systoly

systoly

LTC, Memory loss, PDN

Member

  • Content

    1,756

  • Visitors

    14,441

  • Followers

    0

  • Likes

    29

All Content by systoly

  1. Shift change incident--Who's responsibility?

    systoly replied to qestout's topic in Geriatric, LTC

    Legally, once report is completed, it is the oncoming nurse's responsibility, however, you're still working the floor. To protect yourself, you need to document on it. Personally, if I was in a...

  2. Abnormal pupil shape/response

    systoly replied to MelissaLPN's topic in Geriatric, LTC

    thank you for

  3. Abnormal pupil shape/response

    systoly replied to MelissaLPN's topic in Geriatric, LTC

    I see a lot of asymetrical pupils in home care and unfortunately a lot of documentation noting Perl. I think that's nuts. If this condition is congenital/chronic, then why not document as such. As...

  4. Medication administration, not following the rules

    systoly replied to hotflashion's topic in General Nursing

    I'm anxious to see how pre pouring will be handled when going all

  5. Medication administration, not following the rules

    systoly replied to hotflashion's topic in General Nursing

    I see the picture now. I have worked (for a day or so) at facilities where setting up meds ahead of times was, shall we say, encouraged. IMO those facilities are the first ones to throw you under the...

  6. Medication administration, not following the rules

    systoly replied to hotflashion's topic in General Nursing

    Sorry, I can't picture it

  7. Medication administration, not following the rules

    systoly replied to hotflashion's topic in General Nursing

    Most of us are in for "reality shock" once school is over. I like what mazy said. Don't discard school teachings, but keep an open mind and please make sure you get all the facts before you decide...

  8. Question for those who do frequent tube feedings

    systoly replied to 09NewGrad's topic in General Nursing

    I'd have to clarify the order. The pt is on continous high calorie at a fairly slow rate so probably has intolerance to high volume or bolus, yet needs the calories. Judging from the caloric intake,...

  9. Documentation "No-No's"?

    systoly replied to elb252's topic in Geriatric, LTC

    Do not chart conclusions, assumptions or hearsay (kinda like in court). Do chart facts. What You saw, what You heard, what You smelled, etc. Never chart "pt. fell" (most of the time nobody saw it...

  10. To chart, or not to chart

    systoly replied to soon2have2's topic in General Nursing

    Is that new policy in

  11. You Might Be An "old" School Nurse

    systoly replied to DoGoodThenGo's topic in General Nursing

    You might be......if for the first ten years you were the only male nurse at your facility (or any facility you worked

  12. Computarized Med Pass in a LTC facility????????

    systoly replied to pretty70's topic in Geriatric, LTC

    It's a retirement community and this is in the assisted living area. I don't work there myself, but I'll find out more and

  13. Computarized Med Pass in a LTC facility????????

    systoly replied to pretty70's topic in Geriatric, LTC

    A computerized med cart doesn't sound like much progress. Carrying an i pad instead of pushing a med cart where all the meds are kept in a locked cabinet in the residents' rooms is how the nicer...

  14. What's wrong with my cover letter/resume?? no calls backs or anything

    systoly replied to crazyscrubs's topic in Nursing Career

    I agree, there's no

  15. What do you think about the way Mr.BossMan has dealt with Charge nurse on my floor?

    systoly replied to I<3H2O's topic in General Nursing

    Did the boss attend a seminar or something? I do believe in cross training and promoting leadership, but not this shotgun

  16. Med Admin. question

    systoly replied to GretaRN's topic in Geriatric, LTC

    In my state, each facility has to have a policy with regards to PM, BID, HS, etc. For instance, BID may be 0800 et 1700, HS may be 2000, so giving a BID Rx close to 1700 is perfectly alright and if to...

  17. Considering my situation, which case would you choose?

    systoly replied to NurseLoveJoy88's topic in Home Health

    Actually, case one will yield more income (more hours) as well as less time driving and getting ready. So for me, it'd be case one without

  18. Regulations on inskilled practice

    systoly replied to Kim Tingelstad LPN's topic in LPN, LVN Corner

    Sorry, can't give legal advice. How about contacting

  19. Made a change

    systoly replied to twokidsmom,rn's topic in Home Health

    Welcome back to

  20. Moral Courage in Healthcare: Acting Ethically Even in the Presence of Risk

    systoly replied to NRSKarenRN's topic in Activism, Healthcare

    I have never been fired, but have felt the financial consequences such as no raise and cut hours. In the end, I always felt I didn't accomplish a darn thing. I have tried to ignore and look the other...

  21. Writing a MAR w/doc's notes.

    systoly replied to dirtyhippiegirl's topic in Home Health

    Nothing wrong with being vague when talking about a real case. One thing that comes to mind about night feedings is the increased need for personal care and possibly disturbing the pt.'s rest to the...

  22. Does this job sound like a scam?

    systoly replied to glenlorie's topic in General Nursing

    Many thinking in my head telling me no good things coming fom this

  23. Writing a MAR w/doc's notes.

    systoly replied to dirtyhippiegirl's topic in Home Health

    My personal preference is to D/C old orders and treat the new order as such, a completely different order. In this case, I believe it would be best to clarify the order and get specific orders for...

  24. Is Home Health nursing dangerous??

    systoly replied to Butterfly0328's topic in Home Health

    What KateRN1 said is certainly true for me, however, a new nurse will have a harder time assessing, recognizing and acting upon safety issues. A new nurse may also lack assertiveness needed, because...

  25. Timesheets/fraud

    systoly replied to NurseLoveJoy88's topic in Home Health

    Even more bothersome than the fraud is the lack of honesty et integrity. How do you know it ends with the time sheets and doesn't involve MARs, assessments