Forever Sunshine ASN, RN

LTC

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All Content by Forever Sunshine

  1. Forever Sunshine

    Confused residents are upsetting to me

    Aw I love when they come sit with me when I'm charting. It gets very lonely behind the nurses station sometimes. Give them a snack. Let them type on the computer. (They love this one) One night I had...
  2. Forever Sunshine

    dementia pt/wants out

    I use the rain as an excuse. "Its been raining and the roads are bad. We are going to spend the night here and let it dry up out there overnight." Oh god it was easy during the winter when we had 15...
  3. Forever Sunshine

    dementia pt/wants out

    All our exit doors are alarmed. So the minute one of those doors opens all these bells and alarms go off. Even the deaf could hear it thats how loud they are lol. Definitely get help. Everyone usually...
  4. Forever Sunshine

    time management

    When I first started what really helped me to figure out who got a fingerstick with insulin is on a seperate sheet of paper write it out. But be careful because some residents have a different sliding...
  5. Forever Sunshine

    Just hired at a Skilled Nursing/LTC Facility

    And theres nothing wrong with getting ice water, or putting someone on the toilet quick but like I've said before.. you as the nurse have to draw the line. If you are elbow deep in charting and its 10...
  6. Forever Sunshine

    I'm so stressed, I want to give up nursing...

    I think thats what was happening too. We are encouraged to put a symptom in the diagnosis or description in the order. I would just write a new Tx order.. "Venous doppler on 5/25/11 to RLE to rule...
  7. Forever Sunshine

    Where do you take temps??

    If I was the patient I would refuse a rectal temp. Unless there is no possible way of getting it any other route.. I don't use rectal. I will use axillary on a resident who can't really keep anything...
  8. Forever Sunshine

    I messed up my ppd site

    I totally didn't know that until now. Thank you for sharing this with us. I'll remember this next year when I get my
  9. Forever Sunshine

    New to ltc, questions after 1st orientation

    Don't feel obligated to pick up the phone
  10. Forever Sunshine

    Tell me about sub-acute care nursing

    I'd take this job if I were
  11. Forever Sunshine

    The CEO said WHAT!!!!

    OK, sure then he and the doctors can come do our jobs on the floor including following all the ridiculous policies set by him and his friends. See how fast he takes back what he said and apologizes on...
  12. Forever Sunshine

    New to ltc, questions after 1st orientation

    1. Isolation precautions for c-diff are gown and gloves. (And of course hand washing upon leaving the room) If I'm just going in to give meds, I'll wear just gloves and make sure not to lean up...
  13. Forever Sunshine

    What to do, what to do.

    7-3 can check charts and call MDs to get orders changed just as much as 3-11. I've done all shifts. 3-11 is just as busy as 7-3 so I'm not even going to get into a shift war. Its not a battle I like...
  14. Forever Sunshine

    I feel like nursing is not my thing...

    As a LTC nurse I totally agree and notice that.. even where I work. The CNAs who are in nursing school sometimes see what **** what have to put up with and say to us, "Is this all worth it?" I think...
  15. Forever Sunshine

    Would you give Lantus without BG check?

    I don't check BS before giving Lantus because the order doesn't state to hold if BS Usually the residents who get a dose below 20units get their sugar checked at 6am. The residents who get a high...
  16. Forever Sunshine

    A Funny Moment in LTC...

    Last night .. I was finishing up my med pass and I am outside a room with 4 dementia patients. The CNA told me Bed C was awake. Bed A was stripping naked. Bed C could see all of this. Bed C was...
  17. Forever Sunshine

    How do your pronounce "peds"?

    peeds
  18. Forever Sunshine

    A Funny Moment in LTC...

    And what ended up happening? Did they play along or tell the resident the baby is breathing
  19. Forever Sunshine

    Lost very important paperwork. Am I in trouble?

    I would say about 97% of the oopsies I've done in the past year aren't the big deal I expected them to be. Its ok to be worried about mistakes. Keeps us on our
  20. Forever Sunshine

    Morphine and End Of Life

    I would give it despite the respiratory distress. I currently have a resident who is "hanging" by a thread. I noticed that she was having Cheyne Stokes respirations tonight. My views on Morphine is if...
  21. Forever Sunshine

    Mean Doctors....

    No, I wouldn't tolerate that. I would be taking that up and reporting that to everyone onward to the tippity top of the the chain of command until something was done, no excuse for throwing things at...
  22. Forever Sunshine

    A Funny Moment in LTC...

    The little old ladies love the babies.This one lady in her last weeks was shouting and yelling and no matter what we did or gave her she was so violent. So I went up to her. I put my arm around her...
  23. Forever Sunshine

    Mean Doctors....

    Have your ducks in the shortest, most straight forward row possible, but include all important details. We have one doctor who almost every nurse in the facility has a horror story about. No idea why...
  24. Forever Sunshine

    My first med error... Yikes!

    I think that would be the box I pick for most incidents in my facility. If it wasn't on the form.. I'd make one on the side
  25. Forever Sunshine

    I cried

    Nah, I still cry sometimes. I'm lucky to even make it to my car before the water works start. lol Its ok to cry when a patient passes. I can't say I enjoy having a dying resident but.. I feel its...