Forever Sunshine ASN, RN

LTC

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All Content by Forever Sunshine

  1. Forever Sunshine

    Pinning up long hair

    I do wear my hair down but i keep a scrunchie on my wrist and tie it up when i need to. (meal times, dressing changes, foley
  2. Forever Sunshine

    first two days off orientation.... doubting my readiness

    Wow that sounds like me. Don't worry it gets better once you know the residents and the doctors and the facility. And it took me a good 6-9months to get quicker with the medpass. I am a big believer...
  3. Forever Sunshine

    Ten Ways To Know You're Burning Out

    I kinda disagree about the dreams. lol I dream about work. Usually after a rough shift. And its usually about what went bad during that shift. Not a nightmare but just a dream of me being at work and...
  4. Forever Sunshine

    Talking to MD

    Thats what we do too. If we need the doctor we page him and let the other unit know we have a call out to him and send his call up to the other unit so hes not called 100 times from
  5. Forever Sunshine

    Why Long Term Care?

    I was offered a job after passing my boards in LTC right away, so I took it. And its where LPNs are hired for the most part so thats where i applied. Its not the most attractive job, but I've been...
  6. Forever Sunshine

    Talking to MD

    English is my first and only language and I still sometimes go blank when talking to the doctor. Have everything ready when you call, especially if the doctor doesn't know the patient. Fresh vitals...
  7. Thats what I do. We have a narc that hasn't been in for a couple days. MD is aware. Its an insurance company issue. So I write on the back " *Name of med* not available due to pending insurance...
  8. Forever Sunshine

    Giving meds crushed in applesauce

    I'll remember the jelly trick next
  9. Forever Sunshine

    Giving meds crushed in applesauce

    As you get to know your residents you get to know how they take their meds. If applesauce doesn't work try a pudding. Chocolate pudding does wonders with combative patients who you need to get that...
  10. Forever Sunshine

    narcotic from e-kit..

    Drives me up the damn
  11. Forever Sunshine

    Medication Administration through a feeding tube

    I give 50ml flush before and after the med "cocktail". If I know I won't have a chance to give the meds for a few hours. I'll flush the tube with 50mls of water to keep it from clogging. G-tube...
  12. Forever Sunshine

    Medication Administration through a feeding tube

    Shouldn't happen if the tube is flushed. Oh but we are just another lazy nursing home that doesn't do that and just gives the meds without flushes. Yep thats what it
  13. Forever Sunshine

    narcotic from e-kit..

    We need an MD order to take a dose of a medication from the ebox. Its used when a med is out, or for a stat dose. Thats why the ebox is there OP- not to collect
  14. Forever Sunshine

    Love LOLs

    lol I use to work in retail. I find that
  15. Forever Sunshine

    Medication Administration through a feeding tube

    The real world way: Mix them up all together and administer at the same time. The student way, or the way we do it when we are being observed: Like you learned in lab. It doesn't hurt to do it that...
  16. Forever Sunshine

    Maybe bedside nursing isn't for me

    LTC is NOT... routine. We get daily admissions, discharges, issues with everything under the sun, MD visits, (and they leave presents(orders) to be picked up.), falls, incidents, patients who need to...
  17. Forever Sunshine

    Shift change incident--Who's responsibility?

    That is the responsibility of the oncoming shift. You can't stay there all night and tie up every loose end or you would never get out of there. Once I count with oncoming shift and give the keys over...
  18. Forever Sunshine

    Pt not allowed to refuse care?

    Don't forget to document all these refusals. Of everything. 8:00am. "AM care offered.. Resident refused." 9:00am. "Refused 9am meds" 9:30am- "AM care offered again.. Resident refused." 11:00am-...
  19. Forever Sunshine

    Annual survey and I'm scared

    I can't stand when people lick their fingers to turn pages! I don't get why they need to do
  20. Forever Sunshine

    Theme music

    I know which resident will sing along with me, another who would give me a look like I have 8 heads and I know which co-worker would start throwing charts at me.
  21. Forever Sunshine

    Theme music

    Oh theres a few. This one of course- http://www.youtube.com/watch?v=kr8-E8may2Y This one too to keep the jungle theme going- And this one when the shift starts to
  22. Forever Sunshine

    Are LPNs being phased out?

    LPNs might be dwindling in the hospital but there are still many places you can get a job. LTC facilities, doctors offices, clinics, home care, prisons(if you are up to that), sometimes schools....
  23. Forever Sunshine

    Anyone ever worked in a hospital that had to evacuate

    I don't work in a hospital, I work in a LTC facility. but we did evacuate yesterday. Everything went well and it took about 5 hours to get everyone
  24. Forever Sunshine

    Nurses in the path of Hurricane Irene

    My facility was evacuated to other facilities in the area today(well..yesterday). Was a long long day. My advice is a having a good evacuation plan makes things go a lot smoother. Stay calm and...
  25. Forever Sunshine

    When did I become an old nurse?

    We don't have any EMARs yet. Our MARs are printed out and if we add anything in we have to write it in. In this case antibiotics are most frequently written in. q12h x 2 days sounds pretty basic. I...