NurseExec

NurseExec

Geriatrics, ICU, OR, PACU

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All Content by NurseExec

  1. End of Month Changeover

    NurseExec posted a topic in LTC: Directors, Assistant

    I am looking for ideas on how to improve our efficiency with end of month changeover. Currently, we do our MAR/TARs in-house using AmericanHealthtech's LTC system, and print 1 week prior to the end...

  2. Nurses struggling with mental illness

    NurseExec replied to Severina's topic in Nurse Disabilities

    Take the time off. Be selfish, or self-caring if that suits you better. Get your meds right, so you can be the other things in their time. After I was diagnosed, I took almost a year off to get...

  3. Nurses struggling with mental illness

    NurseExec replied to Severina's topic in Nurse Disabilities

    Newly diagnosed, and your psych won't see you until January? You should be being seen every week to two weeks, and getting your meds tweaked based on how you're feeling. Have you considered...

  4. Nurses struggling with mental illness

    NurseExec replied to Severina's topic in Nurse Disabilities

    I have akasthisia from my Geodon as well, although not as severe as what I had with Abilify. I'll probably end up on Cogentin, considering I haven't been able to tolerate any of the other AAPs. It...

  5. Nurses struggling with mental illness

    NurseExec replied to Severina's topic in Nurse Disabilities

    I've been away for awhile. It's been a rough few months, and I just wanted to check back in. I have bipolar I, rapid cycling, mixed state, and after I had gallbladder surgery I ended up in the...

  6. Introductions--It's all about YOU!

    NurseExec posted a topic in LTC: Directors, Assistant

    I'm new here, and would love to hear about you and your facilities--I'll start :) I'm a 45 y.o. DNS, running a 120 bed SNF in FL with a large Medicare short-term population (50-60). My background is...

  7. In your LTC dining room

    NurseExec replied to LPN&momof3's topic in General Nursing

    I don't staff a nurse in the dining room. I have three aides there, they are CPR certified, and there is an emergency paging phone on the wall. The dining room isn't so far away from the floors that...

  8. Do you sign "RN' after your name OUTSIDE of the hospital?

    NurseExec replied to uscstu4lfe's topic in General Nursing

    That's sort of like insisting people call you Dr. So and So, when you have a PhD in Llama hearding or somesuch, isn't it

  9. How do you address your patients?

    NurseExec replied to anonymurse's topic in General Nursing

    I grew up in, and live in the south. We use Mr. or Miss followed by the first name. Miss Mary, Mr. John. I also Ma'm and Sir everyone older than me. I remember learning this at a very young...

  10. Bipolar Disorder and other Psych DX

    NurseExec replied to weirdRN's topic in General Nursing

    I am a Director of Nursing who happens to have Bipolar Disease Type I. My fellow department heads, as well as my Administrator are all aware of my disease, and are very supportive. I have chosen not...

  11. Please help me come up with a name for a New LTC facility!!

    NurseExec replied to Singlemom40's topic in Geriatric, LTC

    Think about something local for your facility--something that evokes "home" for the elders living in your local area who will become

  12. Alaska Nursing

    NurseExec replied to Merideth's topic in General Nursing

    I lived in Eagle River (just north of Anchorage) and worked at Alaska Regional in the ICU/CCU from 1997-2000. At that time, it was a great unit to work in, and I had nothing but good experiences with...

  13. Can bipolar disorder get in the way of recieving lnursing licensure?

    NurseExec replied to sironside's topic in Nurse Disabilities

    I am BP1, and I take: Seroquel 450mg at HS Lamictal 200mg BID Effexor 75mg BID Neurontin 300mg at 5p and HS I've been on the Seroquel/Lamictal/Effexor combo for about 5 years, and recently added the...

  14. Accuracy with new admissions!!

    NurseExec replied to greencatgreencat's topic in LTC: Directors, Assistant

    We use case studies to do admissions teaching. We spend an entire day of orientation on admissions and discharges. Then, they do both during their floor orientation. If they are having trouble...

  15. How long does it take to get your license back after narc. diversion

    NurseExec replied to power99's topic in Nurses Recovery

    You didn't say whether or not the BON had put you in a nurse recovery program (a diversion program). Each state has their own time frame. Where I live, it's a 5 year program, after you attend rehab....

  16. Monthly MAR/ TAR order checks

    NurseExec replied to CoffeeRTC's topic in Geriatric, LTC

    Here's what we do: 1. The desk nurse takes off the days orders and during the transcription process, updates both the computerized order system and hand updates that month's POS/MAR/TARs. 2. The...

  17. Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act

    NurseExec replied to jackstem's topic in Nurses Recovery

    It's about time. It's been a 20 year long fight. I look forward to not having to "ration" the number of visits I can make to my psychARNP for a

  18. LTC questions

    NurseExec replied to matt59's topic in Geriatric, LTC

    So, if you had a unit manager that helped you with anything you needed (families, patients going bad, incident reporting, admissions paperwork, discharge paperwork, and so forth) they'd "just get in...

  19. LTC questions

    NurseExec replied to matt59's topic in Geriatric, LTC

    I staff a wound/treatment nurse, a desk nurse, and two unit managers (short term and LTC). Short term is, in my opinion, impossible to run without a desk nurse--I have either a MD or an ARNP on the...

  20. Need Help From Nurses In Recovery!

    NurseExec replied to bossynurse101's topic in Nurses Recovery

    As a nurse with both a mental illness (bipolar disease) and the disease of alcohol addiction, I am absolutely floored (still, after 9 years sober) at the attitude of our many in our profession to...

  21. Could you all please help me by answering some questions???

    NurseExec replied to renbertos's topic in General Nursing

    1.) What kinds of writing did you have to do to get the job you have? The usual business writing skills. However, I was a technical writer in my previous career, so my writing skills were excellent....

  22. How far do you drive?

    NurseExec replied to ShayRN's topic in General Nursing

    I only drive 5 minutes to work--which is the absolute closest I have ever lived to work. The longest trip I've ever made was 1.5 hours to my first nursing job. I finally quit driving the whole...

  23. WANTED: smokers and smokers that have successfully quit!

    NurseExec replied to annful24's topic in General Nursing

    1. How long have you been a smoker? On and off, since 1985. I'm in an on phase right now. My longest time without cigarettes was 11 years. 2. How often and how much to you generally smoke...

  24. Meds in lock up

    NurseExec replied to lexibear99's topic in Geriatric, LTC

    All scheduled drugs, plus Lyrica and Phenergan. We also double lock our EDKs (Emergency Drug Kits), because they contain scheduled

  25. LTC questions

    NurseExec replied to matt59's topic in Geriatric, LTC

    30 LTC residents to one nurse is the norm in my building. I started out as a staff nurse passing meds, and it took me about 2-1/2 hours. I came from acute care, and was slow as all get out the first...