makes needs known

makes needs known

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All Content by makes needs known

  1. Two med carts, three halls, to many patients

    Our LTC unit has become a sub acute rehab unit. We have a new owner and they have made some very nice changes, carpeting in the halls, new wallpaper and new furniture in rooms and dining room. It's...
  2. Two med carts, three halls, to many patients

    But then 1 nurse will come along and do it all, and she is the model that we all have to live up to. How does she do it? I take short cuts and commit dirty little secrets, does she?? Doesn't seem like...
  3. Throwing out Med Bottles, What else can I do?

    What a waste of your time. Send the bottles back to the pharmacy. Let them solve the problem or find a way to re-use the
  4. Two med carts, three halls, to many patients

    Ah- the tricks of the trade we have to perform, the cutting of the corners, the consolidation of the meds, the missed BS, the making like everything runs perfectly. All because no one listens when you...
  5. Time management help?

    Sounds like they just want your company. You must be a nice nurse. Tell them that you have something you have to attend to, and when they get started, go to the next person, and once they are both...
  6. Time management help?

    Is it possible the Dr could review these meds and perhaps DC some of them? It sounds like they don't take pills well because they don't want to take pills. Are they saying "I don't like taking this...
  7. Torn about breastfeeding

    I successfully breast fed all 3 of my children, and I recall that my real milk did not come in until 3 days after I was discharged from the hospital. Some babies are fussier than others, and I think...
  8. Can nurses legally "refuse" to take a new admit?

    We are LTC and receive most of our admissions on 3-11 and we are expected to get most of the admission done ourselves on that 3-11 shift. That means in less than 8 hrs. Call DR. to clear med list,...
  9. Keeping Glucometers Clean

    We have always cleaned our glucometers 1 time a day on 11-7 shift. The new guideline is to clean it after each blood sugar check using a special sani-wipe. Are other facilities doing this too? It...
  10. Keeping Glucometers Clean

    We are a rehab unit and we are teaching diabetic care. We are showing and encouraging patients to do their own fingersticks,etc. We are trying to get them independent so they can go home. Of course...
  11. Keeping Glucometers Clean

    Well there is a possibility that blood could get on the machine, and should be cleaned off before going to next patient. We have to take glucometers into rooms because that's where the patients are....
  12. Keeping Glucometers Clean

    We have 2 glucometers, 1 for each hall. We have about 12 bs checks now. Our census and patients are always changing. I heard they sent 1 box of sani-wipes for our whole facility. 120 patients. They...
  13. blood sugar checks and insulin

    Our nurse manager is trying to find ways to get more work done in a timely fashion. We just started this, one nurse passes meds and the other nurse comes along and checks blood sugars and then the...
  14. blood sugar checks and insulin

    Thanks for all your comments, I'm on vacation for two weeks now and when I get back to work they will probably have some new system designed to make up for the fact that they need more nurses. Plus...
  15. Eye drops

    Passing meds to 40 pts within a 2 hr frame is 3 min per pt. Sometimes 5 min between gtts doesn't happen in the real
  16. Several topics-new to LTC

    The SV of our facility (120 pts) does not take a pt load of her own. The charge nurses on each floor have between 20-40 pts. SV's handle emergencies, hang IV meds and work on staffing problems, etc....
  17. New LPN, this is HARD. Need advice.

    Comfortable shoes are real important and a good routine. Just focus and keep moving. Don't give up. We need more nurses in
  18. better staffing better care

    Who decides staffing in nursing homes, the facility or the state? New York state. Web
  19. better staffing better care

    OK This is my problem. We have 40 patients and 1 med nurse on 3-11 shift. I am unable to pass meds in a 2 hr time frame. When I get to work I have to help the 7-3 shift put narcs away before we can...
  20. I read Pride And Prejudice in high school, and now I'm reading Pride And Prejudice And Zombies. Those Bennett girls can really kick Zombie butts!!! Recreational reading is a wonderful escape from...
  21. NPH insuln

    We had lectures on different types of insulins; their peaks and durations, I thought I made the right choice. But I guess when I held that insulin and did not get OK from Dr, I was changing the Dr...
  22. NPH insuln

    I once held Humalog for BS of 48, pt alert and able to eat, gave lots of good snacks. BS came up nicely, charted it all. State came in and read my detailed note. I got in trouble for using my nursing...
  23. Med pass..rant

    I hear you. We all complain, but we are complaining to the wrong people. It feels good to vent but how do you get the message across to the people who control staffing levels. If we complain we're...
  24. What do you do to prevent falls?

    Paperwork helps to formulate a plan to prevent falls. We have people who roll out of bed several times a week. We put them in ultra- low beds and put mattresses around bed. Now when they roll onto...
  25. Anyone heard of Diastolic BP being higher than Systolic???

    Wait ..... was it a left handed blood pressure cuff? They go backwards don't