systoly

systoly

LTC, Memory loss, PDN

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All Content by systoly

  1. How many patients do you have as an LVN

    24 to 28 on a skilled wing with a CMA and 2 to 3 CNAs quite comfortable on a normal day with OT and PT around sadly, there aren't any normal
  2. Dont wake me, just let yourself out

    perhaps the patient can qualify for more coverage with the change in
  3. things said wrong that drive you crazy

    I've been in the States for most of my life, but sometimes my accent gets the best of me one of my all time favorite is when i needed to collect a clean catch u/a specimen at this facility i had just...
  4. On working with LPNs in the clinical setting

    I've seen it on coming shift, "is the count ok?" off going shift, "yeah, everything is there, i already signed" on coming. "ok, see you
  5. Boundaries in pediatric PDN/home health

    i think this is an excellent topic no, I have no desire to attend such events the parents of my present patient used to invite me all the time all the other nurses on the case attend at least some of...
  6. Got the CNA evil eye...what to do ??

    it's all in the approach a number of years back at an extended care facility i found myself scheduled for a hall i was rather unfamiliar with i didn't think too much about it and went on my merry way...
  7. On working with LPNs in the clinical setting

    now, when it comes to signing off on narcs, you count everything all the stuff that "no one else counts", or " no one ever uses" when counting, i'm rather inflexible i want full names, dosage, etc.,...
  8. On working with LPNs in the clinical setting

    i'm not offended or insulted - just giving my advice watch a good war movie and try not to act like the butter bar (just kidding) seriously, perhaps you could view it as a problem with co workers...
  9. Inservice

    I deal with a lot of OT, PT and ST and often times I cannot tell if they are an assistant or have a masters, unless i look at the name tag perhaps a restorative aide doesn't have quite the same...
  10. sitters should have a job description but sitters may be hired by family members on a rather informal basis "sitter" is a very non specific description and may be used for a variety of situations...
  11. Gtube Feedings Help please!!

    i can only repeat what others have said even if i saw a printed order for 100 ml flush i would call the doc and find out first hand remember, this is a new
  12. It's so refreshing to hear of supportive spouses and friends it also says a lot about
  13. Craziest PDN/PDN Venting Thread

    I wouldn't carry a 80 lbs patient up the stairs as far as i know im not expecting and 80 lbs is nothing for me but a patient up the stairs, OSHA would love that don't know about girlfriend, she sounds...
  14. Craziest PDN/PDN Venting Thread

    would that be a pre tax withholding? I just know that nurse was the infection control officer of that
  15. Frequently changing a scheduled med's schedule

    what ventmommy said it's not a facility where you have to have a policy for AM, BID, etc. we don't even have admin times on our Mar's the rx is for q 8h, so check BP 8 hrs after last admin i would...
  16. vent:mail order pharmacies

    my experience with mail order pharmacies stems from LTC in that environment there are no savings, while the price for the RX maybe less, the cost of managing it more than absorbs those savings many...
  17. How much was your lpn program?

    $ 0.00 for an 8 month program at Ft. Sam Houston just had to sign on the dotted line - for 6 years that is the local votech wanted about $ 2000.00 for tuition books not included i got a $ 2000.00...
  18. You have a good friend indeed. no need to spend big bucks on an outfit a decent pair of slacks for less than $20 is much better than a too short dress or skirt hope everything went well
  19. How does your agency handle narcotic counts?

    It makes no sense. Why in the world would you leave your child in the care of someone you don't trust. I briefly worked on a couple of cases like that one of them was just plain micro management i...
  20. Vent: Difficult Case

    oh my, that's not dysfunctional, that's kaput while it is very sad for the children, i doubt that you or anyone, even cps could bring about a happy ending to this story so my advice is think about...
  21. med passes done on time?

    Senna is not a scheduled drug - did you mean it is ordered i strongly disagree with the notion that every ordered medication is equally important just because it is ordered having the best interest of...
  22. Advice if CNA is asked to do med pass

    I've done that myself, but only if the CNA had a CMA certificate and was familiar with the meds in my area, many CMAs work as CNAs on some days are you sure the CNA was not certified as CMA as
  23. Advice if CNA is asked to do med pass

    that is not LTC environment as stated in the original
  24. Advice if CNA is asked to do med pass

    you cannot get a cma certificate without holding a valid cna cert. (in my area anyway) the iv bag may have been a tube feeding bag which can be hung by cmas with extra training i don't think your...
  25. Nurses aren't maids!

    i hear you, the request or demand to do laundry or other custodial care is often followed or accompanied by "... the other nurses do it.." i actually like that, because i cannot perform these tasks,...