Adele_Michal7 ASN, RN

Pediatric

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All Content by Adele_Michal7

  1. Adele_Michal7

    HELP! Masking the smell of feces!

    Adele_Michal7 replied to WhitneyRene's topic in General Students

    Plastic cup. Fluffed up 2x2's crammed in said cup. 3-10 drops of essential oil. Tape it near offensive smell. Instant game
  2. Adele_Michal7

    Really?!? That's what you think is important?

    Adele_Michal7 replied to CapeCodMermaid's topic in LTC: Directors, Assistant

    Omgoodness. Where I work, we DEFINITELY need a consent form for an influenza vaccine. Not to mention an MD order and VS monitoring for 72 hours
  3. Adele_Michal7

    Confused

    Adele_Michal7 replied to smithand's topic in Geriatric, LTC

    From my understanding where I work, whoever does the initial assessment- does the best they can do with their knowledge base. Then when the wound care nurse goes to do THEIR assessment, they determine...
  4. Adele_Michal7

    LTC Nurse to resident ratio

    Adele_Michal7 replied to Emmienme's topic in Geriatric, LTC

    It's hard to say. It really depends on the 30 patients, but from what you've described, it sounds like they are med-heavy and involved. I work in a SNF/post acute rehab and depending on census- have...
  5. Adele_Michal7

    Bermuda Triangle of lost supplies?!?

    Adele_Michal7 replied to djh123's topic in General Nursing

    Sadly I have resorted to this too. Management gets angry when they find stashes like this. But what can I
  6. Adele_Michal7

    Bouncing Back/Navigating SNF Politics

    Adele_Michal7 posted a topic in Geriatric, LTC

    Hey all! I wanted to know if anyone had some solid practical tips on bouncing back/navigating tricky politics at SNF. For instance... If your STNA's seem to be against you, rattle tale-Ing to upper...
  7. Adele_Michal7

    Bouncing Back/Navigating SNF Politics

    Adele_Michal7 replied to Adele_Michal7's topic in Geriatric, LTC

    ETA: I'm never late, I've called out once in 2 years, I have a great rapport with my patients and their families... I just work in a stressful environment and there's some cultural divide between...
  8. Adele_Michal7

    Admission personal belongings

    Adele_Michal7 replied to punkdmm's topic in Geriatric, LTC

    In our facility money has been a hot topic, so if a patient comes in with money, we declare it during charting/endorsement and ff-up w SS as needed in regards to safekeeping vs patient keeping track...
  9. Adele_Michal7

    Tips on charting in LTC

    Adele_Michal7 replied to heronurse's topic in Geriatric, LTC

    I usually start with the beginning of the shift and what that looked like, while keeping things relatively general- AKA, Patient receive during shift change with stable VS, no indicators of pain...
  10. Adele_Michal7

    Signs You Won't Pass A Survey

    Adele_Michal7 replied to Adele_Michal7's topic in Geriatric, LTC

    I mainly love how the higher ups panic at the last hour, barking at us to do things that should already be automatically done all
  11. Adele_Michal7

    Help! LVN Wages?

    Adele_Michal7 replied to Kiki1970's topic in LPN, LVN Corner

    I live in Nor Cal, have six years and make
  12. Adele_Michal7

    Clinic to SNF?

    Adele_Michal7 replied to acim's topic in LPN, LVN Corner

    Depends on the SNF. Is there any rehab/post acute patients? As an LVN I'm finding I get a great range of experiences and skills with which to build upon. We get lots of IV ABT, IV hydration,...
  13. Adele_Michal7

    Another reason unions suck!

    Adele_Michal7 replied to Ruger8mm's topic in Collective Bargaining, Union

    Not Union and I have trouble getting one DAY off. Then management wonders why people call off (when they're denied a time off
  14. Adele_Michal7

    No One Talks About… An Easier Way to Catheterize Women (and Prevent Complications)

    Adele_Michal7 replied to melissamabd's topic in General Nursing

    Only commenting to say "point and pray" is
  15. Adele_Michal7

    I'm not a babysitter!!!!

    Adele_Michal7 replied to zizi2677's topic in Private Duty

    Oh no don't let yourself get used like this! So much
  16. Adele_Michal7

    How to stay awake during NOCs in PDN?

    Adele_Michal7 replied to OrganizedChaos's topic in Private Duty

    If nights already are difficult for you I would encourage you to try to not take this position. Depending on the family, any slight move could wake them
  17. Adele_Michal7

    Speedy med pass

    Adele_Michal7 replied to sbostonRN's topic in Geriatric, LTC

    I was going to say, I have never heard of anyone signing a blister pack. The only time I encountered that was when a former DON was trying to catch someone not give
  18. Adele_Michal7

    How to approach the DON?

    Adele_Michal7 replied to Fireflynurse's topic in LPN, LVN Corner

    I'm going to second what hppy said. I wouldn't personally involve my DON in a situation that should be directed to housekeeping first. Also, are the residents in that room A, O, and complaining? Maybe...
  19. Adele_Michal7

    Cya basics

    Adele_Michal7 replied to Crosobien's topic in Geriatric, LTC

    Yes! I agree! But I have inexplicably found myself typing
  20. Adele_Michal7

    List the most frivolous complaints you've received

    Adele_Michal7 replied to gardenpartyy's topic in Private Duty

    YES!!!! I don't do do PDN anymore, but I can't believe the amount of TP complaints we would receive. The last case I worked required nursing to buy our own TP. "The nurses are drugging my child."...
  21. Adele_Michal7

    Best Recruitment Strategy Thread

    Adele_Michal7 replied to LTCRN4LIFE's topic in LTC: Directors, Assistant

    This. There's really no other
  22. Adele_Michal7

    How many times will you ask me to stay over??

    Adele_Michal7 replied to WorriedNurse25's topic in Geriatric, LTC

    Know your limits. When I can do a double, I'll do it! And management usually knows I like to have an advance notice. Staffing needs to plan ahead when possible. Most of the time, they wait till the...
  23. Adele_Michal7

    Cya basics

    Adele_Michal7 replied to Crosobien's topic in Geriatric, LTC

    This is a good topic! Ummmm... 1. Always chart on change in conditions, incidents, anything you think should be mentioned... Going back and doing a late entry isn't the same. 2. Don't leave pills in...
  24. Adele_Michal7

    Why are you scared?

    Adele_Michal7 replied to Crosobien's topic in Geriatric, LTC

    One reason: sometimes you're just so BUSY it's easy to forget what you're forgetting to
  25. Adele_Michal7

    charting

    Adele_Michal7 replied to nikita12's topic in Geriatric, LTC

    Hey! Hopefully you've gotten some help already. One thing you could try to do (in terms of knowing WHO to chart for) is take your brain sheet, census, patient list... Whatever you use. Highlight in...