txredheadnurse BSN, RN

Correctional, QA, Geriatrics

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All Content by txredheadnurse

  1. txredheadnurse

    School/residentail care of DD children

    txredheadnurse replied to wyowyome's topic in Developmental Disabilities

    i would also suggest adding a picture of each child and placing it on both the mar and the dispensing box. this serves as an additional identifier. imo a picture of the med is not as useful as...
  2. txredheadnurse

    School/residentail care of DD children

    txredheadnurse replied to wyowyome's topic in Developmental Disabilities

    Sounds as if you are making good strides to getting things done in a logical fashion. However the controlled substances by DEA guidelines have to be under double locks. That is if the med cart is...
  3. txredheadnurse

    School/residentail care of DD children

    txredheadnurse replied to wyowyome's topic in Developmental Disabilities

    I have a few questions. How do the UAP document the meds they give? How do you do your double locking of controlled substances in the cart you described in your posting and how are the controlled...
  4. txredheadnurse

    Home care of DD children-Need advice

    txredheadnurse replied to Blackcat99's topic in Developmental Disabilities

    I work DD case management nursing for clients in group homes. I am going to assume for this posting that any non DD medical issues have a plan of care already in place justifying 1 to 1 nursing and...
  5. txredheadnurse

    do u need a physician order for a therepeutic hold?

    txredheadnurse replied to smartnurse1982's topic in General Nursing

    I'm sorry you got fired but it sounds as if you are much better off out of there. No job is worth losing your license over or living with the fact you know things are not being done legally or in the...
  6. txredheadnurse

    do u need a physician order for a therepeutic hold?

    txredheadnurse replied to smartnurse1982's topic in General Nursing

    if this group home/facility is regulated by the State then you need to check the guidelines and regulations regarding restraints which includes "therapeutic holds". In my state there must be a...
  7. txredheadnurse

    Doubting my decision... I hope I am doing the right thing!

    txredheadnurse replied to TigerGalLE's topic in General Nursing

    Change, even change sought out, is innately stressful. Regardless of the long term outcome you will get something positive out changing units. remind yourself if the manager felt you lacked the...
  8. txredheadnurse

    Sex offenders

    txredheadnurse replied to CapeCodMermaid's topic in Geriatric, LTC

    The OP was not referring to an acute care hospital but rather a long term care residential facility. The ratio of staff to patients is considerably higher than in a hospital and the opportunities for...
  9. txredheadnurse

    Army Nurse?

    txredheadnurse replied to J4865's topic in LPN, LVN Corner

    Unless the Army has fundamentally changed its approach to things (which I doubt) everyone starts out at the bottom regardless of whether enlisted or an officer. Second lieut. pay isn't exactly rosy...
  10. txredheadnurse

    Army Nurse?

    txredheadnurse replied to J4865's topic in LPN, LVN Corner

    No a LPN is NOT a medic in the Army. They are enlisted not officers but are definitely utilized in a nursing role and have a much broader scope of duties than a medic does. You will need to attend...
  11. txredheadnurse

    LVN(91c grad)applying to challenge NCLEX RN

    txredheadnurse replied to dazy777's topic in LPN, LVN Corner

    I agree it doesn't qualify us to challenge the NCLEX RN but it did give me a ton of useful work and general purpose skills. Actually I was at William Beaumont Army Medical Center which was at the top...
  12. txredheadnurse

    Defiant and Insubordinate

    txredheadnurse replied to SuesquatchRN's topic in Geriatric, LTC

    Your "sin"? You are holding them accountable. It seems from what you have written that there has a pattern of pass the buck, I'm not going to fix someone's else mistake, it's not my job, etc. You...
  13. txredheadnurse

    Considering Austin

    txredheadnurse replied to pugluvr310's topic in Texas Nursing

    Native born Austinite here. The COL has been higher in the Austin area since the late 1960s. Part of that is the competition for affordable rental housing caused by having a very large university in...
  14. txredheadnurse

    LVN(91c grad)applying to challenge NCLEX RN

    txredheadnurse replied to dazy777's topic in LPN, LVN Corner

    The 91C20T (to give it the full descriptor) is how I received my training back in the 70s. I sat the LPN boards in New Mexico (our school was in El Paso so it was closer to go there than Austin TX)...
  15. txredheadnurse

    First Bump on a Bumpy Road

    txredheadnurse replied to NickB's topic in Ob/Gyn

    How absurd. The first midwife I ever worked with was a male nurse midwife. This was back in the 1970s. His patients loved him. He was a father to three, had been a RN for about 10 years when he...
  16. txredheadnurse

    ALFIE QUESTION

    txredheadnurse replied to GretaRN's topic in Geriatric, LTC

    Most of the time surveyors want it written as 40mg tab take 1 and 1/2 tab (total dosage 60mg) so most pharmacies serving long term care facilities will write the MAR that way. Also by writing it that...
  17. txredheadnurse

    On call pay?

    txredheadnurse replied to Finallydidit's topic in Geriatric, LTC

    We are on call round the clock for our homes from 8AM Mon until 5PM and we rotate call on the weekends and holidays. We get paid our normal hourly rate when on call. However we only get paid for the...
  18. txredheadnurse

    New to Home Health...feel like an idiot

    txredheadnurse replied to KatieNoelLPN's topic in Home Health

    Does your company have any policy and procedures manuals? If they do then the dressing steps, how to do a wound vac etc. could all be listed in one of the procedures manuals. If they don't have...
  19. txredheadnurse

    nursing Is So...

    txredheadnurse replied to CaLLaCoDe's topic in General Nursing

    ....underappreciated!
  20. txredheadnurse

    can lvns draw blood in texas????

    txredheadnurse replied to breezy2gorgeous's topic in Texas Nursing

    The Commuter is right but I can add that every place I have ever worked in Texas in over 35 years of being a LVN I have been permitted to draw blood. When in doubt about the scope of practice go...
  21. txredheadnurse

    Are nurses behind in their knowledge?

    txredheadnurse replied to guest64485's topic in General Nursing

    Here's a radical idea....how about the patient makes themselves informed about their conditions and medications so they can monitor what types of tests, intervals of check ups etc. they need. Blind...
  22. txredheadnurse

    Can someone explain OASIS to me? Simply what does it mean?

    txredheadnurse replied to DutchgirlRN's topic in Home Health

    Anyone who does not accept Medicare or Medicaid payment for home health cases would not require an OASIS assessment to be done. It is possible some private health insurers might require an OASIS or...
  23. txredheadnurse

    Do you think this is fair compensation for orientation?

    txredheadnurse replied to lvnjden4ever, R.N.'s topic in General Nursing

    I had jobs where I received only 80% of my hourly rate during orientation but that still certainly came out to more than minimum wage. The reality is that if you are considered an hourly employee the...
  24. txredheadnurse

    Rules and Regulations

    txredheadnurse replied to litbitblack's topic in Geriatric, LTC

    Go to the DADS website. The regulatory guidelines for facilities are there as are links to the applicable TAC codes which also apply. In addition your facility should have a copy of the guidelines...
  25. txredheadnurse

    threatened at work

    txredheadnurse replied to gonzo1's topic in General Nursing

    Your were right to be cautious. Years ago I worked a state psychiatric facility as a night shift supervisor. We were required to wear name tags with full name on them. My maiden name was fairly...