SRK77

Maybe now is a good time to have DNR tattooed on my chest. Lol.

So, do you care plan the target behaviors associated with antipsychotics? I am in the process of reviewing our care plans to include non medication interventions. Now if the census will stay up so I can have enough staff to implement them.

Since the pt is skilled, I would think supervision at minimum.

I may be wrong, but if they can move around in their wheelchair, then I thought that would be addressed in the locomotion sections. I mostly see 0/0 and 4/2.

Continuing Care Retirement Community. I work at one and it sounded similar since it has apartments.

Is it a CCRC?

I work for a CCRC so I don't receive any outside admissions. Therefore, I have a pretty sweet set up. And our LTC unit maxes out at 24. Its also a private pay facility so charting is at a minimum.

Novant pays slightly more than Carolina Healthcare. CHS starts out at 19.65 per hour. I think 20.19 for Novant. This is the last rates I heard of for new grads. However I work in LTC so the pay is a little more than the hospital.

I live in the Charlotte area.

Settle down, its my facility's policy obviously. I don't work with LPNs anyway. Geez!

NC - no

How long can a facility operate without a DON if she is on FMLA?

Brandon is right that you can't change the ordered dose if it is scheduled and not sliding scale. It's either all or nothing.

I started in LTC after I graduated in May 2011. I made $22.50 an hour plus a shift diff of $1.00 per hour for 7p - 7a. I switched facilities after 6 months and started there at $24.00 per hour. I have now been there for almost a year and am about to receive my first raise. Also, I live in NC as well.

I have 18 months experience and I currently make $24.00 per hour on the 7a-7p shift at a LTC facility as a RN.

I am in NC and I make $24.00 per hour in ltc working 7a-7p. I graduated 15 months ago from nursing school. The local hospital starts new grads off at $20.21 per hour plust diffs.

I received 2 days of shadowing and then I was on my own. At my current job, the nurse who was going to train me called in on my first day, the DON had careplan, so I passed meds based on pics in the MAR and by asking CNAs.

You know it's going to be a bad day when the outgoing nurse has her bag packed and is standing at the med cart with the keys in her hand.

It's not just you. I feel doomed too, like I forgot every skill that I learned in nursing school. I do take care of my residents. I just sometimes wish that I could have worked in the hospital. When I have lunch with some of my former peers and hear all of the exciting things they do, I feel a bit jealous. The only thing I can contribute that is exciting is doing CPR on a 90 something year old resident whose family could never agree to sign a DNR. Until then, I am going to make the best of it and give it 100%.

I can't even begin to imagine a CNA trimming off skin that wouldn't stretch back. I clean skin tears with normal saline. Apply steri-strips. Cover with Telfa and secure with Kerlix and monitor daily for s/s of infection. I have seen some nurses apply steri-strips, cover with tegaderm and then change q 3 days instead of just monitoring. When they change the tegaderm, it just pulls off the steri-strips and reopens the wound. But I am definitely fine with tegaderm for monitoring.

Just per credit hour in that case.

I took most of my prereqs including A&P I & II before entering. I did however have to take Micro, Nutrition, and a humanities class. However, there are some girls in my class that took everything from PSY, micro,and A&P while taking nursing classes. I think they were pretty bogged down though. Micro is not bad at Cabarrus College. I had no problem getting an A while taking nursing classes. If you don't have children yet and don't work fulltime, then you should have no problem taking some additional classes with your nursing classes.

My GPA upon entering was 4.0. My ACT score was 23. I enjoy attending there. Have you applied for the fall 10 semester?

I could have wrote this post myself. Especially being an older student, some childish high school behavior gets very annoying.

I was definitely thinking assess before implement. Sounds like the instructor forgot the nursing process. That one should have been thrown out.