travel50

travel50

LTC, geriatric, psych, rehab

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All Content by travel50

  1. Question about making dr apts for residents

    travel50 replied to kappykatlpn's topic in Geriatric, LTC

    What I would not give for a unit secretary!!! But since I don't, our way works for us. I actually tried the clipboard idea. They forgot to put stuff on it, or the clipboard would come up missing....

  2. Preventing falls from low beds

    travel50 replied to BoopetteRN's topic in Geriatric, LTC

    We use them, but not on residents that will get up and walk around. As you noted, that is a fall hazard. We only use them for residents who are prone to simply falling out of bed...those who will...

  3. One on one supervision

    travel50 replied to BoopetteRN's topic in Geriatric, LTC

    We have a 75 bed facility. We are the only one in the county that will take behavior residents. We have appx 15 with some sort of mental illness with occasional behavior problems. We put them on...

  4. Question about making dr apts for residents

    travel50 replied to kappykatlpn's topic in Geriatric, LTC

    I'll explain how we do it at our nursing home. 2nd shift nurse gets admit with an order for an MD follow up appt. She can either copy the orders, highlighting that point, or more commonly grab any...

  5. flu plans

    travel50 replied to travel50's topic in LTC: Directors, Assistant

    Thanks, that is what I thought. But my regional consultant said that the DON in a sister facility got tagged b/c she did not have special plans just for the swine flu. I just wondered how in the...

  6. Patients and their crazy requests

    travel50 replied to SoundofMusic's topic in General Nursing

    Hey, now, just b/c someone is in management doesn't mean they don't understand!!! (Note Ruby's post above). I am a DON in a nursing home, and I certainly do understand. And I think we all need a...

  7. you know you are in for trouble when.....

    travel50 replied to ktwlpn's topic in General Nursing

    Hey, jnrsmommy, yes, actually that was not at all funny. We were horrified. The sister decided that she and the brother were going to go back home one day. Tired of being in the nursing home. She...

  8. dispensing meds???

    travel50 replied to travel50's topic in LTC: Directors, Assistant

    Thanks everyone for your responses to my question. And I am trying not to stress over it. Just had so much going on this week that that was the straw that broke the camel's back as they say. To...

  9. you know you are in for trouble when.....

    travel50 replied to ktwlpn's topic in General Nursing

    We used to have a brother and sister in our nursing home. The sister is still living. Brother, God love him, finally got to die. But sister used to call for him to come down to her room, and "oh,...

  10. dispensing meds???

    travel50 replied to travel50's topic in LTC: Directors, Assistant

    When the residents are skilled, we pay for the medicines. Therefore, the corporate office tells me I cannot send them home with them. None of them. Not even if they go home Saturday at 1pm, with me...

  11. you know you are in for trouble when.....

    travel50 replied to ktwlpn's topic in General Nursing

    I cannot tell you how much I have enjoyed it! It got me started off this morning on what felt like such a tough day. Got to work, and things got bad again, even if I did have on my big girl panties....

  12. you know you are in for trouble when.....

    travel50 replied to ktwlpn's topic in General Nursing

    I am so discouraged today that I am still at home, dreading to go in. I am the DON at the nursing home and so my hours are flexible. I have just sat here and read each one of these posts, and...

  13. HELP !! Can anyone else handle LTC ??

    travel50 replied to stressed5242's topic in General Nursing

    I am the DON at a LTC facility, and I truely understand your dilemma. It is hard, and no one understands how hard until they get in there and do it. The state regulators, families, corporate, etc.,...

  14. Tidewater Community College Nursing School

    travel50 replied to ngillilan1's topic in General Nursing

    Not impossible, but hard. My parents wouldn't help me either b/c I had had the nerve to produce a baby out of wedlock. But you don't get loans through fafsa. That is where you get grants. Go to...

  15. you know you are in for trouble when.....

    travel50 replied to ktwlpn's topic in General Nursing

    I know it is likely to be a problem patient when our nursing home gets the referral instead of the other home. We are the smaller home, in the country, older bldg, as opposed to the county home with...

  16. what is "NOS" on a diagnosis?

    travel50 replied to chenoaspirit's topic in General Nursing

    It just means that the doctor has not specified what type of cancer cells, what caused the pneumonia (bacterial, viral, fungal, location, etc), what caused the HTN. When people put in codes from the...

  17. need to terminate

    travel50 posted a topic in LTC: Directors, Assistant

    Late one evening this past weekend, I dropped in at work just to see how things were going. Typically, my staff gives great care. But one of the halls reeked of urine. I began to check and found...

  18. Ignorant Stupid Patients

    travel50 replied to KY RN's topic in Patient, Colleague Relations

    Actually, I think that might be the definition of "insanity." But here's the problem from where I work (LTC). We are required by the state to keep repeating the same action and saying the same thing...

  19. MRSA and Infection Control in LTC...??

    travel50 replied to WannaBeNrse's topic in Geriatric, LTC

    If it is colonized anywhere, we do not isolate. Everyone must use universal precautions anyway. We have had no spread of infections. In the hospital, they do isolate, but not in LTC...not where I...

  20. NEW and NEW

    travel50 replied to exit96's topic in General Nursing

    No, no dear!!! You are not too old for "all this stress", cause if you are, you are entering the wrong profession! You are funny. Take your time and do the part time....since you don't want so much...

  21. Start nursing school with a newborn at home?

    travel50 replied to nurse2B444's topic in General Nursing

    The post by elkpark is very true. You miss x number of clinical hours and you're out. Can't be late either. My group of little ones was fortunately hardly ever sick, but if they were I had to leave...

  22. Ignorant Stupid Patients

    travel50 replied to KY RN's topic in Patient, Colleague Relations

    Interesting posts all of these. I sympathize with the original person posting. I really don't care what type of insurance, if any, a person has. It really isn't the insurance, it is what my son...

  23. Start nursing school with a newborn at home?

    travel50 replied to nurse2B444's topic in General Nursing

    I used to work with a great nurse who had waited until her kids were grown to go to nursing school. Kids were 28 and 16. One week before nsg school started, her 28 yr old son who had sole custody of...

  24. TuTonka wants to know--what keeps you in nursing?

    travel50 replied to Cobweb's topic in General Nursing

    In reference to the posts on the previous page about bare butts. Must share an experience. I was visiting my daughter one time. Her friend was a nice young woman, but her husband was a assinine...

  25. need to terminate

    travel50 replied to travel50's topic in LTC: Directors, Assistant

    Rather than be too lengthy, I had not discussed the charge nurse concern. The LPN on the floor was brand new. It was only her 2nd day out of orientation, and naturally she would still be a bit...