NotFlo

NotFlo

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  1. reamed out for using soft wrist restraints

    NotFlo replied to newnurse012's topic in General Nursing

    I think you did the right thing given the circumstances. Which leads me to wonder how I would manage a similar situation at my job. It's SNF, and totally completely 100 percent restraint free. This...

  2. What to expect as a RN Nurse Supervisor role with no nursing exp.?

    NotFlo replied to hnt1987's topic in General Nursing

    What to expect? Putting your license on the line every single day. Other than that? You'll be in charge of the whole facility when you're there. If there are staffing issues, from holes in the...

  3. How much do you get paid for being on call?

    NotFlo replied to RN-ing's topic in General Nursing

    We get paid...absolutely NOTHING for being on call! It is horrible, it is the worst, we all hate it with a passion I can't even describe. It's not fair, it's not right, we lose whole days being on...

  4. Mandatory Overtime-- what do you think?

    NotFlo replied to pawsomepooch47's topic in General Nursing

    i think mandatory overtime stinks and i hate it. wish i had some good ideas for you, sounds terrible, but 1000/month is steep for health insurance, i know i couldn't afford it. i would say look...

  5. How many times do you really skip lunches and breaks?

    NotFlo replied to Aly529's topic in General Nursing

    Well I work in a rehab/subacute and do 8 hr shifts. I never take a lunch or a break (as in off the floor totally away from work). Of course I have time where I'm sitting at the desk off my feet...

  6. With-holding resuscitation on pt in the absense of a signed DNR order form? What?!

    NotFlo replied to Cat_RN's topic in Patient Safety Issues

    I don't know how much help all of us not in Florida will be. In my state, we can accept telephone orders for DNR, but the order is only good for 24 hours and then it must either be signed by the MD...

  7. With-holding resuscitation on pt in the absense of a signed DNR order form? What?!

    NotFlo replied to Cat_RN's topic in Patient Safety Issues

    So you are saying in the case of a SIGNED ORDER for the pt to be DNR, the nurse should start performing CPR and contact the doctor for guidance? This doesn't make sense to me, if the MD already...

  8. Drinks at the nurses station

    NotFlo replied to rddsnurse's topic in Emergency

    I just want to say that I am firmly on the side of hydration. It is a constant battle to stay hydrated at work and it shouldn't be. I should be able to access fluids freely throughout my day. I...

  9. Nurses with families...how do you manage??

    NotFlo replied to joanna73's topic in General Nursing

    To be honest my family loses out on a lot. Due to the schedules a lot of us have to work, 12 hr shifts that become 15 or 16 hr days with commutes and having to stay over, in my case 8 hr shift that...

  10. How to be faster/more efficient?

    NotFlo replied to JenniferSews's topic in Geriatric, LTC

    Those are good tips. My facility did come up with a policy regarding BPs and APs. We have to do them q shift for a week, at least daily and before any BP meds for a month, and then weekly...

  11. How to be faster/more efficient?

    NotFlo replied to JenniferSews's topic in Geriatric, LTC

    It sounds like you are already doing a lot of what you can. I've been doing first shift (7-3:30 in my case) for a few years now and I still can't get out on time most days. I have decided this job...

  12. Fed up with the "rules"

    NotFlo replied to Been there,done that's topic in General Nursing

    I hear you. I have a big issue with the forbidden water too. Most of my shifts are crazy, I don't take any breaks or leave the floor. I do use the bathroom when I have to, but usually that's only...

  13. Can I delegate this to a LPN?

    NotFlo replied to WI_home_RN's topic in General Nursing

    Well, like everyone else says, it depends on your state's scope of practice and your facility or agencies policy. In my state in my facility I hang IV abx through central lines daily, but I can't hang...

  14. RNs to write Diagnoses for medications?

    NotFlo replied to dinah77's topic in General Nursing

    No, I don't think this is what she's talking about at all. She's talking about coming up with medical diagnoses to match the meds...medical diagnoses that are not already in the notes or in the...

  15. Am I in the wrong Nursing home?

    NotFlo replied to MelissaLPN's topic in Geriatric, LTC

    I have read multiple threads about this issue lately. Probably because in my own experience some amount of "borrowing" is ubiquitous to long term care. You can leave your current facility because of...

  16. do you always monitor BP b/f giving HTN medications

    NotFlo replied to nursegreenbean's topic in General Nursing

    That's another good point. "Two minutes" to take a BP can easily turn into much, much more than that with some of these demented

  17. do you always monitor BP b/f giving HTN medications

    NotFlo replied to nursegreenbean's topic in General Nursing

    Two minutes of your time? Multiplied by an average of 30 patients out of 40 that are on anti-hypertensives and you are spending 80 minutes, that's over an hour of a med pass that the state says can...

  18. do you always monitor BP b/f giving HTN medications

    NotFlo replied to nursegreenbean's topic in General Nursing

    The original poster is in LTC. You can't compare how often you take BP in an acute care setting with how often you take BP in a long term care

  19. do you always monitor BP b/f giving HTN medications

    NotFlo replied to nursegreenbean's topic in General Nursing

    Check your facility policy. First of all, in LTC, no, every patient doesn't need their BP checked before every BP med is given every day for the rest of their lives. Millions of people take BP meds...

  20. Do you know of any new ergonomical designed med carts?

    NotFlo replied to tech's topic in General Nursing

    OTCs in a lower drawer? Ugh sounds miserable. Our carts are okay, nothing great, but we have a shallow top drawer that holds all OTCs, accucheck supplies, and misc. stuff like eyedrops. Next drawer...

  21. nursing home for my father in law?

    NotFlo replied to wrkoutgirl's topic in General Nursing

    Joint Commission has nothing whatsoever to do with nursing homes. You can't compare the rules and regs in hospitals to the rules and regs in a nursing home; they are totally different. In my state,...

  22. The correct way to send a patient out to the hospital...

    NotFlo replied to lvnnars1's topic in General Nursing

    Wow, seriously? That's scary. I work on a rehab floor of a LTC and I can't count the number of times I've had to apply 15L via non-rebreather in emergency situations while waiting for EMS to

  23. Made a huge mistake now worried for career.

    NotFlo replied to newRNhereMI's topic in Geriatric, LTC

    But she said the hard copy of the narcotic script was already on file at the pharmacy, the med had been sent stat, and she just needed to get a dose to get through the four hour wait until the...

  24. Narc count right, then WRONG

    NotFlo replied to Dee_RN's topic in General Nursing

    Well FYI in *MY* country and in my state it is well within my scope of practice to hold narcotic keys. I'm just as responsible for my narcotic box, the safekeeping and administration of the narcotics...

  25. Narc count right, then WRONG

    NotFlo replied to Dee_RN's topic in General Nursing

    Why? I'm an LPN, I manage my own sub-acture assignment and hold my own narcotic keys. My unit manager is also an LPN. One first shift frequently the only RNs in the buliding are the DON/ADON and...