NotFlo

NotFlo

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  1. Potassium tablets!

    NotFlo replied to Acarter2618's topic in General Nursing

    All of the potassium tablets I've seen ARE

  2. Patient requesting to use adult briefs during colonoscopy, rather than cath?

    NotFlo replied to Pplexed's topic in General Nursing

    I don't get what the issue is. First of all, I have never seen anyone cathed for a colonoscopy. Secondly, couldn't you just put a chuck under him and if he happened to pee it would be a ten second...

  3. To suction or not to suction?

    NotFlo replied to texasheat's topic in Geriatric, LTC

    I like the scope patch idea. Would it have been completely crazy to try using a soft suction catheter (the king for deep suctioning or trache suctioning) instead of the hard yankaur? I have used it...

  4. New Grad RN's in nursing homes

    NotFlo replied to SunshineRN79's topic in Geriatric, LTC

    I think new grad RNs can do very well in a nursing home. A few tips are: I know it's hard to be picky in this job market, but try to find a place that will offer you the best, longest and most...

  5. What is a typical night shift for a LPN in LTC?

    NotFlo replied to mandakaye03's topic in Geriatric, LTC

    I know there aren't tons of jobs for new grads out there but that orientation is just awful. I was just orientating a new grad and she was with me for 3.5 weeks then was with a nurse on second shift...

  6. OA + 4 +4 +4 Med Pass???

    NotFlo replied to stdntograd06's topic in General Nursing

    So this is in a LTC/SNF? I can't see how it would work. Say I'm on the LTC floor with 30 patients...I am supposed to keep track of when each of them wakes up and then of the +4 time for thier "noon",...

  7. What shift in ltc do you prefer?

    NotFlo replied to Godsgirl20's topic in Geriatric, LTC

    I work 7-3, and enjoy it because it most enables me to spend time with my family, including a preteen child. I worked second shift for a long time and enjoyed the shift but never saw my family. I've...

  8. Question about patients receiving dialysis

    NotFlo replied to malenurse122879's topic in Geriatric, LTC

    Yes, absolutely. Any dialysis patient has an order to assess the site q shift and document

  9. SNF/nares MRSA

    NotFlo replied to pistolchick's topic in General Nursing

    Yes we do. If they come in with a positive from the hospital they go on precautions until we are able to treat and clear

  10. ADVICE...? Please help me think of a way to solve this issue.

    NotFlo replied to babymason2008's topic in General Nursing

    I understand you said it's not coming from you but I think that idea is pretty crazy. On some carts that contain meds for 30 patients that could take...forever, and a day. Literally I think it could...

  11. SNF/nares MRSA

    NotFlo replied to pistolchick's topic in General Nursing

    I work in a SNF. We don't do any routine testing for the presence of MRSA in the nares on existing or new patients. However, if an admission comes in with a positive of MRSA in the nares from the...

  12. Patient modesty concerns pertaining to surgery

    NotFlo replied to creinkent's topic in Operating Room

    What I saw when I did an OR observation in nursing school really made me hope I never have to have any type of surgery that requires general anesthesia. There were a few things, but the one that...

  13. To dispense or not to dispense?

    NotFlo replied to celticwoman61's topic in General Nursing

    Yes, that is considered dispensing. We are not allowed to do this at my facility. What we can do is have the person or whomever will be responsible for them sign out the entire card of meds. We...

  14. Tube delivered meds

    NotFlo replied to makes needs known's topic in General Nursing

    If a person takes their meds crushed in applesauce, do you crush each one separately and give each one in a separate spoonful of applesauce? Couldn't the same "chemical reaction" we've been warned of...

  15. Describe your dream LTC

    NotFlo replied to SuesquatchRN's topic in Geriatric, LTC

    I love to dream about this stuff... 1. The whole facility bigger and with less people. WIDE hallways, LARGE bathrooms that a wheelchair and two people can easily fit in. 2. Private rooms, each room...

  16. Best Way to Leave a Job after a Short stint at It?

    NotFlo replied to monicanurse's topic in General Nursing

    I would give two weeks notice in writing to the DON. I would write a simple, professional letter: thank you for the opportunity, blah blah blah. You don't owe them any other

  17. What is your after-work procedure?

    NotFlo replied to jadedgreeneyes's topic in General Nursing

    I have read threads like this before and I always think I must be the most casual / least germaphobic person out there. Honestly, MRSA and the rest are rampant in the community. But in the community...

  18. Independent LOA

    NotFlo replied to CapeCodMermaid's topic in Geriatric, LTC

    I think the safety/liability issues are huge. I worked in a facility that allowed a resident to go out in her motorized wheelchair and drive down the street about a quarter mile to do some shopping at...

  19. Dirty little secrets to managing LTC

    NotFlo replied to Kashia's topic in Geriatric, LTC

    I see the low albumins, wounds that require extra protein, etc. but it comes down to the patient. If they HATE the taste and I try mixing it into everything possible and try everything to get them to...

  20. Dirty little secrets to managing LTC

    NotFlo replied to Kashia's topic in Geriatric, LTC

    Wow sounds like a pretty good set-up to me. I don't even know what I'd do with myself if I wasn't chained to the med cart all

  21. Dirty little secrets to managing LTC

    NotFlo replied to Kashia's topic in Geriatric, LTC

    One thing I hate is the huge number of Miralax, metamucil, beneprotein, 2 cal, benefiber and other such supplements/liquids we're giving out. People HATE them and I have to stand there and take...

  22. Dirty little secrets to managing LTC

    NotFlo replied to Kashia's topic in Geriatric, LTC

    Please know I don't mean to call you out on this but if I recall correctly this was on third shift, correct? Were you giving a lot of meds to these people or just things like prilosec or synthroid?...

  23. Who does this stuff? Really, you can't make it up!

    NotFlo replied to ShayRN's topic in General Nursing

    Thanks for clarifying! I was thinking this was a conventional LTC situation. That makes a huge difference. Crazy

  24. Who does this stuff? Really, you can't make it up!

    NotFlo replied to ShayRN's topic in General Nursing

    Honestly, I think the above statement is your main problem. Your facility should not accept a bariatric patient if they don't have the proper equipment to care for the person. Do you keep this woman...

  25. Trying to understand difference between LPN and RN practice....

    NotFlo replied to lovesunsets's topic in LPN, LVN Corner

    What state are you in? I can't think of any state where this list could possible all be true. I'm in CT. LPNS most certainly CAN do IVs. I can't do IV pushes or blood products, but I can hang IV...