txredheadnurse BSN, RN

Correctional, QA, Geriatrics

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All Content by txredheadnurse

  1. txredheadnurse

    Patient requests

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

    The mother of the DD patient who requested the group home staff and I do a Brazilian on her daughter! Her rationale? No woman could possibly feel their prettiest if they were "unkempt" down there....
  2. txredheadnurse

    LPN rules/regulations for Dining in Assisted Living setting

    txredheadnurse replied to AnasLvX3's topic in Geriatric, LTC

    Check the regulations concerning the need for a nurse in the dining room. You should be able to find them on the website for the regulatory/licensing agency for your state. I would also check to see...
  3. txredheadnurse

    Let go after three days? Seriously?!?!

    txredheadnurse replied to LTCNS's topic in Geriatric, LTC

    Please make sure that you get a firm commitment from the DON regarding training at the facility with the PRN position. It has been my experience that it is not uncommon for the orientation for PRN...
  4. txredheadnurse

    Need help with Ethical/Boundries Issue

    txredheadnurse replied to maryen's topic in LPN, LVN Corner

    I'm going to echo what the other posters have said: time to get a new case or an entirely new job and move on. Report this to your agency. To not do so could possibly leave you responsible to some...
  5. txredheadnurse

    What's the best way to supervise the CNA's?

    txredheadnurse replied to Blackcat99's topic in LTC: Directors, Assistant

    Make sure to include them on a daily basis about changes in care requirements, changes in medical conditions and in turn, seek their input about problem solving. The aides know the residents better...
  6. txredheadnurse

    Do Not Work Off The Clock, Nurses!

    txredheadnurse replied to TheCommuter's topic in Nursing Professionalism

    Also you will never be recognized or appreciated for staying over "off the clock" to finish your work. If anything management may view you as weak and easily manipulated into complying with...
  7. txredheadnurse

    Neb treatments

    txredheadnurse replied to makes needs known's topic in Geriatric, LTC

    One of the reasons for getting an order to permit cocktailing all crushable meds is to ensure that nothing that is incompatible when mixed together is given simulataneously. In addition even with...
  8. txredheadnurse

    Neb treatments

    txredheadnurse replied to makes needs known's topic in Geriatric, LTC

    Technically you are required to monitor the resident during the entire time of the neb administration. However as others have mentioned there is a viable work around which is to use a standardized...
  9. txredheadnurse

    Fainting... so dramatic

    txredheadnurse replied to Double-Helix's topic in General Nursing

    Fainted a total of 4 times in my life and all but one was semi dramatic. The first time was 11th grade and I had absolutely horrible menstrual cramps. My mother had tried to get me to stay home but...
  10. txredheadnurse

    Given another patient's medication to satisfy MAR.What do you do? Orientee

    txredheadnurse replied to rn_nxt_dr's topic in LTC: Directors, Assistant

    This is probably going to be a very unpopular response but if the "system" brokedown that badly that a medication wasn't available for two weeks why did the nurse mentioned above continue to shoulder...
  11. txredheadnurse

    Punching out within 6 minutes of shift end, anyone??

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

    I work an HHC/Manor Care facility years ago that 1 time clock for the entire two store building and the expectations that approximately 30 people could all clock in and out within a total 6 minute...
  12. txredheadnurse

    This is EXACTLY why I don't like taking Verbal orders

    txredheadnurse replied to OnlybyHisgraceRN's topic in Patient Safety Issues

    Most facilities have a policy against taking verbal orders. If that is the case where you work the only quick comeback you need is that taking a verbal order is against policy. If the doc refuses to...
  13. txredheadnurse

    Keppra

    txredheadnurse replied to emilysmom,RN's topic in Home Health

    Yes the MD does need to know about seizure activity; especially after a medication change. How is else is he supposed to know if further adjustments need to be made? One day without seizures doesn't...
  14. txredheadnurse

    Borrowing medication from different patients

    txredheadnurse replied to Isitpossible's topic in LTC: Directors, Assistant

    First thing off the bat: it is NOT "legal" to borrow meds....especially controlled drugs. Let me describe it this way. Say you ran out of your hypertension med would you go to your neighbors' house...
  15. txredheadnurse

    Did I do the wrong thing by holding my residents coumadin dose?

    txredheadnurse replied to NewGrad828's topic in Patient Medications

    How was the order written? Does it specify to hold the coumadin after lab is done until the doctor notifies you to continue it? In patients with a history of long term use of coumadin it is not...
  16. txredheadnurse

    What are the laws at group homes?

    txredheadnurse replied to Blackcat99's topic in General Nursing

    The quick answer is that the rules and regs about whether or not a group home requires awake staff 24/7 vary state to state. The method for determing whether or not there needs to be awake staff 24...
  17. txredheadnurse

    Are slumps in home health normal?

    txredheadnurse replied to KatholikosRN's topic in Home Health

    One caveat about the receiving unemployment when work hours are reduced from full to part time. In Texas if you work for a non profit you are not eligble for unemployment compensation since non...
  18. txredheadnurse

    LPN ADMINISTRATOR

    txredheadnurse replied to lissarayye5's topic in Geriatric, LTC

    In my state at least most LTC administrator students do an internship prior to graduation. That is a great time to network and make yourself known to other facilities within the corporation of your...
  19. txredheadnurse

    Why do mean/crabby people become nurses??

    txredheadnurse replied to R!XTER's topic in Patient, Colleague Relations

    The next time you need to leave something from your shift for her to complete and she gets all irate simply laugh and tell her how funny she is. Then tell her good bye and leave. She will be so...
  20. txredheadnurse

    Med Pass

    txredheadnurse replied to CapeCodMermaid's topic in LTC: Directors, Assistant

    The only places I have seen the med paks used is in Assisted Living and community based group homes where there are unlicensed people giving meds. The idea behind using them in those settings is to...
  21. txredheadnurse

    How can I gracefully and tactfully say No?

    txredheadnurse replied to pongtipRN's topic in LPN to RN

    Another valuable point to consider is that life will always hand a person some type of problem or crisis that has the potential to make things complicated. What better time to learn how to handle...
  22. txredheadnurse

    Would you like some cheese with that whine.

    txredheadnurse replied to CapeCodMermaid's topic in LTC: Directors, Assistant

    My first LTC job after I separated from service was on 11-7 at a 120 bed facility divided into 3 wings with a total of 5 aides for the whole building....and me. This was back in the days of bulk...
  23. txredheadnurse

    Driving a patient in your own car.

    txredheadnurse replied to ionatan's topic in Home Health

    This topic was discussed before in the private duty forum. What you have been told about having to get a commercial policy is correct and good luck in actually getting the employers insurance to pay...
  24. txredheadnurse

    Court subpoena

    txredheadnurse replied to Simply Complicated's topic in General Nursing

    I have also been to court to testify about evidence I collected for various criminal cases. The above mentioned advice is very sound. Volunteer nothing, take your time to answer, be sure to...
  25. txredheadnurse

    How would you change Healthcare Delivery?

    txredheadnurse replied to BostonTerrierLover's topic in General Nursing

    I want to chime in on the wonderful concept of accessing the whole array of health care information but I would amend that to accessibility only being allowed to actual health care providers; not...