NotFlo

NotFlo

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All Content by NotFlo

  1. I should probably let this go but...

    NotFlo replied to agldragonRN's topic in General Nursing

    Honestly I never would have agreed to the first 18 hour shift UNLESS they made a deal with me to give me the next day 3-11pm shift off. There's no way I would work 18 hrs and come back only a few...

  2. Low diastolic = 911?

    NotFlo replied to JLForever's topic in Geriatric, LTC

    How can they have you supervising without training you to work the

  3. Port-a-cath sterile access technique question

    NotFlo replied to S.N. Visit's topic in General Nursing

    The alcohol works when there is friction involved. I was taught to scrub. Little circular swipes don't do much, it's the back and forth scrubbing/friction that get rid of the

  4. Aides being "nurses"

    NotFlo replied to raebabelvn's topic in General Nursing

    Wow, you can't even maintain an IV line in your state as an LPN? Remind me never to move

  5. Taking picture of patient?

    NotFlo replied to rkitty198's topic in General Nursing

    Um, if that patient is an alert and oriented adult I would say it's the patient's decision if they want to play paparazzi or not. What does the family have to do with it? If I were the mother of an...

  6. Reality check: new grad in SNF

    NotFlo posted a topic in Geriatric, LTC

    Can anyone with experience overseeing or orientating new grad RNs in the SNF environment please tell me where they would expect the new grad to be after five to six weeks of 1 on 1 orientation? How...

  7. Restraint-free facility = FALLS GALORE

    NotFlo replied to TheCommuter's topic in Geriatric, LTC

    I've never worked in a facility that isn't restraint-free, so I don't know any different. I don't think there is a single facility around here that still uses restraints. Full siderails are...

  8. Reality check: new grad in SNF

    NotFlo replied to NotFlo's topic in Geriatric, LTC

    Yeah, only four years ago I got about a week at a SNF then was on my own, sink or swim style. I'm not saying it was right or ideal by any means, but that's the way it

  9. Reality check: new grad in SNF

    NotFlo replied to NotFlo's topic in Geriatric, LTC

    Wow! Did you feel like you had enough

  10. What Do You Expect of A Preceptor?

    NotFlo replied to Ruby Vee's topic in General Nursing

    I think precepting can be really difficult, depending on how it is set up. I don't really know how it's done in hospitals, but in the SNF I work at the preceptor is still responsible for their entire...

  11. Do give up your seat for a doctor?

    NotFlo replied to Pmkn10RN's topic in General Nursing

    I work in a SNF. By the time the doctor finally makes it in he or she has a ton of work to do and usually has to pull all of their patient's charts, address any issues, write progress notes on all of...

  12. verbal abuse from patient

    NotFlo replied to big bang theory's topic in Patient, Colleague Relations

    Aside from everything else, why on earth would you change the amount of saline you are flushing an IV with becaue the patient demanded it? We flush with 10cc normal saline, period. The patient...

  13. rotating shifts

    NotFlo replied to BettyBoop01's topic in General Nursing

    For me, rotating shifts are the absoloute worst of any shift work. I don't think anyone should be required to do them. Are you rotating shfits within the same week? That's pure hell. I had a job...

  14. MAR confusion

    NotFlo replied to utadahikaru's topic in General Nursing

    We use computer-generated MARS too. Like yours, all the times are mixed together. I have learned to read the MARS very carefully for times. At my old facility 7-3 meds were left as is, 3-11p meds...

  15. Do you all have coumadin clinics where you live?

    NotFlo replied to Vtachy1's topic in General Nursing

    Yes, we have them. My dad actually utilizes the one in his town. It works great for

  16. Skin Prep- waste of time?

    NotFlo replied to anonymous1919's topic in General Nursing

    Really? It's been drilled into my head to NEVER, EVER massage pressure areas or bony prominences. Our certified wound care nurse has posters of do's and don'ts up everywhere and this is always...

  17. New Grad LPN NO training!!!!!!

    NotFlo replied to Cass1531's topic in LPN, LVN Corner

    I am like the others...I had about three days of training then I was cut loose on 3-11 on a transitional care unit with peritoneal dialysis and traches and the nurse on the floor with me graduated...

  18. MD Quote of the Week

    NotFlo replied to blondy2061h's topic in General Nursing

    Call from MD to nurse at SNF: Hey! I'm just sitting here trying to fill out this guy's death certificate. What was the cause of death on this one

  19. New RN in LTC, feeling overwhelmed.

    NotFlo replied to kohlbesc's topic in Geriatric, LTC

    I feel for you, it is overwhelming, and it doesn't sound like you had a lot of orienatation. We have a new RN who was initially given 3 weeks orientation and now they are giving him an additional SIX...

  20. Can a LTC facility do this?

    NotFlo replied to bckthuzs1's topic in Geriatric, LTC

    Yes, I agree with CapeCod. It's not a case of medicare fraud, it's a case of the family having NO PAYOR SOURCE for the hospice and not wanting to end up paying thousands of dollars out of pocket for...

  21. What is the point of Medicare?

    NotFlo replied to chiuli's topic in General Nursing

    It sounds like you are confusing a couple different medicare rules. First of all, Medicare is a federal program to provide medical insurance in the US to the elderly. Citizens over 65 who worked...

  22. Should I go for my LVN program? - Need your comments

    NotFlo replied to TONY2010's topic in General Nursing

    Your age really isn't that much of a factor. The truth is I really wouldn't advice anyone to pursue LPN school anymore. I haven't seen it yet in my area, but from reading here and talking to...

  23. Hating the med pass

    NotFlo posted a topic in Geriatric, LTC

    I work on a subacture/SNF floor. I typically have 18 pts, which I know should be totally do-able, considering so many have 30+. It is a pretty busy floor with quick turnover, IVs, complicated...

  24. Any advice on orientating a new grad at a SNF?

    NotFlo posted a topic in General Nursing

    I'm trying to orientate a new grad at my SNF. I've done a lot of orientating, but usually it's other LPNs with experience in nursing homes or SNFs. Twice I did orientate new grad LPNs but they had...

  25. Need Advice

    NotFlo replied to procrastin8r-RN's topic in General Nursing

    I'm precepting someone right now. It's really hard because I have my normal full load plus I'm trying to precept a new grad who has never even seen a paper MAR before or set foot in a facility like...