NotFlo

NotFlo

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  1. Sooo many crushed meds...

    NotFlo replied to beatrice1's topic in Geriatric, LTC

    Yes and crushing enteric-coated meds or other meds that shouldn't be crushed was something the state was specifically checking for during our last survey...and of course they observed the nurse doing...

  2. ICD9 codes is a nursing duty?

    NotFlo replied to superwoman27's topic in General Nursing

    Yes, we have to do these for labs too. If one of the nurses forgets to put the codes on it comes back to the unit secretary (who has no training) to try to fill them all in and send them back to the...

  3. Just wondering if this is the norm..

    NotFlo replied to SeeTheMoon's topic in Geriatric, LTC

    You should have gone to the nurse. The CNA is not the appropriate staff member to go to regarding dressing changes, as the CNA isn't doing the dressing changes or reading the chart or treatment...

  4. Please Help Make Retractable Safety Needles Mandatory

    NotFlo replied to LRB79's topic in Patient Safety Issues

    My facility had been using retractable needles for years. About two months ago the whole company decided no more retractable needles and switched to some really cheap needles. What better way...

  5. Working with student nurses

    NotFlo replied to LisaRN1105's topic in General Nursing

    Wow I never had a clinical where I was required to tell the nurse what to do. Even in leadership we would make the assignments for the day (as far as what patients our fellow students would have) and...

  6. Working with student nurses

    NotFlo replied to LisaRN1105's topic in General Nursing

    When I have students I am still 100 percent responsible for that patient. I'm sorry that some nurses take it as they don't have to bother with that patient that day, but that certainly isn't how I...

  7. Working with student nurses

    NotFlo replied to LisaRN1105's topic in General Nursing

    I'm confused by all the heat the OP is getting. Let me first say I haven't taken the time to research all her posts so I have no idea how long she's been a nurse or what her attitude has been in...

  8. Am I just being a big baby?

    NotFlo replied to mamarhonda's topic in Geriatric, LTC

    This is on which shift? If this is first or second shift, that is shameful. I feel really sorry for "your" staff and

  9. New to Excelsior, some questions (esp. with no college credits going in)

    NotFlo posted a topic in Online Distance Learning

    I hope I'm not duplicating questions, I have read the FAQ here, all the Excelsior threads going pretty far back, and all the information on the Excelsior website. Basically I'm just left with a couple...

  10. New to Excelsior, some questions (esp. with no college credits going in)

    NotFlo replied to NotFlo's topic in Online Distance Learning

    Oh, also, if you did CLEP, what study materials did you use? I would get the CLEP study guide, of course, is it then necessary to get text books for each subject? Is there a company that provides...

  11. Unusual physician order

    NotFlo replied to sweetnurse63's topic in General Nursing

    It can pretty much be done in common areas but if you walk into someone's room five minutes after they were taken off the bedpan or moved their bowels on the commode in their room, you're going to...

  12. Assisting with Gait belt

    NotFlo replied to Lala718's topic in General Nursing

    When I did home care as an aid I ran into this problem all the time. They had people who would clearly be a freaking hoyer in a nursing home but I was supposed to be able to transfer them from the...

  13. Rounding Queen

    NotFlo replied to LoveMyBugs's topic in General Nursing

    A CNA, what's that? Many hospitals don't have CNAs or else have very, very limited numbers of CNAs. I work in rehab where we would die without our CNAs helping us, but even still I do more than my...

  14. Patients' "home remedies"? What have you seen

    NotFlo replied to flyingchange's topic in General Nursing

    We have a pt. that has tried everything for terrible restless leg syndrome. I mean EVERYTHING. The pt. and staff have been going crazy as this person's legs bounce around the bed and the pt. almost...

  15. Rounding Queen

    NotFlo replied to LoveMyBugs's topic in General Nursing

    Really cute and funny! It appears to be a nice, supportive place to work. Hourly rounding is such a good idea, I wish it could realistically be implemented in more places like rehab/LTC (there's no...

  16. 911-ing a resident out, requires an order?

    NotFlo replied to NurseLynwood's topic in Geriatric, LTC

    It's like someone above said, it's a just a documentation issue. Yes, the order does have to be in the chart, but of course we send them out before obtaining the order in an emergency. Any doctor I...

  17. 911-ing a resident out, requires an order?

    NotFlo replied to NurseLynwood's topic in Geriatric, LTC

    In a true emergency no, I wont call an on-call and wait for an order while endangering a person, however, ASAP I would call the MD and update them on what was going on. The MD has to be notified of...

  18. Long Term Care Cutbacks

    NotFlo replied to katoline's topic in Geriatric, LTC

    It started with multiple layoffs. None to the nurses or CNAs, but in many ancillary departments. Then they did cut two 40 hr. nursing positions (but people who didn't work directly on the floor, but...

  19. A vent thread for patients- what can we do better?

    NotFlo replied to canoehead's topic in Patient, Colleague Relations

    We have knocking so ingrained into us at my LTC that I often find myself knocking on everything from all patient doors whether opened or closed to supply room doors to linen closet doors and every...

  20. If you were me, would you...

    NotFlo replied to i<3u's topic in General Nursing

    Every area may be different, but as an LPN myself I would skip the LPN thing and go straight for the RN. I'd probably work part-time as a tech in a hospital if I had the opportunity. Very part time,...

  21. narcotic from e-kit..

    NotFlo replied to dadah_vxr's topic in Geriatric, LTC

    Did you take out the meds the night before for use the next morning? That, I would most certainly get in big trouble for. At my job the "e-box" is in a pyxsus that only the RN Supervisor for the...

  22. Wound Care

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

    Wow I'm in a 120 bed facility and we have a full-time, certified, 32 hr wound nurse and she's a godsend. Don't know what we'd do without her. Our facility is big on wounds though, we work with two...

  23. Tell me about your Sub-Acute Rehab floor..please!

    NotFlo replied to nycNurse2b's topic in Geriatric, LTC

    Yeah I've been doing straight sub-acute for about four years now and could never do straight LTC (just not my thing). We have had groups of PT/OTs that are good at working with the nurses and some...

  24. Tell me about your Sub-Acute Rehab floor..please!

    NotFlo replied to nycNurse2b's topic in Geriatric, LTC

    Let's see. Every facility is different but these are my experiences. On the rehab floor you have less patients per nurse but they are more acute. Most are medicare/private insurance which means...

  25. No Names....I'm just Saying That .....

    NotFlo replied to RNdiva505's topic in General Nursing

    I used to get irritated with a certain supervisor when I was a new grad stuck on an insane floor on second shift. He'd walk by the nurses' station on his way out the door at 11pm exactly, having left...