jkaee

jkaee

Gerontological Nursing, Acute Rehab

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All Content by jkaee

  1. need advice - delicate situation (long)

    Just agreeing with what everyone else said here.....quit and report everything that happened to the state. You did the right thing by filling out an IR and writing a nurses note....the only other...
  2. "undercover" patients in New Mexico

    Not to start anything, but why is it a good idea in nursing homes and not in the ER? We have truly sick patients too, in LTC, and this "undercover" patient would most likely be taking a bed from...
  3. Professionalism and Nurses

    If this thread does nothing else, at least it gets one thinking. I work LTC, so I'd say 99% of the time, I call the residents by their first name. I started thinking, though, about when I meet a new...
  4. Makes me feel better

    Well, Tim, I'll admit there are some nights that I DO feel like a pill pusher, but what I tell those nurses who make comments like that is that we are dealing with more elderly people who are living...
  5. Makes me feel better

    Tim, I know how you feel. I never wanted to do LTC nursing when I was in school, I don't think I really know anyone who did. But, it was the only job available back then, and I've been primarily in...
  6. Nurse Abandonment - What does it constitute?

    I agree.....to abandon something, you must have had or accepted something (ie:an assignment, pt. load, a dog, cat or child....you get the drift) in the first place). You can't abandon something you...
  7. ER abuse was encouraged last night

    That's what I don't understand, cybercat....for some reason she's having a hard time getting a doctors appt, they say because she's an out of state resident, I think it may be because she doesn't have...
  8. ER abuse was encouraged last night

    Snowy, I'm glad to hear you're doing better...I've got my own story to report about ER abuse. My sister in law is up visiting for an extended time from Florida, and her kids are on MA. Her son came...
  9. uncaring ER docs

    I agree with you 100%....you are absolutely right! I can't tell you how many times medics, Er docs, ER nurses, floor nurses...gave me or my fellow LTC nurses a "why did you send this patient to US?"...
  10. giving iv meds

    No, I'm an RN, and in my state LPN's aren't allowed to push IV meds, either. My point was (and I know it was a little off topic) was that there's no reason that certain IV push meds can't be given in...
  11. How do you feel Paramedics can improve?

    I, too, have worked LTC nursing for a while, and the one thing that burns me up is when PMs or EMTs walk in my facility and treat the nurses like we are a bunch of idiots because we "just work LTC"....
  12. giving iv meds

    Why not?? I have worked in skilled facility for 9 plus years and have safely given IV push meds.....heck, in one place we had a patient and a Dobutamine (sp) drip. There's no problem with IV push...
  13. giving iv meds

    In every skilled/subacute facility I worked in there had to be an RN in house at all times, but I also think I remember hearing the "8/24" reg, too, so I'm not sure what the actual reg is, but thank...
  14. RNAC work load at your facility

    Registered Nurse Assessment Coordinator....also know as a Clinical Reimbursement Coordinator. They coordinate the timely completion of the MDS's, care conferences and care plans and then submit them...
  15. New grad not wanting to work

    [quote=bonemarrowrn And about you not being a better nurse, I agree also. It looks like you don't pull your weight when staffing is low. Another thing I notice is, certain people's names are always...
  16. RNs in LTC

    No, I haven't heard of that happening where I live in PA, but one never knows....in fact, where I work now, the majority of staff nurses are
  17. RNAC work load at your facility

    I've worked as an RNAC for a 60 bed LTC floor (the whole building had 3 RNACs, one for each 60 bed floor) and that worked out well. The other place I was an RNAC in was about 120 plus beds, and I was...
  18. New grad not wanting to work

    THANK YOU DEB! I only work part time hours, and I sure do get sick of people saying, "You're luck to be able to work only a little." It's not luck, it's sacrifice. Sure, I'd love to advance in my...
  19. I am an RN (ADN) that has been in LTC for 9 years. I have always loved wound care, and helped a 200 bed sub acute facility start a wound care program. I went to the WOCN website, and I'm embarrased...
  20. scary looking nursing home

    I work in a sister facility of where donmomofnine works, and my facility is beautiful and provides great care as well. The key to LTC nursing (and probably hospital nursing as well) is to find a...
  21. The fingernail police!!

    Another argument regarding fake nails, that has nothing to do with "cleanliness".... Just today during report, a nurse who has acrylics was reporting that when she was trying to give a hospice pt. a...
  22. Nurses that give bottles to breastfeeding babies.

    I really admire all the L&D nurses out there that have to put up with moms or family members like that. I think I'd lose it! When I decided to BF my youngest, I just made up my mind that I was...
  23. Working in Hospitals

    That's true, Marla, that it's all about perspective, and I guess where you work. I have done hospital work, and to me, the understaffing I dealt with there was way worse than any I've had to deal...
  24. Feeling like I blew it!

    I experienced a similar situation with my then 9 year old daughter. She was running around on the sidewalk leading up to our doorway and tripped and fell. I didn't think much of it, kids fall, but...
  25. HIPPA Laws

    I tend to agree with the OP....when one of our residents is admitted to the hospital, we have a hard time getting any info from the hospital. One time, my ADON called after the resident was admitted...