NotFlo

NotFlo

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All Content by NotFlo

  1. Wow. Serious over-reaction from everyone involved. Please stop beating yourself up. When I worked SNF I pretty much got bathed in MRSA from head to toe multiple times over the years. In that setting...
  2. allergie and covid

    I work in primary care and have seen so many, "but it's just my allergies" people test positive for COVID. Many of these people who were outraged they were sent home from work or school otherwise...
  3. Vaccine Excursion

    I was going to say they should be fine. I had a power outage once and had to contact every single manufacturer and every single thing I had was fine (I did not have MMR). It's not something you want...
  4. 2020-2021 influenza vaccine

    If you look up the ACIP recommendations they state the antibodies and effectiveness do decrease as the days and months after vaccination go on(to summarize, the levels of antibodies decrease as the...
  5. 2020-2021 influenza vaccine

    I work primary care and all I can say is that this year the flu vaccine is flying off the shelf like never before. Patients who normally refuse and beating down the door to get it. It's very hectic...
  6. I'm so ashamed of myself

    I really get it, families could be so tough to deal with when I worked in SNF. However, my husband had cancer treatment and major surgery last year and honestly I don't know how he would have made it...
  7. Call blocking question

    What about using Doximity dialer? I have been working remotely (I work in primary care) and I use this to make calls from my phone. It appears on caller ID that the office is calling. Has been working...
  8. I get it. I've been an LPN for 13 years or so now. I always wanted to go back and become an RN, but life interfered and it never happened for me. I am currently satisfied in my role. Would still like...
  9. Question about prescriptions

    Maybe I'm biased, because I'm in primary care (as an LPN - NOT a clinician) but this kind of makes no sense. So the doctor doing the procedure says no to the pain med because he feels it's not safe...
  10. We have Epic. Everything including (and especially) narcotics goes electronically. We don't have this problem. I think this should be tracked and documented and elevated to management and your...
  11. Patient Abuse/Nepotism

    So all of these instances happened before you started working there and have been told to you by other
  12. Don't think a doctor's office is they way to go unless you love vaccine administration, telephone triage and Epic. And everyone in the office including the docs will expect you to know
  13. I do work with some awesome medical assistants who help tremendously. The doctors I work with are also great, I can always discuss concerns and triage calls with them. Some doctors will allow...
  14. I'm a clinic nurse in primary care. Just an LPN but I'm the only nurse they have. I relate to a lot of what you wrote. I have, over the past few years, been burned by some patients who take and take...
  15. I'm an LPN in a primary care office. I don't typically room patients, the MAs do, but if I was rooming that patient I would have had them already in a gown before the provider came in and done a...
  16. Moral turpitude is a great way to describe the staffing in LTC/rehab. Unfortunately, 1 nurse to 28-30 patients is absolutely the norm anywhere I have ever worked at least on a LTC wing. In straight...
  17. On Call

    My facility has what I think is an atrocious on call policy. Every nurse save the don, adon and mds nurses are required to be on call twice per month. If you work day shift you are on call either 12...
  18. Constantly stays late

    Yeah I have a few ideas but I'm sure you wont like them. Some questions, is everyone else really leaving on time or are they punching out and staying late? Is everyone else really completing their...
  19. I don't say this to discourage you at all but to be honest your experience sounds pretty typical. First of all, 16-20 patients in LTC is wonderful. In many places you have 30. Secondly, the reality...
  20. I see it all the time. It's like an epidemic in nursing homes. It seems many DONs travel around with a gang of friends from facility to facility. The new one comes in (because I think we've all seen...
  21. Bending and Breaking the Rules in Nursing

    That is great! I wish all nursing homes would go for this model of care for 99 percent of elderly LTC patients. There really isn't any rationale for keeping them on these restrictive diets. At...
  22. Bending and Breaking the Rules in Nursing

    I think it's great that you did that. I just find it ridiculous that the facility maintained stringent dietary restrictions on a hospice patient. What could possibly be the rationale for that? Our...
  23. I'm a floor nurse on a subacute unit. I can have anywhere from 15-25 patients depending on staffing and census. I would never in a million years have time to do all my patient's care plans. My unit...
  24. Everyone above is right. Tell him very firmly that his comments are totally inappropriate, make you uncomfortable and will not be tolerated. This is an alert and oriented individual, only in his...
  25. need help filling out LTC admission forms!

    That's pretty funny. In seven years in several different facilities I've never once had an RN do an admission assessment of a new patient or begin the initial plan of care; both duties have always...