WVStarFish

I have only been a nurse a couple of months and work in a LTC home. I've had basicly no training there, but hey, I can pass meds like crazy. I absolutely dont know what I am to expect from the CNA's. And the one time I did ask a CNA to do something, ...

In short, I was orienting for a week as a new LPN at a LTC home. On day one, a certain pt's AHR was only 50 so I held his Dig. On day two, I noticed that the MAR and the doctors order called for 0.125 of Dig, but the pharmacy had sent a box of only ...

I don't work in a hospital, the MI pts I see live in the community and walk in to our center, kind of like a doctors office. Or we use our vehicles to transport them ourselves. Our pts are the same small group, so we know them very well. For the most...

After sitting for almost an hour using a sharpie to black out names on pharmacy bottles, I'm wondering if there is a better way to dispose of patients medicine bottles with their names on them. Where I work, I only deal with their bottles, and the l...

I've only been a nurse a couple of months and took a job in LTC, hence I'm a "charge nurse". My nursing school was excellent but we werent taught ANY leadership skills. I'm not assertive, and I'm being taken advantage of. My orientation, uh, there w...

I was wondering what area of nursing tends to have the happiest nurses? Surely there's been a study on it? And in contrast, I wonder what area of nursing tends to hold the most unhappy nurses? I know that all areas will have each kind ...

I am assuming I was just offered a job, pending background check and drug screening. That's what a background and urine usually mean, I hear. Both checks will be fine, but two of the meds I take are going to show up on my drug screen. I am prescribe...

As for myself, most of my stress as a new nurse comes from not getting any kind of orientation/mentor, just got thrown out on the floor, and worrying about that license I worked so hard to get. But MOSTLY, during nursing school, we are taught to do t...

Well, the person who hired me actually IS the person doing the urine collecting. I don't know why I'm embarrased, I guess because it's proof I'm not as awesome as I appear to be. hahaha But I really AM worried that the person hiring me/collecting t...

I had another question that is bothering me to no end. I have been "orienting" at the LTC home and have been pretty much passing meds on my own. There is a situation where one day, I had to hold a residents Digoxin dose d/t an AHR of 50. According ...

In short, I'm a new nurse and just had to stay up all night to work. Anytime in my life, staying up all night or not getting more than a few hours sleep, I am so sick and it takes the whole next day to recoup. I am sweating, my heart pounds out of ...

my biggest problem is how do I tell a crazy lazy psycho CNA that she needs to prioritize, she cant be leaving the floor all the time, she needs to not up the O2, she ... oh hell, I jsut dont know how to tell this one very experienced CNA that she nee...

I have talked to two different people in the DONS. Ya think anything has happened? Nope. And I had no idea we could write up CNA's. Now, I just need to "grow some" and do it. Oh, I finished the shift w/o sleep and everyone survived. I'm still not re...

The thing with calling off, every single day for the past few weeks, SOMEONE is mandated on a shift. Then they call off or quit. Hence, a cycle. Because the call off isnt in due time, agency doesnt get called in. We've lost three nurses in two weeks...

Just wanted to add that I have done doubles and such before w/o any difficulty, I can work sun up to sun down and be just fine ....but forcing myself to stay awake all night when my body is used to a midnight bedtime...it's really messing with me.

I'm a brand new nurse and I keep reading and hearing things like "I'm not going to work in a place that's going to make me lose my license" Also, how can what the CNA's do affect my license? I've been told that if they mess up badly, it's on me??? I ...

I get along great with them, I'm just not used to being "in charge" of anything. And I have no idea what to expect from them. But as for getting to know everyone, we all get along great for the most part.

I'm a new grad who just starting working at a LTC home and first let me say, I love my job so far. There is alot that I was taught in school that isn't done at the facility and it bothers me to not know what is right by the text books or what is righ...

After taking the NCLEX PN, I was positive i failed. Nothing on there made sense to me, I felt as if the questions were written in Greek. Thank you to everyone who encouraged me! It really helped during the whole 24 hours it took to find out that I p...

I absolutely do not mean to sound cold, but I have just started working in LTC and most of it is a very long med pass. While doing the med pass, I have found that alot of time is "wasted" (I really don't mean to sound mean) by the residents who want...

I know that MRSA in the sputum is a contact or droplet precaution. Either way, here is my problem. In this LTC facility, we admitted someone who is + sputum for MRSA. There are no precautions being taken other than the pt is to wear a mask when no...

I'm new too, and working at a LTC home. My "orientation" consisted of taking on the med pass for whatever nurse I was with that day. A few days before I was put out on my own, another nurse did show me how to get into the computer and do some chartin...

I do know that the dx of MRSA is recent, as in the day before coming to our facility. As for being colonized...I didn't check or know how to check on that. I got all the discharge papers from the hospital and the lab work, but never saw anything to ...

i wasn't able to handle work and school because i don't have family to rely on to help with the kids, so i was able to get help from the state. it was a *****, and it felt like i was going insane with being broke all the time, but it's worth it now. ...

Thank you for the really helpful replies. I am such a "nice" person who never wants to hurt anyones feelings, so it really is going to be a challenge for me to kinda cut someone off...I just have to practice! On one hall that I work on, most of the ...