WittySarcasm

WittySarcasm BSN

rehab

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All Content by WittySarcasm

  1. Nurses aggravating my patients.

    Maybe rant-y but I need to get this out there. Sorry if it annoys you. So, this has happened several times by the same nurse and I need ideas now. Going to the manager doesn't work- several have...
  2. Normal Saline as a flush for PEG

    Hi. So I just have a quick question because I love to learn. I have a patient who is post crani- after a subdural. Anyways she's NPO and on a tube feed continuously. Which is all normal but her...
  3. So I've been a nursing home nurse for almost a year. First I started out as an agency nurse, however because I had no experience they put me in only nursing homes and hospice. Which it was awesome,...
  4. Nursing progress notes cheat sheet

    Not only are the above good advice but if they’re on a rehab for PT/OT you can also chart how they transfer and self care. ‘Pt transfers to bathroom with one person assist to stand pivot to...
  5. Moving from LTC to the hospital

    I began my nursing career in LTC, I was usually on the skilled floors except through agency which would put me anywhere. Anyways I finally decided to make the acute jump about 5 years ago. I went into...
  6. I’m not sure if this is in the right area and sorry if I’m posting in the wrong area. But I’ve worked LTC and inpatient rehab for my entire nursing career. I’ve wanted to always work...
  7. Charting and learning

    I agree with others saying this place is setting you up for failure. If moving to another place is possible I’d suggest it. However if it isn’t or you want to try to tough it out here’s some...
  8. Tips for new RNs

    If you're able to always help your CNA/tech, never state 'that's the tech's job'. If you have time in your med pass/assessment then help them to the bathroom or to bed. You'll make so many friends....
  9. Rehab nursing - Yes or No?

    I started in a LTC setting, mine had a respiratory unit (where vented patients were there long term) and worked there and the rehab floor. After management changed I moved to the hospital scene, by...
  10. Biggest things among everything else- It's not 'tech' work and 'nurse' work. It's patient care. If you don't want to wipe butts, bathe, help them dress then maybe rethink if you want bedside nursing....
  11. Nurses aggravating my patients.

    I understand this example is not the strongest but it was more the latest moment I've had with her (mainly because I race for the lights). I had her once answer my call light, while I was in another...
  12. Nurses aggravating my patients.

    Thank you so much for your reply. I'm gonna try to do that and hope for the best. I know everyone is tired of this and I hope through these ideas maybe something will help calm it down
  13. Nurses aggravating my patients.

    Ususally I don't have them immediately talk to the manager, I've never actually suggested it to a patient but have had others do that. But if it becomes too big of a problem then I tend to pass it up...
  14. PEG tube

    I would try to get any meds switched to IV so she can have relief without the medication being sucked out through the
  15. I understand the importance for customer service and satisfaction but sometimes I feel it goes to far to the extreme. Often it has left patients able to 'tattle'/berate/accuse staff and when...
  16. Customer Service and Patient Satisfaction...

    I agree too. I always do what is right for the patient. Sometimes they get mad that I don't treat the hospital like the Hilton, which I'm sorry that's actually a block east if you got lost.
  17. Student nurse dismayed by bedside nursing attitude

    For me beside nursing is a love/hate relationship. I love caring for the patients. I know a desk job in management is not for me- paperwork for hours kills me inside. So I love caring for the...
  18. Believe me I had the same feelings as you when I started my career. But I'm so happy I got to work at a nursing home. I was on the rehab unit and I got to see so much. I learned how to put Foleys in,...
  19. G-tube pulled out by patient

    Don't fret. I can tell you right now from experience no matter how old the patient is once they have a tube they are going to pull it out at least once in their stay. I've had grown men who are alert...
  20. LTC Nurses please respond

    I left LTC a year ago but I was in it for 3 years and I have heard that not much has changed. So here's what I noticed. 1. What size is your LTC facility? All together we could hold about 150...
  21. Wound Vac

    Does your facility have you changing it or does a special nurse? Because I can semi explain it since I used to do it all the time at my
  22. Wound Vac

    Wound vacs usually are changed on certain days. The wound nurse or your facility or the doctor will have the days. They do beep for a couple of reasons and it is a musical tune that you will hear. It...
  23. Professionalism....name your irritation here!

    Once I was tech on my unit because we had too many nurses and needed another tech. Well day shift comes in and one tech comes and gets report and the other one doesn't come in. This is normal for this...
  24. Professionalism....name your irritation here!

    Ok mine are of course being late. I come in 15 mins early and while in the break room I grab the pens I need so when I come to the floor I'm ready for my assignment. To have to wait that extra 15 mins...
  25. acuity of patients

    This sounds much like my rehabilitation unit. We have patients that are not correct for the therapy that we expect them to do. Many times we have to return them back for medical conditions that they...