debRN0417

debRN0417

LTC, ER, ICU, Psych, Med-surg...etc...

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All Content by debRN0417

  1. What would you think?

    debRN0417 replied to rainie11264's topic in LTC: Directors, Assistant

    I agree. You did the best you could and acted very prudently and professionally. And I also agree that there are ALF's out there that take anyone regardless of whether or not they can care for...

  2. is this considered a drug diversion?

    debRN0417 replied to Ms.RN's topic in Geriatric, LTC

    So find out from the pharmacy how many were dispensed, then go to the MAR and count the number that have been administered...hopefully everybody signed out for all the meds that they administered,...

  3. Patient refusing meds, combative

    debRN0417 replied to Trubie's topic in Geriatric, LTC

    I have worked both in the hospital and in LTC...let's get real. We all do what we have to do. Yeah, it is probably unethical to "slip" someone their medications, but what is more unethical to me is a...

  4. ? re-med "a"

    debRN0417 replied to ktwlpn's topic in Geriatric, LTC

    Absolutely. Document his behaviors and history. Care Plan it. And tell him to be happy and free and call the state about anything his heart desires. You are doing the right thing and no fault can...

  5. reorientation in dementia

    debRN0417 replied to marjoriemac's topic in Geriatric, LTC

    I would like to think that if I am severely demented that my caregivers will let me live in whatever place I am in...unless it is an unhappy place. Then I'm sure I'd appreciate a little...

  6. ? re-med "a"

    debRN0417 replied to ktwlpn's topic in Geriatric, LTC

    Residents have the right to self-administer medications ONLY if they have been assessed by the interdisciplinary team as SAFE to do so. If they are assessed as safe then they may CHOOSE whether they...

  7. serious question, need reply: policy on rape

    debRN0417 replied to noctanol's topic in Geriatric, LTC

    You know, you may not have the "right" to refuse anyone because they're an offender...but you do have the obligation to your residents and staff to only admit what you can truly take care of. A sex...

  8. serious question, need reply: policy on rape

    debRN0417 replied to noctanol's topic in Geriatric, LTC

    The facility's first responsibility is to protect the resident. Any person who is suspect must be "suspended" or "removed" from where the resident is in order to protect them. It is also for the...

  9. add your funny TRIAGE complaints from pts

    debRN0417 replied to er nursing's topic in Emergency

    EMT shadowing..he runs over to me and says "There's a lady out here who says her head is bleeding and she can't breathe." I run out...she is breathing fine, and yep her head is bleeding...from a...

  10. Using facebook to improve communication with staff

    debRN0417 replied to Nascar nurse's topic in LTC: Directors, Assistant

    I agree be careful. As with any type of internet useage- once it's out there...it's out there. I don't believe anything is entirely secret. Many people have lost jobs and gotten into trouble posting...

  11. New Grad trying to stand out

    debRN0417 replied to st4rl4dy's topic in LTC: Directors, Assistant

    Ever been to Schroon Lake

  12. I never want to hear those words from you again

    debRN0417 replied to SuesquatchRN's topic in Geriatric, LTC

    The reason the state won't mandate staffing ratios, in my opinion, is because most of the staff work their tails off to make sure that the residents are well taken care of...even when they are short....

  13. Is it just my facility, or are nurses really this backbitting?

    debRN0417 replied to Nurse_Tricia's topic in Geriatric, LTC

    For some reason we are infamous for "eating our own"...don't know

  14. Common LTC no-no's (part vent, part question)

    debRN0417 replied to Zergasaurus's topic in Geriatric, LTC

    Technically and legally, it should have been that you called the MD, got an order to hold the med until it was available and documented this. The nurses who did not reorder the medications should...

  15. Anyone work with a prima donna?

    debRN0417 replied to SuesquatchRN's topic in Geriatric, LTC

    I will always remember the RN student who was working on my floor who told me, "I'm not going to school to give bedpans and clean sh&%" (the call light of her patient was on and they needed...

  16. Was the doctor right or wrong about this?

    debRN0417 replied to NurseLoveJoy88's topic in Geriatric, LTC

    You know, I get tired of the doctors who yell and act like they are doing ME a favor by returning my call. All Nurses care about taking care of their patients. I am sorry he had a hard day, but...

  17. When nursing staff ask for medications

    debRN0417 replied to dblpn's topic in Geriatric, LTC

    Whew....

  18. I lost my job.

    debRN0417 replied to pretty70's topic in Geriatric, LTC

    That is a shame. When my mother was sick I took two weeks to go and take care of her because she was hospitalized. After about a week or so, it was determinied she didn't have much time left so I...

  19. church and med pass

    debRN0417 replied to MelissaLPN's topic in Geriatric, LTC

    I agree. Give as many as you can to those who are not at church. Then the rest when you can after church or dinner. The other posters are right...if they were at home they would take them when they...

  20. Monthly summaries

    debRN0417 replied to CapeCodMermaid's topic in LTC: Directors, Assistant

    I know it is so time consuming, but I really like reading the handwritten summaries. It is nice to see documentation like we used to do it in the"old days", but the acuity and demands of the...

  21. Aspiration: Help request

    debRN0417 replied to catlvr's topic in Geriatric, LTC

    Feed him he dies- do not feed him he dies...hummmm...If it were me, please feed me so I would at least die with a full belly... seriously- I would talk again with the family and have them sign a form...

  22. State is coming and I'm a wreck..

    debRN0417 replied to cebuana_nurse's topic in Geriatric, LTC

    The only time you should be concerned about wearing gloves when giving eye drops is if the drops are an antibiotic because of an infection, otherwise good handwashing is the rule. One tissue for each...

  23. Aftermath of STATE

    debRN0417 replied to blessedmomma247's topic in Geriatric, LTC

    The regulations state a "State approved" training course. This course can be anywhere from 8 hours to 3 days. A CNA training course takes, what 6 months or something like that? Sounds crazy nto...

  24. Funeral Homes

    debRN0417 replied to CapeCodMermaid's topic in LTC: Directors, Assistant

    Seems to me it would be easier to take care of all that on admission instead of having to have the family figure that out after the fact when emotions are

  25. acceptable catheter diagnosis

    debRN0417 replied to Txnursekristi's topic in Geriatric, LTC

    How about this one: A resident expired and was a full code. The nurse did not do CPR. When the doctor was notified to "pronounce the resident" and inform him CPR was not done as ordered he said,...