mondkmondk

mondkmondk

Geriatrics

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All Content by mondkmondk

  1. I worked this past weekend. I took report from the day nurse on Saturday about a resident who had developed a UTI. Someone overlooked the pending C&S and the lab I guess never did it so the day...
  2. What could have been done differently?

    Morte: Yes, the hospital personnel ran some tests on him and he came back positive for illicit drugs; they didn't say which ones and he is not allowed any visitors alone in the room with him per...
  3. How many deficiencies does your facility have?

    Sorry, nursing only had one deficiency where I work. It was for documentation. Blessings,
  4. Our facility had a meeting about this but I missed it and plan to talk to one of our DON's, but I just wondered what others did. Whenever we take a new order now, we are supposed to notify a...
  5. How many deficiencies does your facility have?

    I'm not sure how many total we got, but nursing only got 2. One was for documentation and I think the other was for someone's wound or something like that. I'll look in the survey book when I go to...
  6. Re: nursing duties and nurse/pt. ratio

    I work evenings...currently on my wing there are about 39 residents. We have 4 CNA's, a med tech, and me. I do all my own vitals and assessments on about 10 skilled residents; I pass all scheduled...
  7. if your gonna make em up, at least let em be WNL

    Supernurse: I've worked long and hard to find as close to a good LTC as I can...and I do drive a bit to get there, but I work in a pretty close to perfect place.. I'm so sorry you apparently don't. I...
  8. if your gonna make em up, at least let em be WNL

    My CNA's are busy. I always take all my own vitals because I have to do the assessments anyway. What better way to assess a resident then to get their vitals first anyway? Plus, I only do apical...
  9. Can a new grad start as a travel nurse

    I have been a nurse for over 17 years but only in one field: geriatrics. IMHO, it would be like taking your license into your own hands. I have little to no hospital experience...no experience with...
  10. How do you deal with a rude co-worker?

    Personally? I'd report him to either the hospital administrator or medical director. I'd probably also tell him off after he got done yelling. I'd say "Dr. X, I do not have to take your constant...
  11. Well not so far, LOL. I swear they make our residents' rooms soundproof. But whenever one of my aides hears me, they come right in. That is their cue! Blessings,
  12. fresh ideas for jobless new grads

    If you live in a rural area, volunteer for hospice. Hospice patients are always needing someone to sit with them while their caregivers get a much needed break. I think that would look excellent on...
  13. We have a G tube lady that vomits A LOT. I always give her Dramamine prior to her feedings, but she still gets sick about 8 times out of 10. The vomit itself is not bad, usually just gastric...
  14. Endo - TSH levels?

    I have hypothryroidism. My last level was a 4. Our lab considers anything above a 3 abnormal. Now, for a different perspective, I am also bipolar and the psych hospital I am sent to every so often...
  15. What's Your Best Nursing Ghost Story?

    Yes, more stories please people!!! As an avid fan of anything to do with the paranormal, (you should see all the paranormal shows on my DVR) and as a nurse of many years...I love reading these...
  16. LTC interview update

    Sounds good! We have a 154 bed facility and generally on evening shift, I'm the only RN there too, with a slew of LPN's on the other stations. I have my own wing to be in charge of and give report...
  17. 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...
  18. 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....
  19. 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...
  20. I came in to work one day and got report from the day shift nurse that a resident's wife thought he wasn't acting right and wanted to know if he should go to the hospital. The day shift nurse...
  21. 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...
  22. Back with my update and need some tips...

    CapeCod: You are a good nurse; sorry I didn't make myself more clear!!!! Blessings,
  23. 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...
  24. 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,
  25. 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...