laderalis

laderalis

LTC

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All Content by laderalis

  1. Medication & treatments on midnight shift

    laderalis replied to Micki72's topic in Geriatric, LTC

    Out of 36, I have about 8 that get 0600 meds, otherwise not much goes on. Treatments are done on days or afternoons unless its something that we can't get to on that shift. I have one skin tear...

  2. Dear God, Help me

    laderalis replied to artsmom's topic in Geriatric, LTC

    A coworker has a running joke that one day she's going to wake up at work, (as a resident) all in a panic because she has to pass more pills "Just four more pills. I'm not done yet! I've got more...

  3. How long was you orientation traing when you started in LTC?

    laderalis replied to Mrsearly2009's topic in Geriatric, LTC

    About 3 weeks. 4 on days. And 4 on nights Nd the rest on the shift I was hired for, afternoons. All with different nurses, but mostly the same

  4. Funny things our patients say

    laderalis replied to Isitpossible's topic in Geriatric, LTC

    It was LOL's birthday and after I sang her happy birthday I asked her how old she is. She said she was 21. I said "about 70 years ago you were 21!" She starts howling in laughter then stops abruptly...

  5. What should I bring with me on my first day in LTC?

    laderalis replied to Mrsearly2009's topic in Geriatric, LTC

    I keep three pens, one sharpie, one highlighter and scissors on me at all times. I used to bring a stethoscope with me, but I don't use it often enough so I leave it in my bag. I don't bring any...

  6. Difference in gluco checks

    laderalis posted a topic in Diabetes, Endocrine Nursing

    First gluco check was done on left hand index finger, 314. VERY high for resident. After joking with her that I would do a recheck on her right pinkie finger because maybe it would be lower (because...

  7. Difference in gluco checks

    laderalis replied to laderalis's topic in Diabetes, Endocrine Nursing

    I didn't "milk" the finger after. Alcohol was dry. Glucometer is checked q day. They were fingers I normally use. I still think there must have been something on her finger.

  8. Work in LTC ? - Does this nurse to patient ratio sound right ?

    laderalis replied to RN-UMB's topic in Geriatric, LTC

    We have 2 nurses on NOC for 73 residents and it works out well. We have 4-5 CNA's on, too. How many CNA's would be on? It matters

  9. Did I do the wrong thing by holding my residents coumadin dose?

    laderalis replied to NewGrad828's topic in Patient Medications

    If the resident is in therapeutic range, I give the dose and keep trying to get the recheck order. If the INR is high, I hold the coumadin and if it is low I still give the coumadin, all while trying...

  10. Bad day... looks like it's everything I dreamed it would be.

    laderalis replied to NurseCard's topic in Geriatric, LTC

    We have 4 to 72 beds on first and second shift and 2 on noc. With 7-8 aids on first and second and 5 on noc. It's a mx of ltc and rehab/skilled. Something does not seem right about your facility. Most...

  11. Best shoes

    laderalis replied to pretty70's topic in Geriatric, LTC

    I wear alegria's. They look ridiculous, but I can feel a huge difference in my back when I wear

  12. Medication calculation Help please

    laderalis replied to emilytsay1207's topic in Patient Medications

    here's a hint for #1: there are 12500 units of heparin in 250 ml of

  13. Will I ever get out of LTC or am I doomed?

    laderalis replied to JZ_RN's topic in Geriatric, LTC

    Not all LTC centers are equal. I love my job. I love my residents. Yes it is stressful at times. Yes families drive me crazy sometimes. Yes med pass gets mundane at times. Yes the paperwork sucks. But...

  14. Barrier Cream on a Skin Tear?

    laderalis replied to kparry's topic in Geriatric, LTC

    I agree with the above. I would be livid if someone (aid or nurse) did that! we use steri-strips, a non adherent dressing and wrap with something so no tape is used on the skin directly. its usually...

  15. wound care supplies

    laderalis replied to wyogypsy's topic in Geriatric, LTC

    At my facility (mix of long-term and skilled), our bottom drawer on one side is full of treatment supplies and extra daily supplies (insulin needles, ETOH pads, Allevyn's, wraps, 4X4, 2x2, telfas,...

  16. Best Nursing Shoes/Sneakers

    laderalis replied to gladtobeOB's topic in Scrubs, Uniforms, Gear

    Do the Alegria's roll easily? I am scared to wear dansko's and other similar clogs with a high heel because I have a habit of rolling my

  17. Visitor Etiquette

    laderalis replied to MegEDRN's topic in Patient, Colleague Relations

    I work LTC, sometimes I wish I had a giant mallet! lol Kudos to OP, you did the right thing in that

  18. Help with ATI comprehensive test

    laderalis replied to KimmyAGPCNP's topic in General Students

    I agree that the 98% is probably the chance of passing NCLEX, our school required a 95%. This means you'll probably need around 80% of the questions right. If your school provided codes for practice...

  19. "Brain" for 30 LTC residents

    laderalis replied to lovelypinai18's topic in Geriatric, LTC

    When i first stated i made up a sheet on my computer at home with one small column on the left with name and room # and then a big column on the right where i would write the med pass times and blood...

  20. Two parents workIng shift work? Need advice.

    laderalis replied to mamahood85's topic in General Nursing

    I work second shift and my husband works days, sometimes he gets out at 2pm and other times not until 5pm. For the overlap we have the kids go to daycare. depending on how large the area you live in...

  21. NCLEX Timeline till I found out I passed

    laderalis replied to tcat42's topic in NCLEX Exam, Programs

    I passed this last july. studied around 100-200 questions everyday for the two weeks preceding the test. did not do much content review, just a quick look over what i got wrong. focusing more on HOW...

  22. Christmas gifts for residents

    laderalis posted a topic in Geriatric, LTC

    Our facility is doing a program where each staff picks a resident to buy a Christmas gift for. I LOVE this idea :heartbeat, but am at a loss as to what to give my resident . She is 90+, half blind and...

  23. New Grad, new job... My First emergency!

    laderalis replied to beatrice1's topic in Geriatric, LTC

    code brown. the visual of that made me laugh so hard I almost woke up my napping kid. lol EMS/ER probably wouldn't appreciate it either.

  24. How to self-study Pharmacology?

    laderalis replied to LadySalubrious's topic in Nursing Student Assistance

    You can try, but a lot of it is not going to make sense until you have a med-surg/ mental health class under your belt. Most of pharmacology did not make a whole lot of sense until I got to apply it...

  25. Predrawing insulin in LTC

    laderalis replied to ChristopherH's topic in Patient Medications

    I would think the surveyors would frown upon it as it IS "pre-pouring" My other concern is if that syringe gets bumped for whatever reason (and I think it is highly unlikely), they may not be getting...