Forever Sunshine ASN, RN

LTC

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All Content by Forever Sunshine

  1. Forever Sunshine

    How far do you force meds?

    Forever Sunshine replied to andrewRN's topic in Geriatric, LTC

    ...like when its 4am and that resident is still up, wide awake, sitting with me behind the desk(because there's no where else safe for her to go) and I have to almost put myself on top of them to keep...
  2. Forever Sunshine

    How far do you force meds?

    Forever Sunshine replied to andrewRN's topic in Geriatric, LTC

    When we put it in pudding/applesauce its because of aspiration precautions. I still tell them its their medicine in
  3. Forever Sunshine

    How far do you force meds?

    Forever Sunshine replied to andrewRN's topic in Geriatric, LTC

    I'm going to admit I don't do some things by the book. Not because I'm free from a nursing instructor/preceptors reign. but because I see its how we have to do it to get things done. I start at 4:15....
  4. Forever Sunshine

    Collecting urine sample

    Forever Sunshine replied to NextSummer's topic in Geriatric, LTC

    We put the sample in a special lab refrigerator.. which brings me to my next point.. whoever takes the order .. should also notify the lab to come pick up the specimen if the following day is not a...
  5. Forever Sunshine

    Elevated PT, but decreased INR?

    Forever Sunshine replied to WalldancerNIT's topic in General Nursing

    It takes time to memorize the normal range of lab values. PT/INR should correlate in the same direction. Like for instance if INR is increased, PT is increased also. Because INR is figured out by...
  6. Forever Sunshine

    Collecting urine sample

    Forever Sunshine replied to NextSummer's topic in Geriatric, LTC

    My pet peeve. :oornt: I've worked all shifts. Days can very well get a U/A C+S, as much as evenings or nights can. All shifts are busy. We don't just sit around eating bon bons once 7-3 goes home. So...
  7. Forever Sunshine

    Where do you peg feed your patients

    Forever Sunshine replied to conroenurse's topic in General Nursing

    I bring them back to their room or there's a bathroom off the day rooms, I'll bring the supplies and do it in
  8. Forever Sunshine

    brilliant freaking idea - pull ALL CNA's. . .

    Forever Sunshine replied to Lola77's topic in General Nursing

    Maybe you need to be on a unit that's staffed with just bones while your CNAs are taken to an inservice or monitoring an activity(new rule in my facility.. drives me up the wall ..that's a different...
  9. Forever Sunshine

    Co-workers talk.....

    Forever Sunshine replied to lpnwkids's topic in Geriatric, LTC

    I had a busy 11-7 shift one night. A fall, everyone was on the call light, we were short staffed, everyone had pain, indigestion. So I proritized and did the things I knew had to be done. And left...
  10. Forever Sunshine

    Am I in the wrong Nursing home?

    Forever Sunshine replied to MelissaLPN's topic in Geriatric, LTC

    Suppose a resident has loose stools x1. Holding senna and colace. Suppose a resident has a blood sugar of lets say.. 64. Holding anti-diabetics. Digoxin is held for an apical pulse of below 60. B/P...
  11. Forever Sunshine

    Co-workers talk.....

    Forever Sunshine replied to lpnwkids's topic in Geriatric, LTC

    I am one of the quiet ones. A nursing instructor said to me, "The silent ones.. can be dangerous." Its very true.. I seem like a mellow, quiet person. But **** me off and its too late lol. I don't...
  12. Forever Sunshine

    Why do night shift nurses get paid more when day shift clearly does MORE work?

    Forever Sunshine replied to squatmunkie_RN's topic in Patient, Colleague Relations

    I've worked all shifts. Every shift has its pros and cons. Nights is no picnic. You can't say we don't do enough work as day shift. We are often way way way way shorter staffed than days. Patients do...
  13. Forever Sunshine

    Hopefully helpful advice!

    Forever Sunshine replied to WittySarcasm's topic in Geriatric, LTC

    One tip I learned tonight.. Don't **** off the CNAs. It wasn't me who ****** them off so I didn't learn that the
  14. Forever Sunshine

    what is an acceptable response time to call bell in ltc?

    Forever Sunshine replied to jrbl77's topic in General Nursing

    We nurses pitch in but keep in mind.. we have to draw the line or else we would never finish our assignment. It mostly depends on staffing. If the CNAs are short, no doubt theres going to be a longer...
  15. Forever Sunshine

    Am I in the wrong Nursing home?

    Forever Sunshine replied to MelissaLPN's topic in Geriatric, LTC

    Whenever I work I always look through the cart to see if I can reorder any meds. Even if theres at least weeks supply left. Its just not worth the hassle to not be able to give it because its not...
  16. Forever Sunshine

    How Many Residents Do You Care For On Your Unit?

    Forever Sunshine replied to Nurse!Nurse!Hello?'s topic in Geriatric, LTC

    Evenings is worse than 11-7 in my opinion. I once came in on 11-7 with a list from the day-shift of things to do. I threw it in the trash. I know hell would be raised if I left them a list of things...
  17. Forever Sunshine

    calmoseptine

    Forever Sunshine replied to makes needs known's topic in General Nursing

    Since CNAs are the ones 99.9% of the time changing a resident and doing their personal care, it should be put on during that time. It just doesn't make sense for it to be applied whenever we get...
  18. Forever Sunshine

    to New Nurses (long, but, hopefully helpful)

    Forever Sunshine replied to gentlegiver's topic in Geriatric, LTC

    This I found on wikipedia. I feel it gives a more.. general...example of SBAR that can be used in any situation. The one above I wouldn't use. I doubt any of our MDs would be coming in to see the...
  19. Forever Sunshine

    LTC is not "settling"

    Forever Sunshine replied to joanna73's topic in Geriatric, LTC

    I'm not using LTC as a stepping stone, and those who do .. really don't enjoy their jobs and last at the facility I work at. Its easy to pick them out. But I don't want to be in LTC forever. I want...
  20. Forever Sunshine

    Things you'd LOVE to tell coworkers...and get away with it!

    Forever Sunshine replied to General E. Speaking, RN's topic in Patient, Colleague Relations

    Don't tell me while I'm trying to start my med pass that a resident needs to be changed when there at 3 CNAs 20 feet away. You can tell them. They don't bite(most of the time). I like to count...
  21. Forever Sunshine

    to New Nurses (long, but, hopefully helpful)

    Forever Sunshine replied to gentlegiver's topic in Geriatric, LTC

    She thinks I'm her niece. I go along with it too, I call her "Aunt
  22. Forever Sunshine

    to New Nurses (long, but, hopefully helpful)

    Forever Sunshine replied to gentlegiver's topic in Geriatric, LTC

    This was posted in LTC forum. Maybe someone posted a similar thread in that forum. It is all worth it when the confused resident who has been combative all night and you get her in bed and you tuck...
  23. Forever Sunshine

    to New Nurses (long, but, hopefully helpful)

    Forever Sunshine replied to gentlegiver's topic in Geriatric, LTC

    Also when you call the doctor. Have everything together. or your "ducks in a row" Fresh set of vitals, reason why you are calling, assessment info, chart, MARS/TARS, most recent labs if its pertaining...
  24. Forever Sunshine

    calmoseptine

    Forever Sunshine replied to makes needs known's topic in General Nursing

    Which is why I let them apply it. They know what residents get it, and they come to me to get the cream or the treatment if a dressing has to be
  25. Forever Sunshine

    calmoseptine

    Forever Sunshine replied to makes needs known's topic in General Nursing

    It is on the CNA care plan for some residents who get it. Others its not. If they usually get a cream, we give the cream to the CNA and they apply it when they put them to bed or change them. I don't...