mondkmondk

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 nurse obtained another specimen and sent it to the...

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 their policy. I told him when he told me he was going...

Sorry, nursing only had one deficiency where I work. It was for documentation. Blessings, Michelle

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 resident's emergency contact; but what if no one is listed...

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 work this weekend. Blessings, Michelle

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 and prn narcs; I do about 4 accu checks and insulin...

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 thought you just said in a previous thread that y...

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 pulses...I like to hear the heart beat, esp. in thos...

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 not being oriented to anything new. I'm always ...

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 verbal abuse. My patient needs your medical experti...

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, Michelle

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 a resume! Blessings, Michelle

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 juice...but the sounds she makes while she is vomiting. ...

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 for med changes, regards anything above a 1 to be ...

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 stories! Blessings, Michelle

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 on, about 39 residents. But I have floated to the ...

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 exce...

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 ...

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 nurs...

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 assessed him and couldn't find anything really wrong so s...

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 ...

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

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 si...

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

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...