NotFlo

NotFlo

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All Content by NotFlo

  1. Undecided LPN/RN?

    NotFlo replied to CASM's topic in General Nursing

    I'm an LPN. My advice is if you have the opportunity go directly for the RN. You will have many more opportunities and not have to deal with a lot of baloney. If you can get by financially for the...

  2. what would be the"perfect med pass"?

    NotFlo replied to princess007's topic in General Nursing

    Perfect med pass...one in which all the patients self-admin their

  3. APN role in Pressure Ulcer improvement

    NotFlo replied to umichnurse's topic in General Nursing

    The front desk person pages over the intercom every two hours to the staff that it's time to turn and position. I guess it's a good reminder but honestly I don't even notice or hear it most of the...

  4. Is this legal?

    NotFlo replied to netglow's topic in General Nursing

    wow, that's crazy on so many levels. first of all, i see co-workers popping pills all the time (don't we all live on tylenol and ibuprofen etc?) i could never imagine running to a don to report that...

  5. Non Compliant Wound patient

    NotFlo replied to Katwel's topic in General Nursing

    I totally agree, as frustrating as it is, this is what you have to do. I know a patient in an inpatient setting that was in almost the exact same circumstance. This person was incredible...if you...

  6. Start orientation at 1st nursing job tomorrow. PRN in LTC. Any advice?

    NotFlo replied to Irock's topic in General Nursing

    Give yourself plenty of time to learn the routines on all the floors. I think it's tough having your first job be PRN because (at least in my experience) the regular nurses have their own floors and...

  7. First job in LTC

    NotFlo replied to Short-Stuff 23's topic in Geriatric, LTC

    In my experience the supervisory roles are totally different from being on the floor. I actually hate to admit it but at times I do get jealous of the people in roles that don't require them to be...

  8. "size of the paycheck"

    NotFlo replied to agnesj23's topic in General Nursing

  9. am I wrong?

    NotFlo replied to Ms.RN's topic in General Nursing

    I feel like we might be missing something in this story. How does the pt. that needed to go to the bathroom transfer? Do they require a mechanical lift or an assist of 2? Honestly, the CNA was in...

  10. Are med techs allowed to do blood sugars when there's no RN or LPN on the property?

    NotFlo replied to vicksext's topic in General Nursing

    Not my experience at all. I had a blood sugar of 29 the other morning and we handled it in the facility...the patient was back up over 100 within 20 minutes with a shot of glucagon. It would be...

  11. How do you know if you are doing a good job?

    NotFlo replied to twokidsmom,rn's topic in General Nursing

    Unfortunately any type of positive feedback seems really difficult to come by in this field. You will hear about any tiny little error you might have made ad nauseum, but never hear about the other...

  12. Common LTC no-no's (part vent, part question)

    NotFlo replied to Zergasaurus's topic in Geriatric, LTC

    This brings me back to a huge pet peeve. I work days. Many admits come in on second shift. The second shift supervisor is tasked with writing out the orders and faxing to pharmacy. It seems that...

  13. Smoking coworkers and fair breaks

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

    It's a chronic problem at my job, and it extends to the nurses, CNAs, unit secretaries and other ancillary staff. On any shift other than 7-3 and on the weekends all the house RNs smoke as well....

  14. Some Nurses too Almighty?

    NotFlo replied to EbonyBorn2Succeed's topic in General Nursing

    I would never out-and-out refuse to give a bath if someone was in dire need but giving baths is not part of my daily routine by any means. If they CNAs are really short, I will help them as much as I...

  15. Some Nurses too Almighty?

    NotFlo replied to EbonyBorn2Succeed's topic in General Nursing

    Yes we all pitch in when we can BUT...while it's true that anything the CNA can do the nurse can do, the opposite is NOT true. Often I've been helping toilet and bathe all day, then when I need...

  16. When nursing staff ask for medications

    NotFlo replied to dblpn's topic in Geriatric, LTC

    Well, that's the sensible way to handle it. My DON seems to think the top drawer of my cart (where all the house stock OTCs are kept) is her own personal medicine cupboard. Almost daily she asks me...

  17. HELP! Need help with documentation of blood sugars and sliding scales.

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

    We have a blue sheet in the MAR for documenting blood sugars and insulin coverage (there is also a red sheet that is used for coumadin only). It has a line for every day of the month and four columns...

  18. charts on plain sight--HIPAA violation?

    NotFlo replied to cebuana_nurse's topic in Geriatric, LTC

    No, having charts at the nurses' station closed on a rack (or open behind the desk when someone is working on them) is certainly NOT a HIPAA violation. I can't even imagine working someplace where...

  19. charts on plain sight--HIPAA violation?

    NotFlo replied to cebuana_nurse's topic in Geriatric, LTC

    Just FYI...many states do NOT utilize med aides. Mine doesn't. The nurses on the LTC floors at my facility have 30 people to pass meds to by themselves, in addition to treatments, answering phones,...

  20. First Nursing job, and I drowned!

    NotFlo replied to galenanurse's topic in First Year After Licensure

    Who has even heard of a weekly meeting running THREE HOURS late? If my med pass/shift started at 2:30 I would have gotten up, excused myself, and got out on the floor. That place sounds

  21. Denial

    NotFlo replied to SuesquatchRN's topic in Geriatric, LTC

    This is one of the worse, most heartbreaking situations I face at work. It disturbs and upsets me more than anything

  22. Skating on thin ice?(at my job)

    NotFlo replied to nursep2b's topic in General Nursing

    Honestly from what you posted it doesn't sound like you're job is on thin ice. Issues of holes in the MAR, not being able to leave on time and meds not given are issues in just about every LTC...

  23. oversaturation makes managers arrogant

    NotFlo replied to RN1980's topic in Patient, Colleague Relations

    Yes. Our nursing meetings end with, "and if you don't like it, don't let the door hit your ass on the way out." We've been told nurses are a dime a dozen, we're constantly reminded of the stack of...

  24. Help Needed plzzzzz....

    NotFlo replied to rita.kumar83's topic in General Nursing

    Almost all of my patients that colace plus senna or senna-s (which is colace plus senna in one pill). More than a few take Miralax, colace and senna every day. One I can think of takes lactulose,...

  25. Is Dakins still used?

    NotFlo replied to clemmm78's topic in General Nursing

    Never! The wound nurse at my facility always flips her lid when she sees pts. coming from the hospital with it ordered and always changes the