TonyaM73 ASN, RN

MED/SURG STROKE UNIT, LTC SUPER., IMU

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All Content by TonyaM73

  1. TonyaM73

    Advice for new grad RN, after terminated after 3 1/2 months

    TonyaM73 replied to luvnursingRN's topic in First Year After Licensure

    steelydanfan that's exactly what i wanted to do, but all the hospitals were not hiring new grads last year when i was applying. i ended up in a ltc facility. great experience for learning to...
  2. TonyaM73

    How much orientation did you get for new job?

    TonyaM73 replied to Lola77's topic in General Nursing

    Unfortunately I was unable to find a job in a hospital straight out of school and went to a long term facility. The facility is fine, but the training is WAYYYYYY too short. (3 days) Then you are...
  3. TonyaM73

    Dont want to get anyone in trouble

    TonyaM73 replied to dscott76's topic in General Nursing

    Bring a camera that has date and time stamp on it. Snap a picture of the nurse at the nurses station and drop that into the comment box. We had a nurse sleeping at the nurses station all wrapped up...
  4. TonyaM73

    Can the DON make you stay for OT if the next shift doesn't show or is called off?

    TonyaM73 replied to TonyaM73's topic in Geriatric, LTC

    You are right! Most of the managers are great at my facility. I just didn't like the tactic they wanted me to use to get good, hardworking nurses to stay after their shift. I understand the hard...
  5. TonyaM73

    Can the DON make you stay for OT if the next shift doesn't show or is called off?

    TonyaM73 replied to TonyaM73's topic in Geriatric, LTC

    Thank you. I couldn't imagine using that tactic myself. Most of the evening nurses at my facility work very hard, love their patients, and are reliable. I have really learned a lot from them and...
  6. TonyaM73

    Can you "look good" as a nurse?

    TonyaM73 replied to Crystal112's topic in General Nursing

    I have lost 30 lbs since I started working as a nurse 6 months ago. When I took over the evening supervisor position a couple of months ago, I put on a pedometer just to see how much I do walk. I am...
  7. TonyaM73

    Potassium tablets!

    TonyaM73 replied to Acarter2618's topic in General Nursing

    Liquid. It is great for those who can not swallow those giant pills. It tasts horrible, but if you put it in juice, it can cut the taste for
  8. TonyaM73

    Over it.

    TonyaM73 replied to NightNurseRN's topic in General Nursing

    I know what you mean. I just love it when you answer all of the on-call MDs questions and he says...."okay here is the hardest question and the one that will seperate you from all of the other...
  9. TonyaM73

    Can the DON make you stay for OT if the next shift doesn't show or is called off?

    TonyaM73 replied to TonyaM73's topic in Geriatric, LTC

    Thank you all for your input. I didn't think it was legal for me to require a nurse to stay over, even though the DON said that I had to tell them this. I guess I am the monkey in the middle if this...
  10. TonyaM73

    Can the DON make you stay for OT if the next shift doesn't show or is called off?

    TonyaM73 replied to TonyaM73's topic in Geriatric, LTC

    I would never leave the patients. If there was no one, I would stay. That is not the issue by any stretch, but what I am saying is can the DON make someone stay if the manager lives only a few minutes...
  11. TonyaM73

    Can the DON make you stay for OT if the next shift doesn't show or is called off?

    TonyaM73 replied to TonyaM73's topic in Geriatric, LTC

    The way they work it during the week is that the Unit Managers are responsible if someone calls out, BUT I was told this week that if someone calls out for 11-7, I have to get one of the nurses that...
  12. TonyaM73

    Can the DON make you stay for OT if the next shift doesn't show or is called off?

    TonyaM73 replied to TonyaM73's topic in Geriatric, LTC

    That is what the DON said was that if they didn't stay the 4 hours at least, that it would be abandonment. This really stinks! They moved this particular nurse to night shift this week, even though...
  13. TonyaM73

    How to get a good report from previous shift?

    TonyaM73 replied to Nurse_Tricia's topic in Geriatric, LTC

    Learn to ask the right questions. I always ask: 1. any extra equipment for this pt ex. foley, O2, nebs, IV ect. 2. blood sugars 3. Coumadin and if so what was the PT/INR 4. Wounds 5. Appetite...
  14. TonyaM73

    how do you do it?

    TonyaM73 replied to bumLVN's topic in Geriatric, LTC

    It was the same with me. In the first few weeks of working as a new nurse, I lost 25 lbs due to the fact that I couldn't eat and when I did I threw it up. IT DOES GET BETTER!! Learn to ask the...
  15. TonyaM73

    Most common LTC meds

    TonyaM73 replied to nycNurse2b's topic in Geriatric, LTC

    Yes, potassium....especially if they are on lasix. Remember to Never crush potassium. If you have a pt that can't take such a big pill or they have a g-tube, get the potassium in liquid form. Look...
  16. TonyaM73

    Have u ever??

    TonyaM73 replied to marielina85's topic in General Nursing

    I am really gentle and slow when it comes to foleys. When I was 19 I had an appendicitis. I went to the ER and was told that it may be about to burst. I though that they were just examing me at...
  17. TonyaM73

    Help with dosage calculation

    TonyaM73 replied to nowRN's topic in General Nursing

    I think you may have a lot of extra information in there. Why would you need a drop factor if you are using a pump? Also, are you calculating the rate for the normal saline or for the piggy back or...
  18. TonyaM73

    New to LTC and charge?

    TonyaM73 replied to eesmith3's topic in Geriatric, LTC

    I went straight from school to LTC as an RN. In school we are taught assess, assess, assess. In LTC, you don't have much time for that. I count myself lucky if I have the time to do a head to toe...
  19. TonyaM73

    Working to the clock

    TonyaM73 replied to wiley6coyote's topic in Geriatric, LTC

    At my place of work, many will stay to finish up the paperwork or help out in an emergency, but the "big boss" just wrote everyone up recently for staying on the clock to finish up. I hate the...
  20. TonyaM73

    Med Error Question

    TonyaM73 replied to Dawn108's topic in General Nursing

    I agree with the above posters that the person who transcribed the POS is the one who had the med error. In LTC we don't have the time to go through every chart for medications that are suppost to be...
  21. TonyaM73

    GT med administration question?????please help

    TonyaM73 replied to princess007's topic in General Nursing

    Yes, Dilantin is the only med that I have had experience with that you hold the feeding before and after for an hour. I believe it has something to do with giving it on an empty stomach, but I...
  22. TonyaM73

    What do you hate the most (if anything at all) about your job?

    TonyaM73 replied to kika72's topic in General Nursing

    I agree with several of the above posts. I just graduated with my RN in Aug of last year and got a job at a LTC facility in November with 3, count them 3, days of following a nurse around and then...
  23. TonyaM73

    nursing shortage is over?

    TonyaM73 replied to johnli1139's topic in General Nursing

    I graduated in August and got my RN licence soon after. It took me 3 months to find a job. I applied to all of the hospitals for any position in my area. I received NO call backs or interviews in the...
  24. TonyaM73

    new overwhelmed LPN

    TonyaM73 replied to garyg's topic in General Nursing

    It will get better. I started my LTC facility as a brand new RN and only got 3 shifts of orientation and then was handed 20-30 patients with no med tech. The nurse has all of the meds, wounds,...
  25. TonyaM73

    Largest med pass

    TonyaM73 replied to twokidsmom,rn's topic in General Nursing

    9am tends to be the biggest for me. They have anywhere from 4 meds to 20