makes needs known

makes needs known

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All Content by makes needs known

  1. Teamwork

    I'm really unhappy with some of our RN supervisors. When we (floor nurses) ask them to do something (like assess a pt.) or get us something we need (supplies that are locked up), we get so much...
  2. Care plan help

    Head nurses at our facility have been asking the LPN to start care plans on new admission patients . We just had a survey conducted and when it was discovered that care plans had been initiated by...
  3. I suck.

    Suck today, but you will shine
  4. LPNs NOT Medicating??

    If a pt requests prn tylenol for a HA an RN is supposed to assess. The lpn is not supposed to assess wounds, but the lpn CAN assess a wound if the RN cosigns. You have to remind them to cosign. And...
  5. Med pass in LTC

    There is no such thing as perfect in LTC. It is impossible to complete everything that is supposed to be done. Anyone who works in LTC knows this. There's too much paperwork. Too many medications,...
  6. busy rehab unit-not enough nurses

    Our RN head nurse is delegating more and more responsibilities to LPN's. We are a busy rehab unit and most of the nurses are doing paperwork. 1 nurse to pass meds and do treatments for 40 rehab pts...
  7. Abandonment?

    When facilities work with a skeleton staff it doesn't take much to mess things up. Some people will always stay and work a double. Sometime the person who busts their butt to get through 8 hrs has to...
  8. wound care

    Yes we use it on heels. It protects skin, it's a little sticky until it dries, so we use it with pillows for elevation or boots. It's like applying an extra layer of tough skin. I'm not really sure...
  9. Nebulizer treatment

    My husband who is sick, received a breathing trmt. at the Dr.'s. He says the solution was green. I've never given a green colored breathing trmt. Does anyone have any idea what it
  10. Nebulizer treatment

    I'm not going to call them. I know they are busy. Even though it's my husband those hippa laws make it so they don't like to convey info. If they are really busy taking care of pts, I know it is an...
  11. Nebulizer treatment

    I think serevent only comes in a
  12. do you do med passes in dining room?

    Oh yeah, it's nicer to give meds to people in the BR or after they fall asleep. Most elderly people spend their days sleeping, going to the BR and getting ready to eat and then eating. In that order....
  13. Very upset and depressed...almost got fired

    Since the patient survived this "illegal" admission and you did too, I bet your facility will make arrangements to start taking new admissions on weekends. An empty bed makes no
  14. How much time should I take?

    Do you know what caused the bell's palsy? My son had it last summer. He's 17. It did not take him long to get over it, but he was pretty bummed. Maybe 3 weeks. Our Dr. questioned him and ordered...
  15. LPN's and care plans

    Yes I have read all this, too. But LPN's are working on care plans. Updating, etc. I am not. I would much rather spend time with my patients. That why I became a nurse. So many LPN's are working on...
  16. "NEVER Events"

    They are unfortunately normal but we can attempt to prevent them. A pressure ulcer can lead to death. An impaction can lead to death. And dehdration can contribute to death. There are many things that...
  17. "NEVER Events"

    Documentation.
  18. Hours getting cut

    I was supposed to work tonight. Instead, I got a call to let me know that I didn't have to work because they had too much staff. Everyone who has vacation time is getting an extra day off every
  19. Hours getting cut

    Last fall our facility put all of the RN's on salary. They started 'asking' the LPN's to pick up their work that they were not able to complete. For a short while they had extra LPN's on to handle the...
  20. No free immunizations during pertussis outbreak in county

    Public duty is not why you get your kids vaccinated, you vaccinate your children because it is a parental responsibility. Public duty is where you (as a health care professional) encourage and teach,...
  21. No free immunizations during pertussis outbreak in county

    I'm surprised at your response to community health. I see you are concerned for your children. You have a whooping cough outbreak in your community. If your doctor thinks that the vaccination is...
  22. help, short staffed, at wits end

    Things WILL get better. You are doing the best you can. I can tell you are a wonderful nurse, daughter, and
  23. PPD frequency in healthcare/LTC?

    Do most facilities have yearly physicals for employees that include PPD's? We used to have a choice of having a brief physical at work or going to our own physician. They always let us know when we...
  24. PPD frequency in healthcare/LTC?

    Thanks for responses. My husband is a correctional officer and he had a pos. ppd 1 year after he became a guard. His initial ppd when he 1st became a guard was neg. He had the chest xray and took INH...
  25. There's a Mousetrap In My Med Cart

    Towards the end of the 1st med pass, you realize your entering the next med pass time, and guess what? What's a few more pills? Put em all together. We didn't create this trap. No one listens when we...