makes needs known

makes needs known

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All Content by makes needs known

  1. INR Question

    It was 0.8. Our normal range is 1.9 to 3.4. We call MD for low, or hold until addressed next day for a high pt/inr. Thanks very helpful. I heard that about redheads too. My husband is a...
  2. Dementia Patient Frequent Faller

    Have you tried a seatbelt alarm? Maybe the loud alarm going off when he unhooks it would remind him not to get up without assist. Is he ambulated? Does the staff walk with him frequently enough to...
  3. noxious fumes

    The facility where I work will be stripping and waxing the floors this week. I've worked before when they do this and it is awful. We all are breathing these fumes and we all develop headaches, sore...
  4. noxious fumes

    I have heard from OSHA and they have contacted my place of employment and it has been decided that the foor stripping will not continue until they have checked out the chemicals they use. I've done...
  5. noxious fumes

    Yes left a message with them. Waiting to talk to
  6. Dangerous narc delivery by rn

    How can this be tighter control? YOU have to transport narcs past a gas station, a bar and a group home??!!!! Your DON is
  7. Time Management

    Go to your superviser, make her aware of what is going on, if she isn't already. Ask her to help you deal with behaviors or calling doctors to treat these residents before things get worse. Your...
  8. Patient Care or Man Handling???

    Do you have any male caregivers? Sometimes men respond better to another man helping them with their hygeine. Works for us
  9. LTC questions

    Well you never know what the night will bring, but tonight I anticipate passing meds to 40 pts, 3pts who will be new admits. At least two nurses will be doing paperwork and 1 (me) will be passing...
  10. Accucheck procedure

    I recently had a problem at work because I have not been using alcohol wipes to clean fingers before doing blood sugars. I learned at school that alcohol would dry out fingers and lead to compromised...
  11. Antiquated Equipment

    I see equipment problems where I work too. The other night I needed to get a CPM machine for a new resident who had had a knee replacement. I went to storage and dragged a very heavy machine out of a...
  12. About Incident Reports

    I know it's important to write an incident report, it helps to put details together. Those details can be used to insure that everything was done to keep pt safe and it can also bring about change so...
  13. injection question

    I always use an insulin needle for injecting heparin because it's given in 1ml amounts and the smaller needle causes less
  14. Regulations re: MARS

    In NYS there is alot of paperwork, but we have two nurses for 40 pts. So one gets to do all the paperwork. The other one gets to do all the meds. We have a little competition going on to see which one...
  15. mandatory overtime

    Has anyone heard of a new law, either NYS or federal that would prohibit fulltime employees from having to work mandatory overtime? A coworker has told us about it, says she read it in a
  16. LPN Med Error

    Were the instructions well written to let you know to give 2 tabs=120 mg dose? Sometime mistakes like this are made because order is written unclearly. If you made this mistake someone else might make...
  17. Why are LPNs not allowed to do more?

    If there really is no nursing shortage, and there are many nurses who aren't working, why? Could it be because there is so much BS in nursing? From the way WE treat each other to the way the general...
  18. difficult unit for just 1 nurse

    In the past 6 weeks 2 nurses have quit because of this difficult unit that is mostly dementia residents. One walked out to take supper break, and never came back. There are 40 pts. on this floor. Many...
  19. difficult unit for just 1 nurse

    Thanks everyone for responding. The funny thing is that I've worked here for many years. This difficult unit is not my normal unit, but they ship us around where they want us. So because this unit's...
  20. Medication Error and Overtime

    Don't give up. #1 The pts allright, right? probably slept really good. #2 Your charting will get easier, chart only what is needed, chart during the shift instead of saving it for the end, chart...
  21. Medication Error and Overtime

    Don't give up. #1 The pts allright, right? probably slept really good. #2 Your charting will get easier, chart only what is needed, chart during the shift instead of saving it for the end, chart less....
  22. we all got raises!

    The ltc/rehab facility in upper New York state where I work handed out raises to every staff person. From nursing to dietary. Everyone got a $1.00 ph raise. We haven't had a raise in 3 years.
  23. admission question

    All facilities are different. Where I work (ltc/rehab) the LPN can do the admission but it has to be co-signed by RN. Initial physical assessments are supposed to be done by