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Legally What Can She Do??
Yep... I agree with Peachpit! I currently work for a HH agency and this is not the way to treat your employees or patients!
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Only one nurse scheduled overnight - What is your facilty backup plan?
Good luck finding a solution. I was the "24/7" manager for my former facility for nearly 3 years and with no end in sight, I left it behind me! Even now, discussing the scheduling situation in the past, gives me palpitations and lots of anxiety. It's only been a couple of months since I left that job and while the stress relief is tremendous, the memories are almost like PTSD. Never again!
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Oh dear . .Audited for proof of CEUs and don't have
I haven't read through the comments, but if it were me, I'd be spending the next 30 days earning those 30 CEUs. There are many ways to do it online. JMO.
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How do you leave it at work?
I often have some of the same thoughts you have. I work in LTC/Rehab and we occasionally have to send someone back to the hospital for a decline in condition. I treat my patients compassionately and I have to admit some will "light up" when they see me and it makes me feel like my efforts have truly helped them to become motivated to get stronger. The LTC patients often indicate that I make them feel like they really matter! That is so important! As for leaving it at work.... I see where that could be difficult at times. I am blessed to be able to "turn it off" most of the time. Or at least "turn it down"... This ability helps me to not panic when a situation calls for calm. beccalynn175, just keep caring... the patients know!
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Question about TID meds
A nurse I work with is insisting that pain medication, or any medication prescribed as TID should be given exactly 8 hours apart. Is this how TID should be interpreted? We have 8 hr shifts at our facility. The med in question is currently scheduled at 8, 14, 20. The patient also has a medication for break thru pain as a prn.
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My sisters wedding is when I'm in my 1st year of nursing school?
There is the possibility of taking some online classes to start pre-reqs the first year after you graduate high school. Or you could take a year off altogether. However, I think if you can honestly say that you would consider giving up on nursing and look for something else, maybe it isn't for you after all. As many have said, if you really want to do it, you can make it happen. My mother died at the beginning of my second semester of nursing school and I had to fly 2000 miles to visit her prior to her death (2 times), and then for her funeral. I was extremely fortunate that I didn't miss any class time. I took books to study (but that didn't happen) and had an exam the very day I returned after the funeral (I did study for that.) It can work... just be up front about it with your professors and work as hard as you can during the time you have available. (My mother would have haunted me forever if I had dropped out of nursing school!) Good luck.
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Patient fx hip after family refused alarm
There is not enough information to make a choice. If the family members were not POA, then the patient is the only one that could refuse any care. However, if it is determined that the patient is a fall risk, then the nurse should be sure that all safety measures are taken, including an alarm in wheel chair and on bed.
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LTC facility, can an LPN adjust TPN?
I found this discussion... hope it helps. https://allnurses.com/lpn-lvn-corner/states-do-lpns-621609.html. I would still call your BON on Monday to clarify.
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One year later as a nurse, what have I learned?
Wow! You hit the nail on the head with ALL of your points! I also work in LTC although we are about 50% rehab as well. I just have 6 months experience due to the 6 months it took to find a job in this glutted field. I am fortunate enough to work the evening shift (2-10). I love it, even with the admissions and more phone calls to the physicians. Some days I feel like I'm missing out because I didn't find a job in acute care, or I wish I had a 3-day work week... but in my case, I really love my job and I truly hate the idea of having to be put through another interview. I actually think that if I were to have to leave this facility, I may even leave nursing altogether. I do hope I get over this way of thinking. Maybe I will feel better about interviews once I have more experience and try to network along the way. :)
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No nursing shortage: roll call!
I do think it has been mentioned a few times but at least in my area they do not hire new grads for home health. I do have to report though that I have been hired at a LTC/Rehab and I start on Monday. And the schools keep on cranking out the new grads!
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Difficult families
I like this response to the problem a lot! I am just getting ready to start my first job in a LTC/Rehab and can imagine having issues with family camping out. Asking them to write down their questions to share among the family is brilliant!
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New Grad RN in LTC Needs Advice Please!!
I'm in Nevada. Our facility also has the two sides. Where are you?
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Stress of finding a job
I would not recommend waiting to take the NCLEX. I applied for a job before I took the exam and they barely looked at my resume. I recently applied at the same facility and was told to expect a job offer:yeah:. They obviously prefer to hire someone with a license even a new grad. Good luck and just be persistent. I graduated in May and took the exam in July. It has been an emotional and depressing 4 months!
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New Grad RN in LTC Needs Advice Please!!
I am also a new grad and having a difficult time finding work. I finally applied at a LTC/Rehab center recommended to me by two of my former instructors and the timing was perfect! Now I am expecting a job offer and I actually feel excited about it. I know I will have a patient load of about 25 patients (if I work at night). There are two RNs at night and 2-3 RNs during the day, along with CNAs and probably LPNs for a total census of 55-63 patients/residents. They gave me a tour before my interview and I really feel comfortable there and the other employees were very welcoming. I am somewhat nervous about the workload after reading this thread, but management made me feel like it can all work out!
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Male nurse in L&D
This is terrible! When I delivered my first child, I was planning to breast feed and had no idea how to get started. When my breasts were engorged and my baby couldn't latch on, a MALE nurse came in and wrapped my breasts with warm towels before bringing my son to me and then showed me exactly how to encourage the baby to latch. This was over 30 years ago and I never felt embarrassed since this nurse was very professional in his demeanor and I was very grateful to have him help me during a difficult time. It may be a little unusual to have a male nurse in L&D but it should certainly not automatically disqualify.