mondkmondk

mondkmondk

Geriatrics

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All Content by mondkmondk

  1. "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 ...
  2. 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...
  3. 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 ...
  4. Back with my update and need some tips...

    I outlined what I do in the thread "How many residents do you care for " or something like that. I have been in this business a long time and I'm usually very by-the-book. I've only ever been written up a handful of times, all learning experiences, a...
  5. LTC interview

    I'm an old school nurse who has done many NG tubes, but haven't seen any in years. The ones I did insert were always verified with an abdominal x-ray to ensure proper placement. One lady we cared for was always yanking hers out, that is where most ...
  6. What exactly can a CMT do in LTC?

    My hubby is a nursing student now, but was a CNA/CMT several years ago and has to retake both b/c he let his certification lapse. He is currently employed as a CNA, taking CMT class and works full time nights. He says since he will be a CMT soon, c...
  7. NP vs. PA

    I have often thought I would love to be an NP specializing in adult and geriatric health, since I've been a nurse for over 17 years now that has been 95% adult/geriatric. However, I have a friend who is currently studying to be a physician's assista...
  8. How many residents do you care for Per Shift?

    I work evenings every other weekend in an LTC with 154 beds. On my particular station I am in charge of as an RN, I care for 39 currently. About 8 of those are skilled/Medicare. I do my own vitals and assessments and the 1400 nebulizer treatments ...
  9. My hubby has started his pre-req's for his RN, then plans to pursue bachelor's and master's. He says he wants to be a state inspector. Does he need all this education for that? Blessings, Michelle
  10. I just read on a website about a morbidly obese patient giving herself IM injections of B-12 below her belly button. Has anyone heard of this? One of my patients tonight is on this for wt. loss also and told me (ordered me) to give it in her abdome...
  11. They are trying to beef her up for gastric bypass...she is in our nursing home until then. She can't walk, but does have her mind, very alert. I just wondered about the injection sites is all...thank you! Blessings, Michelle
  12. Oncology. I am very squeamish when it comes to chunky vomit, ha! Blessings, Michelle
  13. Doing away with side rails?

    One of our hospice patients tonight fell twice in 30 minutes. I asked another nurse why his bed didn't have side rails and he told me they were considered a form of restraint. When did all this happen? We ended up putting him on 15 min. checks an...
  14. Sleep overs

    I worked in one facility that allowed this, but only for hospice patients. All their hospice rooms were private rooms with the patient's bed in the room and a futon or day bed. One lady we had was in her 30's and dying of liver cancer. Her teenage...
  15. Hi. I'm an RN hopefully going to get a master's someday...my hubby is an OTR truck driver right now but is thinking about going to nursing school (he has his CMT already). For those of you that are 2 nurses married/living with each other whatever.....
  16. any advice for pre-nursing student

    I'm with "Moogie" on this one. I also tell my CNA's that in most LTC facilities, an LPN can pretty much do everything an RN can, but without the pay or status. Except for I.V.'s or IV pushes, you can get IV certification as an LPN but still can't d...
  17. Faxing or not faxing

    This is the way they do faxes at my facility. We have a designated employee go through each station's fax folder, fax them herself and will occasionally make a copy of the POS depending on which doc it is being sent to, then brings the folder back t...
  18. I don't think my DON likes me very well

    For those of you who are regulars here, you may have remembered me asking about switching weekends not too long ago. Well, I told the nurse who was wanting to switch, that I would. I usually work every other Fri, Sat. Sun. Well when I switched wee...
  19. I don't think my DON likes me very well

    Update: Good news...I still have a job and I think my boss was just going through a rough time last I spoke with her. I talked to her today and explained my position as best I could. She is going to take me off Fridays until I find a sitter...she ...
  20. I don't think my DON likes me very well

    What???? There are 2 DON's in this facility...and if you are off the clock, you are not allowed to come in and view other nurses' phone numbers. We had a big inservice on this and confidentiality. Only a charge nurse or the DON is supposed to find...
  21. I don't think my DON likes me very well

    Well, I got one reply from my ad at craigslist but she wants $13/hr! For one child!!!! I only make $19/hr. so that is hardly worth it. I'm going to see if the YMCA will let me put up a flyer on their bulletin board...they haven't had a babysitter'...
  22. I can't give too much info just in case someone I work with comes here and of course, I surely don't want to violate anyone's privacy. Anyway, I worked this past weekend and wasn't aware of a policy in place at this new facility I've worked in for o...
  23. I don't think my DON likes me very well

    I belong to a sitter's site and a nanny's site...I live in a very rural area and there is simply no one to be found at this time. I will try craigslist next. Thanks! Blessings, M.
  24. In your experience have you seen this happen?

    If you are having trouble finding somewhere to move her to, may I suggest taking her home and hiring a private duty nurse? I know that can get expensive, but you don't have to hire a licensed nurse...I remember taking care of a patient when I worked...
  25. Frustrated with new job

    All the facilities I've ever worked in, both shifts made walking rounds together. The shift coming on had to sign their name that they "accepted" the hall in current condition. It definitely makes it easier on the charge nurse too to not hear one s...