NotFlo

NotFlo

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All Content by NotFlo

  1. I and O's

    NotFlo replied to CapeCodMermaid's topic in Geriatric, LTC

    Am I the only one that finds that in LTC/rehab "strict" I and O is a joke anyway? Getting anything resembling an accurate I and O seems impossible. I know the CNAs basically make up what they put...

  2. Toileting during Dialysis

    NotFlo replied to Lynx25's topic in Dialysis, Renal, Urology

    I totally agree with this. I'm a SNF nurse but I can easily see the other side. Outpatient dialysis facilities are simply not set up to handle ADLs. They are outpatient offices. If we send Mr....

  3. Neb treatments

    NotFlo replied to makes needs known's topic in Geriatric, LTC

    My facility we do an assessment of the pts ability to maintain and tolerate the neb treatment without direct nurse supervision. It is very quick basically if they can hold the thing or tolerate the...

  4. Retraining Displaced Workers As Nurses

    NotFlo replied to TheCommuter's topic in General Nursing

    WIA provided about 1000 for each semester of LPN school for me (three semesters). I paid the balance. There was a long process for getting the WIA grant. First, I had to apply for every other kind...

  5. Medpass combining and coumadi's place in it

    NotFlo replied to ceebeeRN's topic in Geriatric, LTC

    Oh well thank goodness you're an RN so you can "assess" if your med combining is safe. Do you mean to imply that an LPN should never combine because they aren't able to determine which meds are safe...

  6. Combining Med Passes

    NotFlo replied to wearinwhite's topic in Geriatric, LTC

    I agree that it would be beneficial to talk to your nurse manager/DON and doctor and get these med times changed to something more workable so you can be in compliance and get the meds passed....

  7. New On Call procedure. Need ideas, suggestions

    NotFlo replied to gerRN23's topic in LTC: Directors, Assistant

    Oh hell no. That's my reaction, and I can almost promise that will be the reaction you will get if you implement this without speaking to your nurses first. At my facility we are all (from the ADON,...

  8. Missing Percocet

    NotFlo replied to bebe8295's topic in Patient Medications

    Well just not giving many narcotics is not a good solution at all. I work primarily rehab and these people are wanting their PRN narcs Q4hrs esp during the day, they want to be medication before...

  9. How can you neglect a patient and live with yourself?

    NotFlo replied to brainkandy87's topic in Emergency

    Just know it goes both ways. I also sometimes get ticked off when a LTC patient we've been tending and kept with intact skin, no behavior problems, continent etc. for years goes out to the hospital...

  10. Nurses Day Gifts

    NotFlo replied to Nascar nurse's topic in General Nursing

    The thank you card esp. if personalized would mean more to me than anything. My place doesn't celebrate nurses' week, they do celebrate "national nursing home week" whatever that is, and there's...

  11. How much of a raise did you get this year?

    NotFlo replied to thesundowner's topic in General Nursing

    Raise, what's that, bwahahaha! Ahem, sorry. Let's see, we got our evals one month and were told raises were being capped at 2 percent. I got my few cents from that. THEN a couple months later we...

  12. What is your typical response?

    NotFlo replied to Vtachy1's topic in Hospice, Palliative

    I'm a nurse in a facility. I love taking care of hospice patients and I work very well with the hospice nurses that come in. Anyhow, I have a huge issue with some of the nurses I work with holding...

  13. RN- How do I get the most from CNA/s while not causing major conflict on the unit

    NotFlo replied to kyrn1999's topic in Patient Safety Issues

    I get your point but honestly...when the end of shift rolls around the CNAs will be history, while I'll still be sitting there hours later trying to finish my charting. If I get a few minutes here...

  14. what do you want to hear during report??

    NotFlo replied to beatrice1's topic in Geriatric, LTC

    In rehab the report I give (we tape report) depends on who the oncoming nurse is. If it's a regular who knows all the pts. my report is much briefer than if it's someone I know is new or doesn't work...

  15. Need help regarding insulin policy in LTC

    NotFlo replied to anielle's topic in General Nursing

    That place sounds like a hot mess. I have never even heard of keeping insulin in a "treatment" cart. I can't believe the supervisor didn't bring a spare set of keys (if they don't have one...that's...

  16. LPN vs. RN

    NotFlo replied to Pneumothorax's topic in General Students

    Scope varies wildly by state. I went to LPN school because I'm an idiot who likes to get paid way less for the same work (in the rehab I work in I have the same exact duties and job description as...

  17. Hip/knee Fracture patients.. which way do you turn them?

    NotFlo replied to newrnltc's topic in Geriatric, LTC

    You don't need an actual special pillow, you can you a regular pillow if need be. Why just note it to dayshift? I would find a pillow and start using it for logrolling

  18. New nurse here. How do I overcome a suspension from work?

    NotFlo replied to BradenRN30's topic in Nursing Career

    I'm sorry, I think it's not the best idea that you are being offered a supervisor position and you should reconsider taking it. You might very well be the ONLY RN in the building when you are...

  19. skilled unit in rehab facility...questions

    NotFlo replied to scrublifenurse10's topic in Rehabilitation

    It's crazy busy. You will probably have less pts. than on long term floors but it's still too many and will keep you running. What shift are you going to be working? First shift you will be dealing...

  20. How to you track weights?

    NotFlo posted a topic in Geriatric, LTC

    I work in a SNF with lots of CHF patients. The MDs are very, very into monitoring weights. Every patient on the floor is on weekly weights per facility protocol. Then depending on various factors...

  21. Will I be facing discrimination?

    NotFlo replied to OwlieO.O's topic in Men in Nursing

    Honestly, as a parent my main and only concern is with the safety of my children. I don't worry about hurting a stranger's feelings. Has anyone read Protecting the Gift Amazon.com: Protecting the...

  22. Which shift covers AM insulins?

    NotFlo replied to RainMom's topic in General Nursing

    Thankfully our current MDs are moving away from sliding scale coverage before each meal (this is rehab/LTC NOT acute care by the way). There was an awful time when we'd get report and hit the floor...

  23. I need ADVICE!!!

    NotFlo replied to FutureRN_NP's topic in Geriatric, LTC

    Heck yes I would start the med pass the second I got out of report. I would punch in as soon as possible (typically seven minutes of) and quickly stock the cart, count, and get report done as quickly...

  24. What in the heck are private LPN programs?

    NotFlo replied to BSN32's topic in Activism, Healthcare

    Um, there are also plenty of private schools that offer ADN programs for ridiculously expensive prices with little to no admissions standards. I hope you are as equally outraged about them as you are...

  25. CPR for the frail and obese

    NotFlo replied to onthemark's topic in General Nursing

    1. If someone is found with no pulse/not breathing you are going to scream for help and the crash cart. You should direct someone to get the crash cart and someone else to call the code blue (or...