systoly

systoly

LTC, Memory loss, PDN

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All Content by systoly

  1. Impossible Family Member

    systoly replied to bluegeegoo2's topic in Geriatric, LTC

    only orphans OP, you'll probably never completely please some families, but you can try to show them you care peak in on the pt without being called to the room i always like to ask about the family...

  2. Young nurse problems?

    systoly replied to tiffnurse21's topic in LPN, LVN Corner

    i'm more than twice your age and i still get the, "be sure and do xyc" whenever I get a new supervisor or DON i chalk it up to years of working with people who have to be told everything (and you'd be...

  3. Night Shift PDNs....

    systoly replied to eeffoc_emmig's topic in Private Duty

    no use of microwave would be a no go for me, but i've never worked nocs in PDN so i asked two different families this week about this situation and this is what they said family one, known for a...

  4. Night Shift PDNs....

    systoly replied to eeffoc_emmig's topic in Private Duty

    i have to pay almost $ 100/month at my house and that's for 10 gigs/month there maybe more service providers in the future, but for right now i don't have much of a choice small price to pay for...

  5. DNH order, LTC???

    systoly replied to mmcelhi2's topic in Geriatric, LTC

    it wasn't an

  6. Fired for holding valium

    systoly replied to ekwatson55's topic in LPN, LVN Corner

    what form or route was the valium to be given doesn't sound like oral route was

  7. DNH order, LTC???

    systoly replied to mmcelhi2's topic in Geriatric, LTC

    my first reaction, after reading the op, was i would not have sent the pt. to the hospital after reading the CO specific MOST form, i'm sure the pt should not have been transferred because the form...

  8. Would you give it to them?

    systoly replied to ProudMom511's topic in Geriatric, LTC

    i don't give Rx to anyone at work unless i have an order if the facility has Tylenol for staff use i'd provide access to it, but would certainly not pour it if it comes in a bottle, i'd ask admin if...

  9. Non-diapering nursing home patients

    systoly replied to ASSEDO's topic in Geriatric, LTC

    continued there are situation and patients that are ill served by a no brief policy has your mom ever had any problems with rashes fungal infections or skin breakdown? does she feel insecure about...

  10. Non-diapering nursing home patients

    systoly replied to ASSEDO's topic in Geriatric, LTC

    i believe it is a quality of care issue, if the patient's needs are not evaluated and addressed on an individual basis, but rather on a one size fits all policy the reason you were given for not...

  11. Getting pay by the goverment

    systoly replied to nataliewalsh4's topic in Medical Assistant, CNA/MA

    it's legal in my state and my agency employs nurses and assigns them to take care of family members, but i'm not on the east

  12. Ethics

    systoly replied to mstere's topic in Patient Safety Issues

    i'm (was) one of them, everyone in my country of origin believes this i firmly believe that immigrants should learn English, but what if I'd been hospitalized during my first year in this country when...

  13. PD is like the armpit of nursing

    systoly replied to ceebeejay's topic in Private Duty

    i thought about this thread at work yesterday morning as i pull up to the residence, i see the mother standing in the door "i'm so glad you're here", she says as i enter the residence she reports the...

  14. Quit my first nursing home after 1 day!

    systoly replied to Trixyp's topic in Geriatric, LTC

    no, not all extended care facilities are like this, but i believe depending on geographical location you may have a higher chance of encountering this i say this, because i had 2 very similar...

  15. Giving Report

    systoly replied to BoyNamedSue's topic in Geriatric, LTC

    report is an important part of (continuity of) patient care it involves at least 2 staff members and so the responsibility to ensure a successful report lies with at least 2 staff members it is yet...

  16. Guilt over saying no to overtime

    systoly replied to Richard 1's topic in Geriatric, LTC

    you're not a staffing agency, you're not a scheduler and you're not HR you are, however, responsible for delivering quality care while working your schedule preventing burn out is one way you can...

  17. Chronic "accidents"

    systoly replied to scrubsrn24's topic in School

    teacher's aides assist with toileting and do the cleaning and changing for episodes of incontinence these episodes can sometimes be reduced by scheduled toileting, which is something the teachers and...

  18. Tips on dealing with difficult parents

    systoly replied to SDALPN's topic in Private Duty

    Over the years, I've worked with many family members who struggled with poor prognoses or imminent death. I find it quite normal to reject such prognoses and have a harder time with families who react...

  19. Drug testing of nurses every other week?

    systoly replied to Blackcat99's topic in Geriatric, LTC

    I don't see being asked if you know anything about it as cause for alarm it's part of the

  20. Tips on dealing with difficult parents

    systoly replied to SDALPN's topic in Private Duty

    I do document verbatim a lot, but tell them that's what i'm doing "i will document this exactly the way you said it so that everyone can know and we're all on the same

  21. Tips on dealing with difficult parents

    systoly replied to SDALPN's topic in Private Duty

    I go by the book do exactly what's on the 485 - no less, no more as gimme coffee said, unless it pertains to the care of the pt, i don't want to

  22. difficult family members refusing meds for patient

    systoly replied to ivplease's topic in Patient Medications

    as others have said, listen to family members when the pt has had previous (negative) experiences with Rx in this particular case I might have said something like, "how refreshing, finally someone who...

  23. Don't know what to do about job offer.

    systoly replied to Pandora6212's topic in LPN, LVN Corner

    it's not a question of job preference the question is are you financially secure enough to take chances or do you need a job right

  24. Trach/Vent child needs nursing coverage

    systoly replied to mom2jimmyc's topic in Home Health

    in my state, you could be hired by the agency and be assigned to your sons care maybe you could ask the agency if this is permissable in your

  25. Do you know your patients?

    systoly replied to ProudMom511's topic in Geriatric, LTC

    look at