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mondkmondk

mondkmondk

Geriatrics
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mondkmondk has 17 years experience and specializes in Geriatrics.

mondkmondk's Latest Activity

  1. A psychiatric nurse told me that Ambien definitely comes up as a benzo on a urine drug screen. I know it is a sedative/hypnotic, but other people have told me that too. When I said she passed her drug screen, I meant she didn't have any other meds on there besides her Ambien. She was negative for illicit drugs and alcohol. I haven't talked to her today but will keep everyone posted on the outcome. Thanks for all the advice... Blessings, Michelle
  2. Ugh. In response to the meds being their business question, most health care facilities in our area do a drug test upon hire and random ones they feel as necessary. I know Ambien and Xanax would come up as a benzo...however, I don't see how they could hold that against you if you had a valid prescription for it and could bring your med in as proof or a written note from your doc. Just a thought.... Blessings, Michelle
  3. Well, I know she takes Ambien CR and they've given her static over that in the past. I think the place she works wants healthy hearty nurses on NO meds at all. I know another nurse who used to work there too that was on Paxil and Xanax and they railroaded her too. It is so sad that in this day and age, mental illness still carries such a stigma, especially with health care professionals, who should be the most understanding! My friend was told that since she is only "prn" that she should never ever call in unless death. She has only ever called in once and has worked there like 5 years. Then this happens to her. I personally don't think it's fair. My friend is very honest and has no reason to lie. I believe her; I know you all don't know her like I do so it is easy to assume there is more to it. Basically, my friend is an awesome nurse and "everybody's friend" and someone there has it out for her. Blessings, Michelle
  4. I just got off the phone with her; she is already notifying an atty who is a friend of her parents'. She says she has never had any action taken against her license of over 20 years and cannot believe this is happening to her. They are threatening suspension and revocation because she came in "over-medicated" and this made her "unsafe" to care for her patients. She also said she wasn't even there one hour and made no errors while there, no one fell or got sick or anything while she was there. She said she was simply dizzy and laid her head down so as to not fall down and hurt herself on the floor...she said that was a mistake, she thinks now, but doesn't feel she should lose her nursing license over it. Thanks for all the advice so far...I feel really bad for her, I've known her a long time and she is an excellent nurse. Blessings, Michelle
  5. I have a friend who is an RN who just got out of a psychiatric hospital. She has problems sleeping and today was supposed to work and did try to go to work although she was very groggy. She tried to call in and was told she would lose her job if she didn't come in. So she went in and said she felt very dizzy and laid her head down on the nurses' station for about 10 seconds...however, another employee saw her and told everyone she was sleeping. The nursing manager shows up and gives her a drug screen, she passes, but they place her on suspension anyway and are threatening to call her BON and get her license revoked. Doesn't she have any rights at all in this matter? I want to help her in any way I can... Please advise! Blessings, Michelle
  6. mondkmondk

    What is the best NCLEX book for studying

    Lippincott, hands down. I'm big with anxiety with big tests. It took me 3 tries to pass RN boards, despite having a B average in school. The first time I took one of those review classes. Failed. The second time, I bought a set of cassette tapes (this was before CD's were invented) and 2 other NCLEX books. Failed. The third time I bought a Lippincott book and became very depressed, because I was barely passing the practice tests in the book. I thought I was done for sure, but went ahead and sat for boards. The board test seemed too easy, I took 75 questions that were so easy I felt I could've done it as an LPN! That Lippincott book was hard, but prepared me more than any other review tactic. Good luck! Blessings, Michelle
  7. mondkmondk

    Back with my update and need some tips...

    Nope, only one med cart and that goes with the CMT! The CMT's aren't allowed access to the narcs at all. When I oriented, and I oriented with an excellent RN...she passed straight out of the narc cabinet too. Our facility has had trouble with nurses taking narcs for their own personal consumption. Every time pharmacy delivers, 2 nurses have to sign in any new cards of narcs. When a card is empty, 2 nurses have to sign the card and then put it under the DON's door. The DON's check our narc cabinets daily. Also, they have increased our urine screenings as well. If anything is amiss, even if one nurse signed an empty card, not 2 nurses, we all get **** tested and the one nurse that signed gets wrote up. One evening shift, and this is another learning experience for me, I was the only RN in the building. There were 2 LPN's on the other 2 units. The station 3 LPN came to me and told me that the CMT on station 1 had called her to assess a patient b/c the LPN in charge of that wing wasn't doing it. They ended up sending that patient out. After the station 3 nurse assessed her, then went to the actual LPN in charge and told her he was very ill. I went to talk to the LPN in charge of that station b/c at that time, I thought she was an excellent nurse very in tune with her patients and this lack of concern was concerning ME. She acted very strange and seemed really out of it. I went to the station 3 LPN and asked her if she thought we should test her urine. We decided we would leave a note for the DON and let her take care of it. Only a DON can conduct a urine test. Come to find out, several days later, that specific LPN was found with a card of Lortab and was immediately fired. The station 3 LPN and I chatted and have decided if it ever happens again, we are notifying the DON pronto. As I said, you live, you learn! I have done more learning at this facility than ever! Blessings, Michelle
  8. I have noticed in our LTC, that most often, spouses not only work the same shifts, but the same floors. If I was a DON, I don't know if I'd necessarily do this. We have one couple where I work both CNA's, same shift, same unit. The wife is an excellent CNA...her hubby however, well, let's just say, she covers for him a lot. He likes to sit at the nurses' station and read charts, while call lights are going off and his wife is running up and down the halls helter skelter answering them. They only worked my shift, my wing once and I got onto him all night. His wife came to me towards the end of the shift and asked me why I was being so hard on him. She thought she had to defend him or something. Now, the shoe is on the other foot. My hubby is a CNA going to nursing school. He works where I work, but on night shift and usually on an opposite wing/unit. We both told the DON when he was hired that we would be more comfortable NOT working together. Anyone? Blessings, Michelle
  9. mondkmondk

    Sorry another ques. Was this write up justified?

