yooperPN

yooperPN

LTC

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All Content by yooperPN

  1. Your test results are back showing you're positive with MRSA in your
  2. Them finger painting with their
  3. Ace wraps for edema in foot/leg

    I have a question regarding ace wraps for edema in legs/feet. I have a resident that has severe edema in both LE for as long as I've been employed at my facility (approx. 1 year). I believe she's had...
  4. When someone else gets terminated

    I was in a similar situation, a co-worker who worked midnights with me was sent home and later terminated for similar reasons. She has blood sugar issues and it was unsure if her sugar was acting...
  5. keys for narcotics

    I don't know why your supervisor or DON would even ask for the keys. I guess if mine asked me for them, I'd give them since they are above me in the chain of command. But, if they were asking for...
  6. Just wondering if this is the norm..

    The only dressings at my LTC facility that isn't "PRN" would be the ones wound care specialists come in and do, and that's rare. I'm willing to bet the CNA gave you the wrong information, and maybe...
  7. nursing diagnosis

    Disturbed Body Image, Impaired Mobility.... possible activity intolerance. All r/t
  8. 1st time death for CNA

    Had my first death last night. I'm a midnight nurse in LTC and after a year and half, I finally experienced it. My resident died with his wife at bedside (she had been a nurse for 30+ years and...
  9. No code changed to Full code

    Hi! The last couple days at work have been extremely stressful. I work midnights for LTC and we've had an actively dying 80+ yr old who's code status changed a couple months ago from no code to full...
  10. No code changed to Full code

    So, the Resident passed the evening of the last shift I worked, which was not surprising as he was mottling. I guess a nurse just happened to be in his room when he took his last breathe, got the...
  11. No code changed to Full code

    Dixie, If you were in my shoes, would you consider paging the code blue and then picking up the phone to call the MD to have him pronounced as initiating the code? Or, would you attempt initiate CPR...
  12. No code changed to Full code

    I attempted to look up this law to find out what it is with no luck. I'm going to have to get clarification from someone at my facility to find out what exactly was his situation, instead of hearing...
  13. No code changed to Full code

    Zen123, his declining status is a whole other issue.. I picked up on something going on with him a few months back. He's diagnosed with hematuria and neurogenic bladder. He's had a permanent...
  14. No code changed to Full code

    Is that actually the case? Or, is it that you need court documents deeming him unable to make his own decisions? His wife passed away years ago, but he has living children that were all at his...
  15. No code changed to Full code

    Haven't read that article, going to look it up! Thanks! The resident has no POA, DPOA, or however you want to word it. He has a guardian and a person in charge of finances. Apparently, from what I...
  16. How to deal with mean old men

    What I would've done was just calmly responded to his requests. He's probably lonely and just wants someone to care about him too! Not saying that no one there cares about him, but he clearly felt...
  17. Delegation in an LTC setting

    Sadly, I know all to well what you mean by attitude. I'm newer to LTC, a little over a year working at my facility, and even newer to working my position on midnights. Where I work, you're the only...
  18. Night shift, CNAs and homework

    I work NOC for LTC, and I honestly don't think I would have a problem with CENA's doing their homework as long as they're available when they're needed and are completing their usual tasks. I would...
  19. Ace wraps for edema in foot/leg

    Thank you all for your replies. I'm not sure why the Dr. has ordered ace wraps, but she does also have TED hose. We have another resident (with not nearly as much edema) that uses ted hose daily,...
  20. Michigan

    This talks a little about LTC. I'm an LPN who works overnight for LTC, we have 3 floors and an Alzheimer Unit. Working overnight, I'm the only nurse for my floor (approximately 60 residents/floor)....
  21. MI hospitals that don't hire LPNs?

    A lot of the Upper Peninsula hospitals don't hire LPN's for their med/surg floors, will hire them to work in their clinics
  22. Moving to the UP

    Not sure on what the pay rates are, but I went to school with a couple people who walked out of LPN school with jobs in Marquette General. I'm guessing they're always, in a way, hiring. I live near...
  23. Ace wraps for edema in foot/leg

    Thank you for your responses! I do ask her when I put the spiral wraps on if it's too tight, she wiggles her feet and says "no". I'm not sure if this sounds right, but I think there is just so much...
  24. HIPAA question

    I work midnight's and created my own "spreadsheet" on my home computer to help keep my tasks organized. I have columns for each thing I need to write down, ie: Accuchecks, O2 sats, Drsgs, bed...
  25. Question for those who work the 11pm-7am shift

    I work 11p-7a LTC, with about 60 residents under my care and 4 CNA's to help. Luckily we have about 3 fingersticks that are daily, and few more that are on a weekly/monthly stick. (I guess state has...