NamasteNurse BSN, RN

Pediatrics, Geriatrics, LTC

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All Content by NamasteNurse

  1. NamasteNurse

    Anyone else bored??

    NamasteNurse replied to Backblast's topic in LPN, LVN Corner

    I get really bored sometimes. Needing a change as well, but the thought of trying to go to school, work full time AND have time to exercise and have a family life....draining for sure. So I stay...
  2. NamasteNurse

    Are LPN's allowed to draw blood from PICC lines?

    NamasteNurse replied to Blackcat99's topic in Geriatric, LTC

    ny-no
  3. NamasteNurse

    Do CNA's in a union ever get fired?

    NamasteNurse replied to Blackcat99's topic in Geriatric, LTC

    people get fired from a union all the time. it is not protection against being a jerk. as the above nurse said, enough documentation and warnings in the file should do it. what will happen is they...
  4. NamasteNurse

    Please, someone tell me how to stay out of trouble and keep my job.

    NamasteNurse replied to NurseCard's topic in Geriatric, LTC

    I have found that most time "getting in trouble" means a good talking to. It means pretty much nothing. It goes in your file and whoop-ti-do, nada. Life goes on. When the DON (and IF) she decides...
  5. NamasteNurse

    Long term care is really THIS bad???

    NamasteNurse replied to hilzaberry's topic in Geriatric, LTC

    Not all facilities are like that. My facility doesn't allow cell phones, and we have to look nice. No tattoos, (they have to be covered), no dangly earrings, no pink/blue/ bright crayon red hair!...
  6. NamasteNurse

    Residents that need constant supervision

    NamasteNurse replied to Anne36's topic in Geriatric, LTC

    Refer them to psych. Some behaviors are inevitable, (I work on a similar floor with 40 alzeheimer's pts), but these resident's are in distress and it's not fair to THEM. I understand about not...
  7. NamasteNurse

    Chest Pain and DNR status

    NamasteNurse replied to MissRN7's topic in Geriatric, LTC

    we do a little investigation to find out what the pain might mean. is it heartburn? true angina? a bellyache? treat the symptoms. most cardiac pts have nitro prescribed. all DNR means is if they...
  8. NamasteNurse

    LTC Staffing ratios?

    NamasteNurse replied to sjbrk's topic in Geriatric, LTC

    as VANurse says there are no legal staffing ratios! Crazy huh? Your staffing is normal. We have 40 residents on our floor and most good days we have two nurses and 4 aides. Most evenings they have...
  9. NamasteNurse

    OMG, will i ever stop being tired???

    NamasteNurse replied to dianne777RN's topic in Geriatric, LTC

    Nope, you'll always be tired as a nurse. Go to bed early and get as much sleep as you
  10. NamasteNurse

    Employee injury at LTC-drug screen?

    NamasteNurse replied to Blackcat99's topic in Geriatric, LTC

    sounds like one way to avoid having to pay workers comp! I would check with your state BON for
  11. NamasteNurse

    really need help with MARS and TARS

    NamasteNurse replied to pn5437's topic in Geriatric, LTC

    Someone needs to show you the first time! But as VANurse said You get the new MARS, and the old charts. You transcribe any new orders (new this month) onto the new MAR. We have to do three checks,...
  12. NamasteNurse

    Residents not being showered, am I being dramatic?

    NamasteNurse replied to brendacg's topic in Geriatric, LTC

    In my facility this type of behavior recently resulted in a unit manager, charge nurse and two CNA's being fired. What happened was, a new to the floor CNA reported that there was no documentation...
  13. NamasteNurse

    Need advice

    NamasteNurse replied to gideon1986's topic in Geriatric, LTC

    Wound nurses are awesome! I'd kill to have that job, but that's me. If you don't mind seeing wounds then go for it, but it can be pretty gory. A wound nurse makes rounds on all pts with wounds...
  14. NamasteNurse

    Do you have to count lyrica at your LTC facility?

    NamasteNurse replied to Blackcat99's topic in Geriatric, LTC

    yes we count it, (NYS) it is a schedule V controlled substance. And I too have found leftover abx but we don't count them. We do however count Tramadol (Ultram)
  15. NamasteNurse

    How do you keep your faith in LTC?

    NamasteNurse replied to al586's topic in Geriatric, LTC

    I think everyone must feel that way some days, it's impossible not to if you have a heart. I don't really believe in "god" as the big guy in the sky kinda god, but I do wonder why this happens to...
  16. NamasteNurse

    Pressure ulcers vs skin at risk

    NamasteNurse replied to TigerxLiLy's topic in Geriatric, LTC

    difficult to say without seeing the wound. shearing isn't any less important than whatever you think it is. Treat the area as ordered and if there's no improvement report up the line, wound care...
  17. NamasteNurse

    LTC has changed-How do you give out 5pm meds now?

    NamasteNurse replied to Blackcat99's topic in Geriatric, LTC

    If Betty Boop had diarrhea all day, and refuses colace, I'd call that "nursing judgement" and just let it go. I'd circle my initials on the MAR and comment on the
  18. NamasteNurse

    LTC has changed-How do you give out 5pm meds now?

    NamasteNurse replied to Blackcat99's topic in Geriatric, LTC

    If we called the doc because a res refused meds, we'd get out ear bitten off and handed to us. He barely wants to hear about falls that have no injury. Generally we save those incidentals for one...
  19. NamasteNurse

    Change of Shift Report in LTC

    NamasteNurse replied to gmweatherill's topic in Geriatric, LTC

    We too just use the census sheet. We report acute things like abx/uti's, out of the ordinary behaviors, any PRN's that were given and why. Any empty beds, anyone sent to the hospital. Falls and...
  20. NamasteNurse

    LTC med nurses-Are you obeying all of the rules?

    NamasteNurse replied to Blackcat99's topic in Geriatric, LTC

    In general, no. However, I have 20 residents and the other floor nurse has 20. For the main part, our residents are long term and get the same meds day after day, sometimes year after year. I know...
  21. NamasteNurse

    How do you deal with angry family members in the Nursing Home setting?

    NamasteNurse replied to LTCNS's topic in Geriatric, LTC

    Claiming responsibility and not blaming your co-workers seems like the best route to me. The other thing I notice in the question is that 'someone' told the family member that they didn't know where...
  22. NamasteNurse

    I don't know what to do...

    NamasteNurse replied to Pat2012's topic in Geriatric, LTC

    Alzeheimer's pts generally have PRN's for behaviors. Ask your supervisor if you can call the doc for something PRN. Sounds like your facility isn't prepared for this type of patient? I work on an...
  23. NamasteNurse

    Has anyone heard of getting fired in LTC because of overtime?

    NamasteNurse replied to Blackcat99's topic in Geriatric, LTC

    At my facility rumors fly about all the write-ups but I have yet to see one for overtime. They say all the time "no overtime" but I would NEVER clock out and go back in. What if something happened...
  24. NamasteNurse

    LPN Needs advice!!!

    NamasteNurse replied to Nurse1044's topic in Geriatric, LTC

    working PRN or as it's called per diem, you will probably make more money than a full timer but not always get the hours you want. You are "as needed". You will float which means works anywhere in...
  25. NamasteNurse

    Should a gay male LPN reveal his sexual orientation...

    NamasteNurse replied to LPNTO's topic in LPN, LVN Corner

    No one ever asks me questions like that at work. If you behave professionally, then people will treat you professionally. There is no reason to divulge your bedrooms habits at work---ever. I am not...