JenniferSews

JenniferSews

Professional Development Specialist

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All Content by JenniferSews

  1. How to tell the family the patient has died

    In LTC I have called. It wasn't terribly unexpected and I broke the news gently but honestly. I did say the patient was checked and sleeping at x hour but when we went to check again they were gone....
  2. Meds to given instead of ambien?

    As a dayshift nurse I haven't given much ambien, I knew there were side effects but not that they were so prevalent. Interesting! I have seen melatonin fairly often. Our docs seem more likely to...
  3. Are there any good LTC's out there??

    If you're looking for hospital like ratios and supplies, then no, it likely won't happen. If you worked the floor it does get easier and you get into a groove. But you have to do that first before...
  4. What is the job market like in CO?

    I was fortunate to find a job in LTC after 3 months of intense looking. I have 9 months experience now and still can't get even a call back from the many applications I continue to put in at...
  5. Low Census- To Take Cancel or Not?

    If you're asked, there's no reason you can't say yes. I cancel based on who was flexed last and then on who I know would prefer to be flexed. There is no reason you should say no except personal...
  6. I'm not sure if this is the right place for it.

    Put yourself in the aunt's shoes. Would you want to live a life where you were in fear, tied to a chair and abused daily? Call APS today, regardless of the consequences to the family dynamics. You...
  7. Jobs scarce for nurses

    "No ****, Sherlock," is what comes to mind. One of my mom's favorite sayings. I'm coming up on a year in sub acute rehab. While my patients are sicker than what I often saw in nursing school on...
  8. Really Tired of Fighting Hospice Ignorance......

    It's partly just judgement of any nurse not in your field/facility/unit. I got a call today from an ER nurse that the patient was covered in dried feces. Well she was cleaned up by a CNA and her...
  9. new grad residency dilemma

    I agree. If you really want to do peds then the school nursing is the better experience. If you aren't sure, then maybe clinic. But neither is considered experience and it would take a really good...
  10. How Does This Staffing Sound to You?

    Our unit with about that many skilled/LTC mixed residents has one nurse and two aids for that ratio. That sounds pretty
  11. Hands off the hoo!

    I remember watching my friend labor when I was her coach, and that seriously looked more painful than anything else she was going through. That doc pulled like he was yanking the life out of her and...
  12. My SIL was a LPN and the facility told her they would happily keep her on once she graduated as an RN. What came to pass was that she got no pay raise and was working as an RN at LPN wages. She was...
  13. Moral/Ethical Advice

    There was cheating in my program too. It was reported but since there was never any proof, it was never followed up on and instead they made the course HARDER in order to deter those who cheated. In...
  14. essential oils killing super bugs?

    I have seen a holistic nurse heal a stage 4 ulcer with essential oils. It was a last ditch effort that save the patients limb. It was pretty amazing. But that was a one time thing, never duplicated...
  15. asking for meds?

    Okay. Let's all take a deep breath. Can we look at it from the nurses perspective? You said bring it "around" the time "when she had the chance". So she has 5,000 other things going on, she must...
  16. asking for meds?

    That is extremely dangerous, if you ask me. But that is not the way it is written on any doctor order I have ever seen, which is different than your bottle at home. IMO that is a pharmacy issue or...
  17. asking for meds?

    Yes, assuming we are talking percocet it is below the 4G/d recommended limit. However each patient is different. My point wasn't so specific but that the nurse needs to be able to answer more than...
  18. Nurses pay compare to Female

    Knowing the pay rate of fellow employees, yes, the men make more. Sometimes as much as $4/hr more for a nurse with NO experience. Our pay scale is clearly spelled out, but management still seems to...
  19. Ridiculous, overbearing restrictions on volunteers

    I agree with so many other posters, but I'm just going to respond to this one thing right now. "Take these pills to patient 18" Means that the nurse is assuming legal responsibility that 1- the...
  20. asking for meds?

    Pain medications are not written every 4 hours OR as needed. If they were written that way someone might think they can take it every 4 hours, or every 10 minutes if that is what they "need" and then...
  21. Pt from Psych unit knew everyone in my community!

    I just want to be sure you understand that AO3 doesn't mean that he isn't compensating very well at the moment for the reason he is in a psych unit. I don't know his diagnosis (and don't want to...
  22. Promised job, now they won't hire me

    Sadly the market has changed drastically from summer of last year to now. That is nearly 18 months! A nurse manager told you something, but 18 months later she may have many other very qualified...
  23. Reality check: new grad in SNF

    Yup, our medical director has said a few times to me that the patients we have used to be hospital patients. Now they are in subacute. Some are stable but many are barely that. Anyway as a new grad...
  24. Skin Prep- waste of time?

    Can anyone link me to a study? I haven't been able to find anything related to wound
  25. Skin Prep- waste of time?

    I have often wondered this myself. The thinking is that over time it helps harden and protect the skin. I haven't found much to back up this theory, but it is the standard treatment at my