travel50

travel50

LTC, geriatric, psych, rehab

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All Content by travel50

  1. Longing to get out of LTC

    I read all your posts on this subject with great interest. There have been similar posts since I found this website. I am the DON at a 70 bed facility. Sometimes I get so tired of the stress that I...
  2. anybody in ISNAP?

    What is ISNAP? And working in LTC is not always such a horrible thing. I used to think it was, but my nsg home is
  3. Gastric Banding to treat Type II Diabetes

    One of my nurses (in his 50's) had it done about 3 wks ago, and has already lost 30 lbs. He looks really good, and has been able to cut his insulin in half already. He did it b/c his diabetes was so...
  4. What's Your Best Nursing Ghost Story?

    At our nursing home, we have an older lady in a red dress who goes into rooms supposedly to check on residents during the nite. Several of the alert residents have seen her. They didn't know the...
  5. MD ordered placebo for pain PRN~would you give it?

    For Maisy or anyone...please see my original post on the 2nd page....when I called the doc about my young man who was hurting so bad...I believed my patient, but the doc would not order pain med....
  6. I am the DON at a nsg home, and he most certainly does qualify for nsg home care. Anyone as confused as he is will qualify by the time I get through with their paperwork. I don't mean I lie on the...
  7. Help with patient teaching

    Maybe a local physician has some pamphlets he or she would share with you. They are usually happy to help with such
  8. MD ordered placebo for pain PRN~would you give it?

    Oh, dear....I will be the dissenting view point here. Please don't everyone jump on me. Twice I have used a placebo with a doctor's order. The first time was in the hospital, young man comes in c/o...
  9. state reportables

    Is anyone else having trouble getting their state reportables cleared? I have some on there since last March. I have written everything they asked for, and so now they are telling me I gave them too...
  10. For fun.

    When I was 10 yrs old (long time ago!!!), my dad took me on route 66 from Los Angeles to Tucumcari, N.M. I remember how much I enjoyed the trip, even though I don't care too much for desert...
  11. music in the nsg home

    We have a Wii also. Our employees bring their kids to work with them every now and then...I am the DON, so I can allow that. We have some kids who have grown up in the building. One of the little...
  12. Im so scared to become a nurse!! Please help???

    Take this from a nurse who never wanted to be a nurse. It is worth it. Yes, there are bad days, there are horrible bosses, nasty co-workers, impossible family members, ungrateful patients, long...
  13. Semi-rant: There is a "reason" why...

    I remember one time when working in the hospital, feeling slightly aggravated with the ED. Don't remember the details, but their timing was not suitable to me, neither was where they had put the IV....
  14. what should I do about this call light?

    If this is in a nursing home, the DON needs to be aware of this problem. The call light system must be in proper working order at all times. Improper working call lights are a danger for the...
  15. OMG! The State is coming...

    At our nsg home, if the resident insists on having their finger stuck where they are, then that is where we do it. Same with insulin. But we always offer to take them to their room. My state surveyor...
  16. NS through peg?

    We recently had an order like this at our nursing home, 50 cc NS per Peg tube q 4 hrs. She also had a central line. I'd never heard of such in 26 yrs of nursing. So I called the doc back for...
  17. Falling into severe depression ...(vent)

    I'll tell you my story briefly. When I was 21, I found myself with 2 small girls and divorced with no education. I had married the love of my life. He joined the army, got into drugs and alcohol,...
  18. "LPNs should be done away with altogether"

    Well, this is a touchy subject for me. I am the director of nursing at a nursing home, and we employee primarily LPNs. Most of mine are amazing, and I would match them to many RNs that I have known....
  19. Does anyone know and willing to answer my question please?

    I am not sure what you mean by challenging the exam. If you mean not taking it at all, then no. If you are a CNA in another state, you can usually transfer your license. If you are in nursing...
  20. Skin Assessment Picture?

    We get our forms from Briggs corporation. They have a person outlined, front and back, with lines out to the side, so you can circle or point to areas as well as explain
  21. Pt.'s husband asked to try on SCD's !

    Sorry for my obvious ignorance. We don't have such things in the nursing home, but I am curious. What are
  22. When I first started working in LTC, I expected to hate it. I have absolutely fallen in love with it. That was 12 yrs ago. I have worked at my present facility for 9 yrs. Am now the DON. I can...
  23. jewelry in the labor suite?

    You are so correct on most of the world. I have been to many places where cleanliness is not even thought of. It is only that if I scratched a newborn, or in my case an elderly resident, I'd feel so...
  24. Unfair treatment by co-workers/boss

    To those who asked, I don't often have openings, but if I did I'd be glad to have you join us. Guess I have just had so many awful DONs in my 26 yrs of nsg and have worked places where no one seemed...
  25. Burning Question!

    I don't think they do lobotomies anymore, although Dr. Ben Carson does a controversial procedure at Johns Hopkins where he removes the bad part of the brain in children who suffer from severe seizure...