Txnursekristi

What kind of program do they want? Are you looking for sample standing orders, or are you looking for policies and things like that? I have tons of stuff, and I'm always willing to share, if you'll message me and let me know what you need!

You should consider going in to wound care!

All I have to say is hell yes, they do. And no, I'm not a veteran. But in my humble opinion, you deserve extra special treatment.

3M No Sting Skin Prep. You will not believe the change in one day!

The main difference that I've noticed is that allevyn is a little easier to remove, optifoam tends to stick a little more. That being said, it's not enough of a difference to me to justify the cost, and my facility uses optifoam. You just have to b...

Had a nurse give lovenox IM once, into the deltoid...NOT PRETTY! And she had been a nurse for over 20 years!

can you put some vaseline gauze over the base of the wound, then pack with the calcium alginate?

I'm going to play devils advocate... Lets say you do get written consent for the vaccine, give it, and have no problems. Then, the same patient comes in 2 months later with an unrelated fever. You give prn tylenol, per orders, the child has an aller...

consult an attorney.

It seems to me that your nurse is crying out for help - rightfully. She told you that she is unable to effectivley do her job, and that she doesn't feel safe. Your next 2 sentences support her argument. I understand the budget concern, but how much a...

Just curious, are you a new nurse, or just new to this specialty? Sometimes when I am training a nurse who has been a nurse for 20 years, I expect them to know some things that I wouldn't expect from a brand new nurse, even if the 20 year nurse is n...

Wow...I wouldn't do well in home care! I would probably be quickly fired for telling the family "Either I"m using a washcloth and soap and water, or you're cleaning it up." Good thing i don't do home care!!

Fake it till you make it!

I was passing a kidney stone, and my DON drove me to the hospital herself!

I would NEVER work in a facility where I am not allowed to contact the doctor or family myself.

nope...sounds like you're overqualified. Why would they want to spend the time (money) to train you when you are not going to stay? And they probably realize that while going to nursing school, you wont have much time to work!

I have worked in LTC for 10 years, in the same facility (not for profit). I did the first 7 years on 3-11, a year on 11-7, and have been on 7-3 for the past 2. The year on 11-7 was awful. I felt like I aged 10 years in that one. But it is much be...

Is there a list of acceptable diagnosis for a foley catheter in a LTC facility in Illinois? Want to make sure that public health doesn't think we are using catheters for "convenience". I know that incontinence is NOT an acceptable diagnosis, but is...

To comply with public health, we have to explain to the patient the possible side effects of refusing each medication, (yes, even advanced alzheimers/dementia patients), then document the refusal, document the "education", and notify the POA and the ...

THANK YOU, THANK YOU, THANK YOU!!! This is exactly what I was looking for!

I have a very close friend who has been banned from ever working for Heritage Enterprises as well, and he did his nursing school clinicals at a Heritage Manor, without any problems.

You see, this is where I don't do well...becuase I have NO problem telling these patients "well, obviously the way you were doing it at home wasn't working too well, becuase you ended up here. Now let's try OUR way, and see how it goes"

Oh dear lord, no. Sometimes I just can't stand them. However, if you asked my patients, every single one of them would tell you that I love them. There is no reason for them to know any different...at least not in LTC.

I am the wound care nurse in a LTC facility that frequently has groups of nursing students from 3 local schools come through for clinicals. Each of these nursing students is assigned to spend one day shadowing me, to experience LTC wound care. They a...

I'm glad to know I'm not alone in doing it the right way. I was a little concerned that the students would think I was being mean and teaching them the "hard" way. I know I appreciated being trained the proper procedure and the justifications for ...