NotFlo

NotFlo

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All Content by NotFlo

  1. Putting a mask on a spitter

    NotFlo posted a topic in General Nursing

    The situation is a dementia pt. in a LTC facility. Pt. is a peach much of the time but when pt. gets in a bad mood pt spits. Pt. has spit on multiple staff members, primarily CNAs (because it's...

  2. New grad starting LTC job next week...

    NotFlo replied to dukesgal's topic in Geriatric, LTC

    Congrats on passing the NCLEX and getting your first job! With the way things are right now for new grads (and old grads too!) it's a step in the right direction to get a job, even if it's not your...

  3. New Grad...1st Job...Nursing Home=HELP

    NotFlo replied to GatorRN2010's topic in Geriatric, LTC

    What job did you accept? Are you going to be a supervisor, a unit manager, a floor nurse, or what? If you're a nurse on the floor (and some facilities call this position "charge nurse" while some...

  4. depressed about new ltc job

    NotFlo replied to MissJessica,RN's topic in Geriatric, LTC

    I really feel for you. I'm three years in now and I can say in some ways, yes, it does get better, but some of the things you are having a hard time with never really go away. You will get faster and...

  5. To Fall or Not To Fall?

    NotFlo replied to Tait's topic in General Nursing

    Wow, some places really go to extremes. A lowered to the floor would be a fall in my facility. But why would you do neurovitals on a person that was lowered to the floor unless they hit their head?...

  6. Seeking opinions on 35:1 patient ratio.

    NotFlo replied to VSsn's topic in Geriatric, LTC

    It's way less than ideal but it's the norm where I'm from. Certain things will either make it tolerable and do-able or make it an impossible situation. How many CNAs will you have for that number of...

  7. Summer Sizzling Heat

    NotFlo replied to abbaking's topic in General Nursing

    I feel everyone's pain on this issue! I work a rehab. wing on a LTC floor. The hallways are very slightly air conditioned (it's controlled by maintenance and I think set for 75). The rooms all have...

  8. Pulse Sites

    NotFlo replied to healthstar's topic in General Students

    Thank you, thank you, thank you. At my job, we have a population that is at high risk for DVTs. EVERY time I have been suspicious of DVT due to increased edema on that side, pain in the calf, etc. I...

  9. What do you pack in your work bag?

    NotFlo replied to vhern246's topic in General Nursing

    In my pockets I always have: Scissors 2 black pens yellow highlighter black Sharpie 1 red pen my cart keys On my cart: Large, pedi and regular adult manual BP cuffs My steth I have two bags. One is a...

  10. What is the nurses job in regards to restraints in a nursing home?

    NotFlo replied to ArtofGrace's topic in Geriatric, LTC

    We're restraint-free here, so we just have alarms up the ying-yang and let 'em

  11. Call offs. I love getting the phone call, hate getting the paycheck

    NotFlo replied to klone's topic in General Nursing

    Ain't that the

  12. Newbie LTC RN with a dumb question re: Charge Nurse

    NotFlo replied to nycNurse2b's topic in Geriatric, LTC

    But some facilities refer to their floor nurses as "charge nurse" and their unit managers/supervisors as, well, unit managers or supervisors. Some facilities split things up with one nurse being the...

  13. what do you think of this pain med schedule?

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

    i've seen people with pain regimens like this plenty of times. there's never anything wrong with asking the doctor if you are questioning the meds, but it could very well be that this is the regimen...

  14. Alert patients who refuse meds.

    NotFlo replied to Caffeine_IV's topic in General Nursing

    My facility has patient who is a very young man (older teen) who stays up late every night playing video games and on his computer. He doesn't ever get up in the AM before noon. Our doc. simply...

  15. Apical Pulse Rate

    NotFlo replied to healthstar's topic in General Nursing

    Nope, never used my hand to take an apical pulse and never heard of this before. You mention the "hand method" like it's a standard nursing assessment but it really

  16. Can someone explain this mess to me?? sorry so long

    NotFlo replied to sasha2lady's topic in General Nursing

    It sounds like communication between the shifts has totally broken down at this point. Shift wars are never a good thing, and from what you posted it sounds like days and nights are severely at odds...

  17. Being Tired at work - How do you cope?

    NotFlo replied to abbaking's topic in General Nursing

    This sounds like serious exhaustion. Obviously, you aren't getting enough sleep. I think the idea of going to your doctor and discussing the possibility of provigil is a good one. Also, is the...

  18. was i wrong?

    NotFlo replied to goldc8's topic in General Nursing

    Yes, exactly. My current facility isn't always thrilled to have the census go down but the DON trusts our judgment and understands that pt safety is more important than money. She doesn't require us...

  19. RN On-call car plates/sign on cars

    NotFlo replied to RelloydRN's topic in General Nursing

    Wow, no one there lives more than 30 minutes from the hospital? Are you supposed to sit in the parking lot in scrubs clutching your cell phone waiting for work to

  20. Glucometer / Infection Control

    NotFlo replied to ktwlpn's topic in Geriatric, LTC

    Yup, we have to wipe down between each patient now too. However, our policy is only that, to wipe it down between each patient. It says nothing about how long to wait for it to dry and be ready to...

  21. Nursing Home- Patient falls?

    NotFlo replied to anonymous1919's topic in General Nursing

    This is exactly what we do at our

  22. Nursing Home- Patient falls?

    NotFlo replied to anonymous1919's topic in General Nursing

    I have never heard of such a policy and honestly I think that's a bit of overkill. Who ends up paying for the ambulance and ER visits for someone who fell and is back up again without any injury...

  23. Dirty Needle Stick

    NotFlo replied to chenoaspirit's topic in General Nursing

    I'm so sorry that happened to you, it's a very scary experience. Did you get the stick because the pt. was being

  24. How to get a good report from previous shift?

    NotFlo replied to Nurse_Tricia's topic in Geriatric, LTC

    Report in LTC is a funny thing. It's easy to give way too much information, and it's also easy to give no information. Some nurses seem to have a real knack and talent for talking for an hour and...

  25. Potassium tablets!

    NotFlo replied to Acarter2618's topic in General Nursing

    At my facility we get two main types of potassium...the KDur extended release which are the big, non-crushable horse pills. They are scored so can be broken in half but can't be crushed. Then we get...