jkaee

jkaee

Gerontological Nursing, Acute Rehab

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All Content by jkaee

  1. LTC vs. Hospital, good move or not?

    As a nurse that has spent the majority of her career in LTC, the most important piece of advice I can give you is to STAY AWAY from for-profit orginizations. They are an absolute nightmare, IMHO. You...
  2. Random, Simple Request

    And might I add.... Please, PLEASE use punctuation! I cannot stand to read one great, big, giant run-on sentence! I know that it's been discussed on the boards before, but absolutely nothing makes...
  3. Can we get rid of the sugar in nursing?

    :up: That's exactly it....wonderfully
  4. Calling briefs "diapers"....*vent*

    :yeah: Now, that is my BIGGEST pet peeve!! I absolutely HATE that! I remember having to have a "talk" with one of my CNA's about doing that. She said she did it to prove that she changed the...
  5. I'm done!...Vent!

    The RN is ultimately responsible for deciding what "care" the patient needs, but an LPN can be in a management position over an RN. The LPN just can't technically direct care to the RN. When I worked...
  6. Long Term Care Inservices

    Well, I can see both sides of this. I'm an Employee Health and Education nurse for a large retirement community. I'm responsible for pretty much all the Education campus wide for all employees. I...
  7. As you can see, the rules can vary depending on the state you live in or the facility you work in. Let's start out with the definition of a restraint. A restraint is anything that prohibits the...
  8. Mad cow disease- how can you get it??

    Very, very true. In my career, I have only had one patient with CJD, and it is NOT pretty. Very sad. Everything you said about our food line is true as well, which is a big part of the reason why my...
  9. Adoption

    Wow, this sure brings me back.... I gave a baby up for adoption almost 18 years ago. Like you, I wanted to stay with my baby until the very last minute. The hospital staff was more than happy to...
  10. Does her family know how sick she is?

    I have to agree that I don't understand what some of the fuss is about here. In my years working in geriatrics, I was the one who ALWAYS (and I mean always) initiated the end-of-life care talk with...
  11. Whether I've worked in a LTC setting or hospital setting, ALL patients get a thourogh skin check on admission, and in LTC, weekly. That means between the buttocks, under folds, even between the...
  12. I must respectfully disagree. In my area (and in other areas that I've lived in) LTC makes more money than hospital nursing, sometimes significantly more. DON's can make close to a six figure salary....
  13. Glucometer / Infection Control

    I had to change our policy this year because of this. I can't remember where the article came from, but surveyors were citing facilities with an Immediate Jeopardy tag because glucometers weren't...
  14. I feel so incompetent

  15. All good advice above...here's some more.... When in doubt, fill out an incident report. An incident report is an internal tracking device, so if your DON feels it's not needed, it won't be a big...
  16. Anyone here an RNC?

    Correct me if I'm wrong, but I'm assuming you mean taking your certification exam in your specialty. If that's what you're talking about, then I say go for it. My employer offered an increase in pay...
  17. Certification a must

    I have my board certification, and it's true that you need a certain number of hours of practice in the field before even applying to take the exam. Like the previous poster stated, you can get...
  18. Why are so many nurses so bad these days?

    I think you just nailed it on the head....it took you being on the "other" side to REALLY understand how much we say and do (and sometimes just our body language) really affects people. Not everybody...
  19. Attractive nurses in danger?!

    In my experience, it doesn't matter what a person looks like that determines how or when they are harassed by patients. The setting in which these nurses work also has absolutely no bearing. Who...
  20. Do RN's need special training to read PPD tests?

    I work in Employee Health, and I never recieved special training to read PPD's. I have my guide that I use, and have researched on my own, but never went through any "formal" training. I'd be...
  21. Constantly rejected from OB...

    This is very true...several years back, I was offered a job in L&D with only sub-acute and some med/surg experience. Good
  22. I just wanted to know if any L&D nurses could answer my question... I had my third baby 14 months ago. With my other kids, I had an epidural and it worked just fine...didn't feel a thing. In...
  23. Hey all! I was just offered a job full time at a home health agency. Previously, I have worked LTC and acute rehab. I am excited about starting this new chapter in my career, and it seems that home...
  24. Gentiva Question

    Powernurse, I pm'd you. But I'm new to my area as well, and don't know a whole bunch about the company myself. They all seemed very nice, and the office seemed to run smoothly, but I have no idea...