    CapeCod: Last I heard, he was transferred to a bigger facility in the city to be closer to his family and a place that is more acute than we are. I really beat myself up over this one...and because of this particular situation, I have gone back on malpractice insurance. I've already informed both my DON's that I will call them whenever in doubt and do whatever they recommend. Blessings, Michelle
  10. mondkmondk

    Back with my update and need some tips...

    CapeCod: You are a good nurse; sorry I didn't make myself more clear!!!! Blessings, Michelle
  11. mondkmondk

    Back with my update and need some tips...

    Oh, to clarify too, I don't chart those meds until AFTER they've been given. I see many nurses that will check the MAR, pop the pills out, sign the MAR, then take them to the patient. I NEVER do that; because by state law, you aren't supposed to sign that MAR until the resident has swallowed those meds. I chart on my MAR after all have been passed....sorry again! Blessings, Michelle
  12. mondkmondk

    Back with my update and need some tips...

    I don't do anything there "by memory" because I'm only there every other weekend. Too many things change! Blessings, Michelle
  13. mondkmondk

    Back with my update and need some tips...

    NOOOOOO, I always always check my MAR first. Our narcs are in a locked cabinet in the med room. The only way to pass them by state law would be to give them one at a time, after double checking your MAR. I double check the MAR, set them up by each individual med sheet, put them into an individual cup with their name on it, then pass them out. There is only right now, about 12 at hs. We nurses don't have a med cart. Only a locked narc cabinet. Sorry I didn't make that clear! Blessings, Michelle
  14. mondkmondk

    "I Don't Care if You are Sick...Come to Work Anyway!"

    One facility I worked at back in early 2000, had an incentive absentee policy designed by their own employees. It went like this: More than 8 abscences in a year, you were fired, period. Anytime you covered for someone else, even if that was your only shift that week, you were automatically paid double time. This place was another wonderful place I worked in. Unfortunately for me, I exceeded the abscenses due to hospitalization, and was fired. They didn't accept doctor's excuses. Blessings, Michelle
  15. mondkmondk

    When asked "what meds are you giving me?"

    The charge personnel where I work mainly only gives narcs, the CMT's pass the others...but when I have passed meds on occasion, I always think about that person and their diagnoses. Then over time, I match the pill up to what their diagnoses are and can say, "here, this is for your high blood pressure" etc. Of course, we don't pass that many pills when a charge does pass it is usually on station 3 with a total of 20 residents; I always pass directly by the MAR so I'm looking at it right before taking the pills into the resident's room. On our MAR's, the diagnosis is listed right next to the med...it really helps!!! Blessings, Michelle
  16. mondkmondk

    Questionable practices at a LTC home

    To the OP: Are you willing to relocate? We would love to have you where I work, and not as a CNA, we have plenty of those, I help out on the floor when I have time, mainly to answer lights and love working as a CNA, but my facility would never let me do that as an RN. There are good facilities out there, granted, you may have to drive a bit/relocate, but they are there. I drive 30 min. one way to get to mine and love it! Get our ratios: We are a 154 bed LTC with an acute nursing home/skilled wings and a residential care. On the acute side where I work are 3 stations. Station 1 right now has about 40 residents a lot of dementia related residents...on days: 5-6 regular floor CNA's, 1 shower aide, 1 restorative aide, 1 CMT, and a charge. Eve: 4 regular aides, 1 CMT, 1 charge, and occasionally a restorative aide for half shift. Nights: 3 CNA's, and a charge. Station 2 (my station): 38 residents days: 4 CNA's, 1 shower aide, 1 restorative aide, 1 CMT, and a charge. Eve: 4 CNA's, 1 CMT, and charge (me) Nights: 2-3 CNA's and a charge. Station 3: 20 residents, mainly self care days: 2 CNA's, 1 CMT, a charge Eve: 1 CNA, 1 CMT, and a charge. Nights: 1 CNA and a charge. We also have on staff a wound care nurse who does all the treatments/dressing changes on all stations and takes care of anything regarding wounds of any kind. Showers scheduled only on day shift. RA's help out in the dining rooms during meals. We only have 2 dining rooms. Station 1 has their own and stations 2 and 3 share one. We usually on evenings have 3 aides passing trays, 2 charge nurses feeding, 2 cmt's passing out coffee/hot tea/hot cocoa and 1 aide on the halls for lights and to pass room trays. We have an ADON and a DON and both are wonderful wonderful people with tons of experience. They will work the floor in any capacity on any shift if needed. There are great facilities out there. I know, I work in one! Good luck! Blessings, Michelle
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