Kittypower123 BSN, RN

Hospice

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All Content by Kittypower123

  1. Kittypower123

    State Survey all this week.

    One more thing - when you get on shift, go through your cart and pull any expired meds and make sure everything opened (insulin, neb meds, eye drops, etc.) has a date on
  2. Kittypower123

    State Survey all this week.

    If in doubt - wash your hands! We had our survey last month and the big thing they dinged us on was infection control, mostly not washing hands enough. Also, remember - no gloves in the hallway. If...
  3. Kittypower123

    Feeling burnt out

    I agree - you need your days off. Be protective of your free
  4. Kittypower123

    What lies were you told when you were first hired in LTC?

    Not lies, but I do have an alternative perspective from your situation. I work as a float at an LTC. Recently, we got approval to increase staffing (I know, amazing). I asked at that time about moving...
  5. Kittypower123

    I am not Superwoman

    That sounds like a terrible night. I've had those too. It's very frustrating. After all, there is only one of me. I've learned that I have to prioritize. Although every task is important, all tasks...
  6. Kittypower123

    Too soon to feel burnt out of LTC?

    I work in LTC and yes, it can be stressful and too much. Generally, after some time working with the same patients, things get easier. I am better able to prioritize. Yes, everything is important, but...
  7. I work in LTC and our administrator told us that our facility should be comparable to a nice hotel. Really? I've never been to a nice hotel that had staff to toilet me, get me up and dressed in the...
  8. I work in LTC. As another poster noted, there is a familiarity with the residents. I like the continuity. I know my residents. I know what they like and dislike, how they take their medications, whose...
  9. Kittypower123

    Is this a complete MD order

    The order as written is not complete. The doctor needs to be told that any incomplete order will result in a call to clarify and complete the order. The complete order should contain medication,...
  10. Kittypower123

    Should I feel guilty?

    When I was a CNA, I worked in a dementia facility. We had to take a dementia training course. As part of the course, we learned that reorientation, while it has its place (like a previous poster...
  11. Kittypower123

    Should I feel guilty?

    We have a nice hispanic gentlemen at our facility whose wife died a few years back. He asks about her all the time. When his family is here, they "remind" him of her passing. When they leave, we are...
  12. Kittypower123

    Vent thread... when to send a pt out

    As a nurse in LTC I would have approached the situation exactly the same way. After assessing, I'd call the MD to notify of the situation and get an order for transport to ER and O2 in the interim....
  13. Kittypower123

    Can a nurse report a doctor for negligence?

    Well of course not - they're all sound asleep in bed! Don't we
  14. Kittypower123

    Win CASH! 12th Nursing Caption Contest - $100

    I don't care if you both claim to be turkeys! You're not getting Thanksgiving
  15. Kittypower123

    New grad too stressed about the job- Is this normal?

    When I first started at my current facility I too was overwhelmed. Although I had worked in LTC before, I did not know these residents and seemed to always be behind. It took months before I didn't...
  16. Kittypower123

    Corporate Capitalism Interferes with Nursing Ethics

    Me neither - besides, we can't do ACLS in
  17. Kittypower123

    Possible TIA or effects of medications?

    Call the MD to notify him/her of the change in
  18. I don't know what the write-ups are like at your facility, but at mine there is a space at the bottom to write your own comment or response. I would write your version of events in that area. Make...
  19. Kittypower123

    POLL LTC Nurses... please answer

    Sometimes it's the administrator not the
  20. Kittypower123

    Death- your experiences

    I work in LTC and have done CPR on frail older folks. I've seen the trauma it does to their bodies, felt the ribs/sternum breaking, and hated it. Those are the deaths that bother me. The ones that...
  21. Kittypower123

    Moments that make you giggle....

    I was getting ready to administer a nebulizer treatment. I had the vial with the solution in my hand, broke off the top and proceeded to empty the solution into the trashcan. The resident and I had a...
  22. Kittypower123

    POLL LTC Nurses... please answer

    Also - inappropriate residents for the facility. At our facility we are in NO way set up to deal with residents trying to get outside. The front door is unlocked 24/7 and we have no alarm on the door...
  23. Kittypower123

    POLL LTC Nurses... please answer

    Inadequate
  24. Kittypower123

    CRASH cart in LTC

    I've used it. I did feel prepared to use all of the contents. Have to say though - I hate CPR. I'm a huge fan of
  25. Kittypower123

    Medication Range Doses-What if Patient Wants Less?

    You can only give what you have an order for. Since you are not a doctor, you cannot "order" a lower dose. You need to call the MD/NP and get a new order for the lower