makes needs known

makes needs known

Member
  • Content

    323
  • Visitors

    8,261
  • Followers

    0
  • Likes

    6

All Content by makes needs known

  1. care cards

    Our care cards have details about individual resident. Are they inc.? How do they transfer? Are they supposed to be ambulated on unit? Do they need help to eat? How much? Do they wear dentures? Do...
  2. What do you do to prevent falls?

    We have alot of paperwork to fill out and even our cna's have to contribute to it. This and the fact that people with broken hips require more work and have many more health problems than before they...
  3. rehab staffing

    What is the usual nurse and cna ratio/patient on a sub-acute rehab
  4. Holding Coumadin for lab draw

    Ask the Dr. We give coumadin at 4pm and would only hold if INR was elevated, per our facility order to keep PT/INR within parameters. Every situation is different and if you have a question, ask the...
  5. Knowing your meds. . .

    We write diagnosis for taking med on new orders and our pharmacy sends us printed monthly medex with diagnosis for every med. And its a good thing because it is impossible to know every med and when...
  6. Vent: Recognition from employer

    We have same recognition thing where I work. I think it's stupid. Management wants us to praise each other, so that they never have to say anything nice about our work. All of the people I work with...
  7. Activities in LTC

    What 's going to happen when 2 little old ladies decide they both like the same dress??
  8. Nurse Distractions and Med Errors please share input

    I just listen to my mp player while I work, can't hear anything except the music. :)Just kidding, I would get fired. But I do listen to the voices in my head:) The voices say try to focus, even if...
  9. Charting every 2 hours?

    I think more charting proves that we are taking care of patients and sometimes means more money. Of course it's hard to take care of patients when we are charting everything. The higher-ups that make...
  10. Is this comon practice where you work?

    Last week I got a med error for not giving a med to a new admit. Their med was not delivered until after I left at 1130. If I stop at 8pm and call a DR about EVERY med that I don't have yet for a...
  11. Is this comon practice where you work?

    I have borrowed medications before, we get 3-4 new admits almost everyday, pharmacy delivers at midnight, hours after they arrive. Patients want and need their medications. When they come up with a...
  12. Florida LTC nurses: Time to reduce maximum patient load?

    I work in New York state and I hear you and I agree 100%. I don't think it's nurses that can make this change I think it will be the public. Day care centers for infants and children have safe...
  13. Medical products we need

    Is this something you recommend for the hands-on staff, residents or the demanding higher
  14. Medical products we need

    Last night I asked my Supervisor to get me some sterile 3x3's for sterile dressing changes. She came back with a large package of non-sterile 3x3's. We had no sterile 3x3's. How can we document that...
  15. Dysfunctional Hospital - Terrible Ethical Situation

    Someone is getting rich off of bad night. Management will pick apart your incident report and let you know, in detail, what you should have done
  16. RANT ON: I am so sick of the BS in LTC!

    What about all the extra paperwork? We have had the the amount of paperwork slowly triple in the last 2years. And no increase in staff. And they are still presenting us with more paperwork. The...
  17. VS equipment ??

    I work in sub acute rehab. We get new admissions almost everyday and never have enough blood pressure cuffs, stethoscopes or temperature taking devices. We have asked for more equipment but what we...
  18. VS equipment ??

    Sounds like the cool equipment is sometimes unreliable. I guess we need some MORE old fashioned blood pressure cuffs and stethoscopes. We have about 2 of each for 35 residents. We have 0-4 new...
  19. check those blister packs

    I found a patient's blister pack for gabapentin (neurontin) 600mg filled with gemfibrzil (lopid) 600mg, dispensed by our pharmacy. The label on the front said gabapentin 600mg, the individual packs on...
  20. Want to hear your pet peeves in LTC nursing

    Wow! I'm ashamed to say that I am probably guilty of some of the things everyone complains about. And the reason is that I'm not perfect, nobody is, and there is too much work to be done, and not...
  21. Gum Chewing

    People who smoke should chew a piece of gum before they return to work. Or brush your teeth. Or stop
  22. Question about holding meds

    Holding someone's medicine without a Dr's order is the same as prescribing medicine. Call the Dr. let him make the decision. Ask for parameters so that when a blood pressure is taken, you know when to...
  23. Nursing home blues.....

    "If the other shift did more, things would be so much better" .......Sorry, I don't think that is the answer. Every shift is working hard. Just look. You work hard, they work hard. The problem is that...
  24. Nursing Without Stress: YOU CAN DO IT! (A Rant)

    I'm always upbeat at the beginning of my shift. Hopeful that I will be able to accomplish everything. We all work hard but there are too many demands and problems that arise. And that causes stress....
  25. How many residents do you care for Per Shift?

    Management has their head stuck up their butts. Thats why they can't see or hear these complaints or problems. We have been telling them, but they don't listen and we still keep working and trying to...