Forever Sunshine ASN, RN

LTC

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All Content by Forever Sunshine

  1. Forever Sunshine

    Funny things they say....

    I absolutely love this and can totally picture one of my residents saying this to me. I know the exact one
  2. Forever Sunshine

    Staffing levels

    I am very with you. Over the weekend I had 21 residents. I actually felt like I had it together and I was done with the meds very early. So I had time to do the creams myself that we usually pass on...
  3. Forever Sunshine

    That is not how you address one on the telephone.. *vent*

    We, (LTC floor nurses) don't make the ridiculous
  4. One of my residents was sent out to the hospital today. This evening I called over to the ER to check on how he was doing. I had to explain why I was calling about 4 different times to 4 different...
  5. Forever Sunshine

    New Nurse needs help interpreting labs, please

    You basically learn lab values as you go and if you feel the need to let the doctor know of a lab value that was low or elevated and can't wait until the morning to start treatment.. don't be afraid...
  6. Forever Sunshine

    That is not how you address one on the telephone.. *vent*

    All I need is an admitting diagnosis and a time. If they already have facts about the resident in a report earlier.. why do they need it again to answer my questions. What I said was this, its...
  7. Forever Sunshine

    Blister Pack Blues & The Dreaded Med Pass

    I recently was written up (my first one I was ******) for not giving a med because pharmacy didn't deliver it on time. I regret signing the write up and should have thought it over but I did sign it...
  8. Forever Sunshine

    What are you best work tips?

    All of that and bring lots of snacks. I don't know about all of you but I'm a witch when I'm
  9. Forever Sunshine

    giving report to a SNF

    For a LTC facility we like their blood pressures to be a little higher than that. Although some of our residents thats where they live at but we keep a close eye on them. I would have ran that B/P by...
  10. Forever Sunshine

    No Narc count????

    "I will refuse to accept the keys or this assignment until the narcotic count is done and
  11. Forever Sunshine

    From full time to per diem

    Keep in mind also just because one nurse is getting that.. doesn't mean you will if you take that
  12. Forever Sunshine

    That is not how you address one on the telephone.. *vent*

    This is 6-7 hours after the resident was sent out. Immediately would be calling at 4PM if they were sent out at 2:30pm. They usually are admitted or sent back 6 hours later.. If they don't have any...
  13. Forever Sunshine

    Lip care for patient on oxygen

    Burt's Bees chapstick is non-petroleum
  14. Forever Sunshine

    Will never write order again w/o permission from doc

    The only time I will EVER write a MD order without calling is when I need to get a med from the e-box that the resident already has an order for but we don't have any left and are waiting for pharmacy...
  15. Forever Sunshine

    That is not how you address one on the telephone.. *vent*

    I didn't have a chance to even get a word in... "Hold on.. "
  16. Forever Sunshine

    That is not how you address one on the telephone.. *vent*

    I'm not sure how bed-holds work but if they are admitted to the hospital they can lose their bed or the family can pay for a bed-hold. Thats all I know about it. I've only had maybe two ER nurses...
  17. Forever Sunshine

    That is not how you address one on the telephone.. *vent*

    Admin/medical records (we don't have case management nurses) .. are gone like the wind by 4pm. This is mostly done in the evening. (Unless the resident was sent out early in the morning). And even if...
  18. Forever Sunshine

    That is not how you address one on the telephone.. *vent*

    I did identify myself. I did explain why I was calling. I was very polite professional and honestly.. if I had four ambulances, or codes going on.. answering the phone would be the last thing I do....
  19. Forever Sunshine

    Will never write order again w/o permission from doc

    I would have suggested that the doctor write it this way. "Continue life support until patient's family has visited. Discontinue after family has left." This way it covers time if the family is...
  20. Forever Sunshine

    From full time to per diem

    I wouldn't do this. You'd get the last pick of shifts and who knows if your facility even pays more for per diem. Stay full-time unless your obligations outside of work don't allow for
  21. Forever Sunshine

    That is not how you address one on the telephone.. *vent*

    I did that too and then she hung up on me then. I said a very cheery "Thank YOU and have a great night!" and she hung up the phone... no goodbye
  22. Forever Sunshine

    Most common meds in LTC??

    Aerosol Xanax.. oh wait that was in my dream. Nevermind
  23. Forever Sunshine

    That is not how you address one on the telephone.. *vent*

    Thank you. That is my point here. I'm not asking for a bow or to be addressed "your majesty" but a "hello" and "goodbye" would be
  24. Forever Sunshine

    "The police are on the phone for you"

    I had this once.. a resident called his wife saying he was choking. So his wife called the police. The police call us. My supervisor answers the phone for me because I was elbow deep in tube feed.....
  25. Forever Sunshine

    That is not how you address one on the telephone.. *vent*

    We need to document the admitting diagnosis and time of admission when transferred to another facility in a nurses note. Thats our resident.. we need to know whats going on with them also. Facility's...