systoly

systoly

LTC, Memory loss, PDN

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All Content by systoly

  1. Why is it so hard to find night shift Private Duty nurses?

    systoly replied to yogastudentRN's topic in Private Duty

    Most people do not want to work nights. I've never heard of shift differential in private duty, oh, and you can't order pizza. I won't work night shift, because I know all I'd be doing is fighting...

  2. Top Tips

    systoly replied to lpnwkids's topic in Geriatric, LTC

    Have fun. Go for 100%, but dance if you can get

  3. Need Your Opinions, Please!

    systoly replied to NurseLil-lea's topic in LPN, LVN Corner

    I think you'll like it. Best

  4. CNA - Dual Head?

    systoly replied to courtneyabernathy's topic in Scrubs, Uniforms, Gear

    Interesting, only guys are responding. Do not waste your money, chances are you won't use it once out of

  5. Need Your Opinions, Please!

    systoly replied to NurseLil-lea's topic in LPN, LVN Corner

    You're welcome. I do presume that you'd be the only nurse on duty at Adult Daycare, because census there can fluctuate

  6. Marijuana Clinic?

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

    It's Craigslist. 'nough

  7. Need Your Opinions, Please!

    systoly replied to NurseLil-lea's topic in LPN, LVN Corner

    Everything else being equal, Adult Daycare hands down. I worked for a facility which had AL, HCC, Memory unit and Adult Daycare and I got to work in all of

  8. Nurses with Tattoos and Piercings

    systoly replied to CMALynzer's topic in General Nursing

    Eventually, but not in our life time. Some people will judge you based on cliches. I'm on the opposite side of it. I have a crew cut, often use a little starch and have large tattoos on my shoulders...

  9. HELLLLP!!!!!

    systoly replied to cna23's topic in General Nursing

    This is for a CNA position right? So it's the equivalent of asking the CNA to invest a days pay for someone to look at the application. Background checks are the cost of doing business for the...

  10. I have a question to nurse that smoke

    systoly replied to BOOYARN's topic in General Nursing

    Giving the patient a cigarette is completely inappropriate. It opens the door to all kinds of trouble. Would you give the patient a couple of your Tylenol or other OTC if they asked for it? Because of...

  11. Does HIPAA apply to famous people?

    systoly replied to blessedmomma247's topic in HIPAA Challenges

    A penny for each

  12. Don't understand this weird-a%&! parameter

    systoly replied to GLORIAmunchkin72's topic in General Nursing

    I believe this is patient specific. I do remember the days when a SBP of less than 90 was considered

  13. Urgent to long term advise please

    systoly replied to William VanOrden LPN's topic in General Nursing

    You're talking about 2 different worlds so it's a big decision. I went from working ER (army hospital) to LTC (civilian) so I know about entering into a different world. Without any info as to why...

  14. Trach tubes popping out of patients

    systoly replied to Blackcat99's topic in Private Duty

    Not all kidos pull on their trach intentionally. Sometimes they get their fingers caught in the trach tie and unintentionally pull on it. To minimize this, change trach ties daily whenever possible,...

  15. LTC Nurses How do you get a hold of your Doc?

    systoly replied to lilbit12's topic in Geriatric, LTC

    send a fax that reads "call me" Actually, I prefer faxing. I get a copy and there's no question about the info I passed on. I think it solves a lot of communication

  16. HCR Manor Care Facilities

    systoly replied to bellcollector's topic in Geriatric, LTC

    I worked exactly one shift for Manor Care (Midwest). My orientation consisted of watching the mandatory videos. After that I was handed the keys and charge of 50 residents med pass and all. The shift...

  17. private duty in a BAD neighborhood

    systoly replied to lsvalliant's topic in Private Duty

    One of the benefits of private duty is to be able to choose assignments. Let this one go (yesterday). As far as concealed carry is concerned: I do and hand guns are my biggest hobby, but it's not...

  18. Trach tubes popping out of patients

    systoly replied to Blackcat99's topic in Private Duty

    I've not had a trach pop out and I've rarely had the luxury of two extra hands with trach care/change. I have had several rascals/pullers, but regardless of that, always be prepared to reinsert a...

  19. Feeling Like I Know NOTHING!

    systoly replied to Jw1724's topic in Geriatric, LTC

    CORRECTION: I stated above that in my state injuries have to be reported to the doc immediately. That is a facility policy. The state allows 24

  20. Feeling Like I Know NOTHING!

    systoly replied to Jw1724's topic in Geriatric, LTC

    If you documented the above at the time of the incident, there should be no issue with your actions. Unfortunately, the DON doesn't seem to give her rationale which is not helpful at all. I also...

  21. Feeling Like I Know NOTHING!

    systoly replied to Jw1724's topic in Geriatric, LTC

    When you call a Dr. after hours, the doc will assume that some action on her part is required (why else would you call [ in her thinking]). In my state, I have to report incidents involving injury to...

  22. A new CNA

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

    :yeah: Absolutely fantastic

  23. Is it sexist....

    systoly replied to ThePrincessBride's topic in Men in Nursing

    I wouldn't be offended or call it sexist. It's just not right. Suppose there were only males, but one guy was stronger and bigger than all the rest. Would it be right to make him do all the heavy...

  24. do you always monitor BP b/f giving HTN medications

    systoly replied to nursegreenbean's topic in General Nursing

    In LTC, not always. If there aren't any specific orders, it should be covered under routine vitals. I also learned in school to hold dig for HR less than 60, but in reality received orders to give it...

  25. First code situation...any suggestions?

    systoly replied to wsuRN2009's topic in General Nursing

    My thoughts