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...
  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...
  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...
  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...
  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...
  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...
  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...
  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...
  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,
  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...
  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...
  12. Oncology. I am very squeamish when it comes to chunky vomit, ha! Blessings,
  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...
  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...
  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...
  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...
  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...
  18. 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...
  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...
  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....
  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...
  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...
  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,
  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...
  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...