txredheadnurse BSN, RN

Correctional, QA, Geriatrics

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All Content by txredheadnurse

  1. txredheadnurse

    How would you transcribe this order?

    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...
  2. txredheadnurse

    What does "On Call" mean to you?

    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....
  3. txredheadnurse

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

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

    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...
  4. txredheadnurse

    "Right" way to pulls meds from cards?

    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...
  5. txredheadnurse

    Heat and LTC facilities

    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...
  6. txredheadnurse

    Open up....Spoonfed report

    txredheadnurse replied to ICURN3020's topic in Patient, Colleague Relations

    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...
  7. txredheadnurse

    Legend / Non-legend Drugs

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

    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...
  8. txredheadnurse

    Legend / Non-legend Drugs

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

    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...
  9. txredheadnurse

    Every time I work at my SNF there's an expired pain med order

    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...
  10. txredheadnurse

    I Hope No One Hires You

    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...
  11. txredheadnurse

    PA-RN looking to relocate to Austin

    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...
  12. txredheadnurse

    how to deal with an evil boss...

    txredheadnurse replied to jlynn167's topic in Patient, Colleague Relations

    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...
  13. txredheadnurse

    What is the job market like in the Austin area?

    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...
  14. txredheadnurse

    A&O x 3?

    txredheadnurse replied to KyleC's topic in Developmental Disabilities

    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...
  15. txredheadnurse

    Management of Personalities Question

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

    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...
  16. txredheadnurse

    state survey med pass questions

    txredheadnurse replied to ptvgirl's topic in Geriatric, LTC

    1. Maintain privacy when giving meds....curtain, door shut 2. You can bring everything at once into the room but you need to put the eye drops and inhalers on a barrier of some type (paper towel,...
  17. txredheadnurse

    Did I do the right thing?

    txredheadnurse replied to Kaysmom8's topic in Geriatric, LTC

    Sometimes in order to do the right thing you will find yourself making an enemy. You didn't fail to give the med as ordered the other nurse did. You researched the issue and then took it up your...
  18. txredheadnurse

    OTC medication one bottle-multiple participants

    txredheadnurse replied to ggcolonnello's topic in Patient Safety Issues

    I like this solution but the second section the OP quoted mentions labels with specific patient names, prescriber etc. so the individual dose packets wouldn't meet this requirement unless the entire...
  19. txredheadnurse

    Possible Relocation-Austin

    txredheadnurse replied to Bulldogsgt's topic in Texas Nursing

    Native Austinite here. If you want to live in the downtown area be prepared for condo living. If you want to live in the central area outside of but next to downtown you will have more choice in the...
  20. txredheadnurse

    Austin State Hospital - To do or not to do?

    txredheadnurse replied to pjatx's topic in Psychiatric

    There are also several private pay psych hospitals in Austin which are more geared towards the therapeutic involvement of nurses beyond the "pill slinging" lol. Austin State Hospital is not that bad...
  21. txredheadnurse

    Which drugs are you required to count?

    txredheadnurse replied to Emergent's topic in Patient Medications

    By DEA regs all Schedule 1-4 drugs must be counted at every shift change and documented and counted per dose. Most states have now moved tramadol into controlled drug status and Lyrica has been a...
  22. txredheadnurse

    Racial Refusals In Nursing

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

    "Quota clown" sigh. When will people learn that slinging hate makes the hater look like,dare I say, a clown and
  23. txredheadnurse

    Racial Refusals In Nursing

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

    Yet these same prejudiced patients will never say a peep if their server or sales associate or repair person is a person of color. For some reason they feel it is OK whenever they are receiving...
  24. txredheadnurse

    how can our LTC save money???

    txredheadnurse replied to vicki518's topic in Geriatric, LTC

    Probably have the ADON because otherwise the DON is on call constantly without a break. Plus there are many things that fall onto the DONs lap that floor nurses may be unaware of being her/his...
  25. txredheadnurse

    getting order changed

    txredheadnurse replied to clearblue3's topic in Private Duty

    In addition to what the previous posters wrote I would suggest since you are basically an independent contractor that you either get a bound journal or make a time & date stamped electronic entry...