredheadnurse

    documentation in a group home

    txredheadnurse replied to RN 1975's topic in Home Health

    It sounds to me like your former student actually needs an overall tracking form in which he/she can list frequency of labs, appointments, quarterly reviews etc. For the actual charting of findings...
  3. txredheadnurse

    regarding waivers and nursing

    txredheadnurse replied to lynneat's topic in Home Health

    Check the website for the state agency monitoring the waiver program for your client. The website should have the guidelines available to download and print out if necessary. Since each state...
  4. txredheadnurse

    "For Profit" vs. "Non Profit" employers?

    txredheadnurse replied to Nola009's topic in Collective Bargaining, Union

    I would say you also need to consider the type of facility or healthcare type when deciding whether to go with a non profit vs for profit. My experience in the Medicaid waiver community based...
  5. txredheadnurse

    Being too hard on yourself

    txredheadnurse replied to walkingthecow's topic in General Nursing

    It takes time, a lot of time, to trust your co workers fully, to know they can pull their share consistently. Nonetheless checking in with each other and serving as a back up checklist is necessary to...
  6. txredheadnurse

    Had to report my supervisor today

    txredheadnurse posted a topic in Patient, Colleague Relations

    Due to some truly outrageous actions on the supervisors part I felt obligated to resign and to report the supervisor to the BON. This is the second time in my 39 years I have felt obligated to...
  7. txredheadnurse

    I feel bad....should I have caught this?

    txredheadnurse replied to JJsMama79's topic in Home Health

    You wrote the doc had seen the patient on 1/10/14 and didn't reorder the coumadin. Since the doc seems to have been fine with using aspirin post op the responsibility rests with him/her about drug...
  8. txredheadnurse

    Can you take a patient's medication without their consent?

    txredheadnurse replied to balmybalmblam's topic in Patient Safety Issues

    You could also make a contract with the patient that he call you before he takes a dose of his Tylenol #3. I am NOT advocating you tell him not to take it but, rather, to help the two of you open the...
  9. txredheadnurse

    LTC med pass from PYXIS?

    txredheadnurse replied to BrandonLPN's topic in Geriatric, LTC

    Honestly it sounds absolutely insane given the average number of meds per resident, the number of residents to give meds to, the frequency of med admin times and the traffic jam as 2. 3 or more nurses...
  10. txredheadnurse

    staff/supervisor undermining me

    txredheadnurse replied to nettypo's topic in Developmental Disabilities

    I have more than a decade in DD nursing in a variety of settings for all of the different waiver programs in Texas. One thing in common among of them is the division between programmatic (social work...
  11. txredheadnurse

    Quitting my job

    txredheadnurse replied to studentnurse9806's topic in Job Search, Interview, Resume

    I know right now it seems like one big ball of confusion OP but try looking at this situation from a different perspective. The differences between the providers and the offices is good training for...
  12. txredheadnurse

    Hanging It Up

    txredheadnurse replied to VivaLasViejas's topic in Retired Nurses

    You know I have been Team Marla from the get-go. I must confess that every time I encourage you I am encouraging myself at the same time. After 39 years and more health issues than there is time to...
  13. txredheadnurse

    Had to report my supervisor today

    txredheadnurse replied to txredheadnurse's topic in Patient, Colleague Relations

    Latest update: I accepted the position with the on call conditions. I am still looking, still leaving my options open. Yes I will give my best efforts to the new job but I will not stop seeking a...
  14. txredheadnurse

    Had to report my supervisor today

    txredheadnurse replied to txredheadnurse's topic in Patient, Colleague Relations

    I had the first of two different interviews this week. It went well. I don't mean this to sound pompous but I thought it would since it was for a position in a field that I have a ton of experience...
  15. txredheadnurse

    Had to report my supervisor today

    txredheadnurse replied to txredheadnurse's topic in Patient, Colleague Relations

    Thanks to all of you for the support and good wishes. I have two interviews scheduled for next week and am going to contact an agency I have worked with in the past to see if there are any short term...
  16. txredheadnurse

    Unjustly fired for requesting proper staffing?

    txredheadnurse replied to zyft01's topic in Patient Safety Issues

    If you have professional liability insurance call them and ask for guidance. Even if you do have insurance you might want to consider speaking to an attorney familiar with nursing standards in your...
  17. txredheadnurse

    I blew it......

    txredheadnurse replied to VivaLasViejas's topic in Nurses Recovery

    First thing given all that has been heaped upon you over the last 2 years something was bound to break or, at least, get severly bent. Your sobriety was the something. Now comes the hardest part of...
  18. txredheadnurse

    Need Advice... Nurse stealing non-narcotic medication

    txredheadnurse replied to JSSCELI's topic in General Nursing

    In my state a nurse can be charged with diversion/theft of a prescribed drug for any legend drug not just controlled substances. I personally saw 1 nurse and 1 medication aide charged with possession...
  19. txredheadnurse

    Theft of Fentanyl Patches

    txredheadnurse replied to meded101's topic in Geriatric, LTC

    New regs require documentation of the wastage of the removed patches in addition to signing them out when applying them. The idea behind this is to discourage the diversion of said patches. Several...
  20. txredheadnurse

    How to earn the CNA's respect

    txredheadnurse replied to Ginnym1981's topic in Geriatric, LTC

    Turn to your administrator for guidance. That is part of their role. If the adminstrator doesn't know how to answer a question or discuss a concern with a state surveyor call in the...
  21. txredheadnurse

    Is 1 nurse to 500 patients acceptable?

    txredheadnurse replied to corrections_nurse's topic in Correctional

    Try 1 nurse to 2500 inmates. They were not patients unless they were in our infirmary. It is not an inpatient acute care setting nor is it a LTC setting with patients requiring continuous nursing...
  22. txredheadnurse

    Austin Area CNA's: Need Current Salary Information

    txredheadnurse replied to APatrickDietz's topic in Texas Nursing

    Native Austinite here. Although I am a LVN my work takes me to LTC facilities constantly. The average pay rate for CNAs is $8-10/hour in LTC and only a bit higher in the hospitals. IF you take the...
  23. txredheadnurse

    accu checks in ltc

    txredheadnurse replied to cincin1222's topic in Geriatric, LTC

    Long acting insulin only causes incremental changes in blood glucose levels. It doesn't cause a large drop in the same fashion as short acting or even intermediate acting insulins. The purpose of...
  24. txredheadnurse

    HELP! LTC RN VS LPN!

    txredheadnurse replied to ricksy's topic in Geriatric, LTC

    Regardless of the point of origin for the new admission (from home, another LTC or the hospital) it is the responsibility of the admitting physician to review the orders prior to agreeing to the...
  25. txredheadnurse

    Ativan use for Geriatrics

    txredheadnurse replied to jamd11's topic in Geriatric, LTC

    Although the reason is not clinical I do know that many of the Medicare Part D plans now require prior auths for benzos. Maybe the doc doesn't want the hassle of dealing with the prior auth process....