Forever Sunshine ASN, RN

LTC

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All Content by Forever Sunshine

  1. Forever Sunshine

    Can a nurse report a MD for being rude?

    Ok nix that about the nurses note. I mean most of our MD's are not like this. He was the covering doctor that night for her regular doctor I am going to look up in the policy and procedures books...
  2. Forever Sunshine

    Why just part time?

    I had a great orientation and I feel I am starting to grasp the act of becoming a good clinically competent nurse. Even though I spent my entire shift last night running around like a chicken with no...
  3. Forever Sunshine

    luncheon with the CEO.. what should I suggest?

    SUPPLIES! Make a list of things you need to use on a daily basis at your job to care for your residents. Ask the CNAs to do the same. Ask for your CNA's input on this too. I am always hunting for...
  4. Forever Sunshine

    Why just part time?

    I started part-time as a new grad. I didn't want
  5. Forever Sunshine

    I need to talk about my night.

    I had 5 CNAs last night. They knew I was being thrown in the fire and they did a fantastic job as
  6. Forever Sunshine

    Nursing homes' bad reputation

    Stervets- I am curious why are you working in LTC? If you want a rest from the hospital environment go to the
  7. Forever Sunshine

    Nursing homes' bad reputation

    Working in LTC is not asking about grandchildren and spoon
  8. Forever Sunshine

    Nursing homes' bad reputation

    skills i have used in my 7 1/2 months in ltc. 1. wound care 2. foley insertion and maintenance 3. specimen collection(i/e straight cath) 4. medication administration 5. patient teaching 6. g-tube...
  9. Forever Sunshine

    Common LTC no-no's (part vent, part question)

    I have done that before. I didn't get chewed out for doing so. Depends on your facility's policy. But what else were you do to besides marked that you didnt give it. You couldn't borrow as no one else...
  10. I found it more helpful to review concepts and notes rather than do 10,500 questions. I did about 1,000 questions. You can do questions until your fingers fall off but you don't know if those...
  11. Forever Sunshine

    Common LTC no-no's (part vent, part question)

    Nope our E-box has narcotics and antibiotics. Which we must have an MD order to take
  12. Forever Sunshine

    Common LTC no-no's (part vent, part question)

    No I am saying if the MD has them on 4mg for example. But the dose is reduced to 3.5mg or 3.. or increased to 4.5 We need to borrow. Because you can't futz around and get orders to hold coumadin...
  13. Forever Sunshine

    Common LTC no-no's (part vent, part question)

    What if its Coumadin??? And we just got back PT/INR results that require a change in dosage but the current dose is too much. Coumadin has to be
  14. Forever Sunshine

    Common LTC no-no's (part vent, part question)

    Then why don't you get what we are saying. The med is not always reordered and to write someone up because they didn't reorder a med is ridiculous. I am not waiting around for pharmacy or doctors...
  15. Forever Sunshine

    Common LTC no-no's (part vent, part question)

    Our pharmacy has the same thing. But sometimes the sticker walks off the blister pack and doesn't get reordered so I have to write it on the reorder form. But aside from that. If we can't write "med...
  16. Forever Sunshine

    When do I initial the M.A.R.?

    Well in LTC we don't have bar codes and
  17. Forever Sunshine

    When do I initial the M.A.R.?

    So you are telling me that when someone is watching you pass meds you don't change a thing from when you are doing it on your own? I pass meds for 25 sometimes 50 patients. With that patient load. I...
  18. Forever Sunshine

    When do I initial the M.A.R.?

    My short term memory loss kicks in during a heavy med pass. So I have to sign it out then pop it from the card. I know my residents meds and what they get on my shift. And I always go by the mar if...
  19. Forever Sunshine

    Would you lose benifits to get into OB-GYN?

    In this situation I wouldn't take the OB position. Stay where you
  20. Forever Sunshine

    switching schedules

    I prefer to ask in person. We do text each other sometimes too. But I prefer to ask in person and I always offer to take up one of their shifts and its fine if they don't want to give it
  21. Forever Sunshine

    Do you work in a Neighborhood/Household LTC model?

    Which is why I don't like the idea of this. Residents care will be compromised while the nursing staff has to bake cookies.. Its not- "home like" at all. Its going to cause UTI's, skin breakdown,...
  22. Forever Sunshine

    Schedule issues.

    You gathered correctly. I consider monday a work day. since I will be working my little tail off in the wee hours of the
  23. Forever Sunshine

    Schedule issues.

    Ok so I have worked the past 3 days...I have tomorrow off. I am working 11-7 Saturday and Sunday night. Then I am scheduled.. Tuesday... THROUGH... Saturday. Thats 7 days in a row. Should I tell the...
  24. Forever Sunshine

    Schedule issues.

    But part time means just that... "part" time.. not every single damn day. When I saw this week which was the end of the schedule I wanted to throw up.. How can a person.. expect another person.. to...
  25. Forever Sunshine

    Is it ok to call and ask?

    They do wear arm bands in my facility and you learn who is who and what they like pretty quickly. Why don't you see if you can apply for the limited grad nurse permit? And start looking for jobs. Only...