cowboy up

cowboy up

geriatric/long term care

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All Content by cowboy up

  1. Arriving "SUPER EARLY" for interview

    Arriving early is always a positive in my book. It says that you will be punctual and that you take this job seriouslyArriving late for a interview sends a horrible message. You probably impressed them good job
  2. Continuing to monitor is unnecessary it's kind of stating the obvious
  3. LPN - Night Shift

    It is a hard transition. I used to wake up at noon and freak out because half the day was gone. In time your body will adjust but keep an eye open for any openings so you can get back to the sunlight!
  4. New nurse... Need guidance

    Somebody gave you some wrong info on LTC. Working in a nursing home may not be very sexy or popular but it can be an extremely fulfilling and rewarding experience because you are caring for people who need it the most. One of the highlights of my Mo...
  5. Suspended until further notice

    I'm sorry that happened to you. I wonder, is your facility due for its state inspection? The heads tend to get a tad nervous when they're expecting state anytime and you'll get this over reacting behavior. It sounds like the QA has so.e responsibili...
  6. RUDE CNA

    EMR LPN is right there always seems to be a CNA like that. You should talk to her privately and tell her that her snarky attitude needs to stop and if it doesn't WRITE HER UP!!!! You have many more important things to do at work than worry about some...
  7. Fall protocol

    Absolutely you check for injuries first and if they are complaining of head or neck pain they are not moving until I've spoken to a doctor or I get a c collar around their neck.
  8. New nurse--new at long-term care.

    When it comes to working with your CNAS, I've found it helpful if you treat them as peers and with respect. Also I think it's important for a nurse to thank their co workers at the end of the shift. A good CNA is like a good sergeant in the army if ...
  9. Can't work for a facility like this.....

    Move on as soon as possible and don't worry about giving notice after the way they've messed you over. Hope your next job experience is better
  10. negative coworkers

    Oh yes! You are not alone and you shouldn't pay their juvenile behavior a second thought. One could make the suggestion that these people get off their butts and do what you've done instead of moaning about someone else doing something with their li...
  11. 3rd shift nursing as a new nurse with no experience

    NOCS is great shift to get your feet wet. It's quieter your residents are in bed and your med passes usually aren't that bad. Use this time to get your bearings and work thru your new grad nerves. I spent my first two years on NOCS and it helped a l...
  12. I didn't finish med pass :(

    You'll get the hang of it. Give it a week and you will have a pretty good grasp on your residents and you'll have your routine down. Those residents are lucky to have you. Keep your head up
  13. No call No show but

    In the future you need to speak to someone a staffing coordinator, a unit manager,an ADON but you need to speak to someone if you're calling off. NEVER JUST LEAVE A MESSAGE AND THINK THATS ALL YOU HAVE TO DO. Be proactive and take responsibility fo...
  14. I had been working in a methadone clinic for two years and the clinics executive director was the biggest ******* I've ever met. Basically it was two long years of verbal abuse and I had reached the point when it just became unbearable. I went to the...
  15. best i quit or fired story

    I worked with a nurse who called off for an entire week because she said her mother died. Everyone felt terrible we got her a condolence card and we're going to give it to her when she came back.So it was a bit of a shock when this nurses mother CAME...
  16. As a new grad you have to pay your dues I spent two years on NOCS out of school before I landed a daylight gig I never really got the hang of sleeping during the day but keep your eyes and ears open you never know when a d a flight opportunity will p...
  17. Asking about nurse to patient ratios is a good starting point and I would definitely ask how long your orientation period would be. I have worked in facilities where I was given a cart on day one with no orientation at all. Just follow your instinct...
  18. First death....

    It sounds to me like your rational was good. Dementia residents have ups and downs like this quite frequently in my experience. Say you called the doc, he/she would probably have ordered labs and the outcome wouldn't have been different. 88 years ...
  19. Nursing Student Advice

    Absolutely do it. You will learn very early on if nursing is your true calling by working as a CNA There is no romance in that job it's necessary down and dirty work that is also incredibly fulfilling and rewarding. In my opinion the best nurses ar...
  20. Can a Patient Threaten a Nurse?

    You nailed it.
  21. Can a Patient Threaten a Nurse?

    You kind of get a sense for the patients that have the potential for causing that kind of trouble. If you come across one make sure there is always someone with you when you interact with them and document every negative threateningthing they says ...
  22. Forced Resignation - looking for advice

    Nobody ever talks about the second victim when there is a med error,that victim is the nurse who made it. I've bee. In yourvpostition myself and nothing is more terrifying than a med error. You showed courage and integrity for owning up to your mis...
  23. Changing time on nurses note

    First of all,when you are finishing a nurses note no matter how much space is available on the page CROSS OUT THE REST OF THE PAGE!!!Then you initial under the time of your entry so there is no doubt about the time. As for the nurse that altered a l...
  24. Saw an angry clinical instructor...

    This brings back memories of my own clinical days! My group had a instructor very similar to what you've described but not quite as extreme. It took one of the physicians saying something to the program director before something was done. Unfortun...
  25. CNAs, LPNs, RNs and Pumps and Pearls Please Advise

    I remember those days well. You are lucky to have that Cna and the ones who help her. The point i want to make is that too often these CNa classes gloss over the truly important things. For example. If a resident is febrile and her vitals are off th...