Forever Sunshine ASN, RN

LTC

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All Content by Forever Sunshine

  1. Forever Sunshine

    question about giving meds thru PEJ tube

    I don't have time to do it that way. I am not sure about J-tube as I have never had a patient with one yet. Only PEG tubes. I crush them up and mix them together with warm water. I flush 50ccs of...
  2. Forever Sunshine

    Most satisfying Nursing Specialties?

    Both were on two little old ladies which I swear to god the meatus was
  3. Forever Sunshine

    Most satisfying Nursing Specialties?

    I've tried 2 foleys.. haven't gotten any liquid gold
  4. Forever Sunshine

    Should New LPN Do Per Diem?

    Thats what the nurses who orientated me said. I am starting to feel comfortable with my med pass and getting a little quicker finishing. Its been 4 months and I am still not 100% comfortable with...
  5. Forever Sunshine

    Want to hear your pet peeves in LTC nursing

    #2 was my pet peeve last night. Nothing more frustrating when you have a COPD patient whos oxygen, lamp and nebulizer machine cords are all tangled up and she needs a breathing treatment and the damn...
  6. Forever Sunshine

    Dirty little secrets to managing LTC

    To add.. . I just got home from a 8 hour shift in which I had to medicate 50 patients. I started at 3:30. I did not finish until 10:45. Anyone who wants to push a 2 hour rule on me.. can go do my...
  7. Forever Sunshine

    Dirty little secrets to managing LTC

    Please answer my question.. Have you ever done a beastly medpass in LTC? If so.. then you should know that the two hour rule can turn into three or four hours for a medpass because there just is not...
  8. Forever Sunshine

    Dirty little secrets to managing LTC

    Just how exactly are you supposed to give 25 sometimes 50 residents their meds in only two hours is my point.... I doubt the doctor has the slightest clue what a med pass entails and I don't think him...
  9. Forever Sunshine

    Dirty little secrets to managing LTC

    Morning med pass takes me 3 1/2 hours for 26 residents. 4:30 med pass takes me 2 1/2 sometimes 3 for the same amount depending on the unit they have me on. Tons of interruptions no matter what med...
  10. Forever Sunshine

    Dirty little secrets to managing LTC

    For me it doesn't get done in two hours. I'd rather be an hour late with finishing a med pass and do it safely and not make any errors than rush through in two hours and probably make several med...
  11. Forever Sunshine

    do you skip your lunch break routinely?

    I work in LTC. When I first started out on my own .. I didn't have time to take a dinner break. Now I usually do. We get a half hour. I sometimes just take 15 minutes to eat quick and go back if I...
  12. Forever Sunshine

    What do you carry...

    My ID badge I wear around my neck.. I have one of those beaded lanyards ... so cute but expensive! The first one broke all over the floor. Beads everywhere! In my pocket I have my cell phone(I do not...
  13. Forever Sunshine

    How far do you go with precautions...

    I'd never finish my medpass if I did
  14. Forever Sunshine

    New Thread Idea

    Pre-Nursing Student Forum - Nursing for
  15. Forever Sunshine

    Potassium tablets!

    We have the big white pills and the blue capsules. The K-Dur white pills are my biggest pet peeve. Why would anyone would think that its a good idea to swallow is beyond me. I wouldn't even swallow...
  16. Forever Sunshine

    Should New LPN Do Per Diem?

    Per diem/On call was all that was available at the time and my facility offered it so I took it. Now I am part time. You will learn on the job but you have to a have a super super supportive team of...
  17. Forever Sunshine

    Dirty little secrets to managing LTC

    It is possible.. where I work I sometimes have to give meds for 50 residents. This includes g-tube feedings, eye drops, patches, coaxing agitated resident to "just eat the little tiny bit of yummy...
  18. Forever Sunshine

    Most common LTC meds

    Most have capsules. I wish all the residents on potassium did. I really would like to find the inventor of K-Dur and ask them why? why would you make a little old lady swallow this tootsie roll size...
  19. Forever Sunshine

    Most common LTC meds

    I have one patient on K-dur who I refuse to give it to whole. I did once the first time I had her and I was weary about it and she had a hard time swallowing it. So I came home and read on here that...
  20. Forever Sunshine

    Nurses Notes(What do I write??)

    Neither did I. I try to read through the other nurses notes in the chart to get some ideas on what to focus on with my note but I don't want to make it seem like I steal their words. I want to write...
  21. Forever Sunshine

    LTC nurses--tell me about bed alarms...

    Bed alarms will go off when he tries to get out of bed, falls out of bed, or sometimes even the slightest movement will set it off. Sometimes it goes off for no reason at all. They are very loud. I...
  22. Forever Sunshine

    Most common LTC meds

    I read on a thread here that if you have a patient on K-Dur you can put the pill whole in applesauce and it will dissolve. I will not make a patient swallow that damn pill whole. I wouldn't even...
  23. Forever Sunshine

    Can I do this job???? I need advice please.

    It does. A new admit was sitting by the nurses station one evening and I stopped, smiled and introduced myself to her as I went by. She said to me "dear you are the nicest one I've seen yet
  24. Forever Sunshine

    Nurses Notes(What do I write??)

    Ordered via amazon.com. 1 day shipping. Expected delivery 5/11/10 3pm. Will continue to monitor. I tried to write that in a nurses note style
  25. Forever Sunshine

    Can I do this job???? I need advice please.

    The ones who aren't in their rooms..I flag them and come back. Keep moving. As for the narcs.. I Put them in the narcotic box in room order and in front of the first one I put something in front of...