Forever Sunshine ASN, RN

LTC

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All Content by Forever Sunshine

  1. Forever Sunshine

    911-ing a resident out, requires an order?

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

    As an ICU nurse you should know when a patient is going south.. act fast. In LTC same rules apply. There is no doctor in the facility. There is no PA. There is no NP. Its just licensed nurses(LPN/RN)...
  2. Forever Sunshine

    Nursing home/LTC getting more acute

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

    Nope us too.. so next time its 7pm and your admission that was a 4pm pick up is just rolling through the door.. remember you are not alone and we are probably in the same boat.
  3. Forever Sunshine

    911-ing a resident out, requires an order?

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

    You do need an order to send a resident out to the hospital. But.. with those circumstances(or any emergency situation on a resident that is not a DNH).. 911 first..get the resident out.. then call...
  4. Forever Sunshine

    Tips for first clinical?

    Forever Sunshine replied to betsyMT2003's topic in General Students

    Are you saying that nursing students in nursing homes/rehab facilities is the dumbest idea you ever
  5. Forever Sunshine

    Anything wrong with this order?

    Forever Sunshine replied to smartnurse1982's topic in General Nursing

    Mine too.. I would clarify that with the MD and re-translate it into our language. "Do you want this given once a day or twice a day?" We have protocols for 1xday and 2x day unless the order states...
  6. Forever Sunshine

    Tips for first clinical?

    Forever Sunshine replied to betsyMT2003's topic in General Students

    I recently had a student following me around. Its hard having 25 residents and a nursing student. I tried my best to do things the nursing school way so she could learn. But it did slow me down. When...
  7. Forever Sunshine

    Nursing home/LTC getting more acute

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

    Usually if the patient is Alert and Oriented they can answer our questions.. "I can stand but I need help getting up" or "I can stand but this leg is weak". And then theres some who it takes 3 people...
  8. Forever Sunshine

    Nursing home/LTC getting more acute

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

    I think it does negatively effect patient outcomes. These patients are full codes(90%) and we admit them.. either do labs on them.. get the labs back and end up shipping them back out to the hospital...
  9. Forever Sunshine

    Nursing home/LTC getting more acute

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

    Thats basically it. A few rooms in my hallway all had LT residents. They eventually expired and they facility fills the empty beds with patients who really should be on a med-surg unit in a hospital....
  10. Forever Sunshine

    "Knock, Knock!"

    Forever Sunshine replied to sophiee's topic in General Nursing

    It scares the little old ladies when you knock on their door. They think they are still in their home by themselves. So they hear knocking and think someones at their front door in the middle of the...
  11. Forever Sunshine

    What does an RN REALLY do?

    Forever Sunshine replied to dazed&confused1129's topic in General Nursing

    With these new handy dandy state of the art med-carts.. I don't even have to get up to pass meds. It pops the med into the cup.. crushes it if necessary.. and makes the confused little old lady take...
  12. Forever Sunshine

    Fingersticks

    Forever Sunshine replied to nycNurse2b's topic in Geriatric, LTC

    If the hands are visibly soiled aka they have food on their hands. I don't use an alcohol wipe prior to fingerstick. It does mess with the reading. And some of their poor oversticked fingers have no...
  13. Forever Sunshine

    what do you talk about at work?

    Forever Sunshine replied to nola1202's topic in General Nursing

    I didn't know but I'll never forget that now
  14. Forever Sunshine

    should i have given it to patient as scheduled?

    Forever Sunshine replied to Ms.RN's topic in General Nursing

    Like give it at 12am and then the next dose 5am so its back on
  15. Forever Sunshine

    what do you talk about at work?

    Forever Sunshine replied to nola1202's topic in General Nursing

    We talk about RN programs a lot, our classes, happenings of the facility, our favorite patients(alive and dead lol), food, the weather, how poorly the staffing is, diets and anything else that comes...
  16. Forever Sunshine

    hobbies to keep dementia pts happy?

    Forever Sunshine replied to makes needs known's topic in Geriatric, LTC

    LOL! I know which of my resident would eat the crayon..and which one would try to smoke it.
  17. Forever Sunshine

    New Grad Freaking Out!!!!!!!!!!!

    Forever Sunshine replied to rottie69's topic in Geriatric, LTC

    Well back when I first started there were 2 LPNs on the unit. One was charge. the other did meds for the entire floor (50 beds). I can tell you.. that the medpass took 8 1/2 hours. There was no 4:30...
  18. Forever Sunshine

    Why Long Term Care?

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

    Thats the biggest secret that nursing schools don't want to tell you; Whats really going on in the
  19. Forever Sunshine

    Long Term Care Cutbacks

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

    Thats basically how our admissions have been lately and its not a good thing for anyone involved. Staffing is up by a smudgen because the state will be dropping in soon. Then its going to go back to...
  20. Forever Sunshine

    Most important thing to know in LTC

    Forever Sunshine replied to beatrice1's topic in Geriatric, LTC

    I use that when I don't have an answer for them and I'm swamped. Resident: I have to go to the bathroom! Me: Me too! Resident: I want to go to bed! Me: Me
  21. Forever Sunshine

    Pinning up long hair

    Forever Sunshine replied to annetter's topic in Patient Safety Issues

    Definitely minimal jewelry. I only wear bracelets. That can easily come off. I am afraid to wear necklaces or earrings because we may have a resident who decides to go wacko and pull on my necklace or...
  22. Forever Sunshine

    Most important thing to know in LTC

    Forever Sunshine replied to beatrice1's topic in Geriatric, LTC

    Resident: Nurse! I'm being held here agaisnt my will Me: Me
  23. Forever Sunshine

    How do you handle this?

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

    If that was my patient in LTC with no MD in house at 3am. I'd just call 911 and send them out, then get hold of the
  24. Forever Sunshine

    Does A Bad Shift Ever Make You Question Your Abilities?

    Forever Sunshine replied to All4NursingRN's topic in General Nursing

    I've been a nurse for almost 2 years now so I've had enough of those bad shifts to answer your question. No it doesn't. If I start to get that thought in my head I think .. it takes some skill to be...
  25. Forever Sunshine

    Most important thing to know in LTC

    Forever Sunshine replied to beatrice1's topic in Geriatric, LTC

    When you hear an alarm(read: chair, bed, clip, door. etc) go off. Start running