yooperPN

Your test results are back showing you're positive with MRSA in your sputum

Them finger painting with their BM.

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 the edema to this extreme even before I became em...

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 haywire that night or if she was intoxicated. Of cou...

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 the keys to administer a med, I would make sure they...

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 in the future you should direct your questions dir...

Disturbed Body Image, Impaired Mobility.... possible activity intolerance. All r/t Amputation.

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 actually worked at my facility for 18 yrs), she held h...

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 code. I've heard there was a recent law that pas...

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 same charge nurse that I spoke with that morning. Sh...

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 (fighting with the family in this situation), have...

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 the different things from different nurses. But, ...

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 catheter since he's been with us, changing it out once a...

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 bedside the night I thought he was going to go. Each a...

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 understand, there was a law passed recently (not ...

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 like he wasn't being cared for. Then, after that, ...

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 nurse on the floor and you have 4 aids to assist y...

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 expect them to use some common sense and know that ...

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, but every now and then the doctor will switch the or...

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). The only thing the facility has to do is make sur...

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 though.

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 Houghton (working at a county NH), so I could tel...

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 fluid in her LE that when there is something preve...

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 measurements, Temps, etc (I can't remember all the colum...

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 been cracking down on unnecessary fingersticks?) ...