I started working at a small LTC about 6 mos ago after moving across country for my husband's job. I work night shifts, some 12 hr shifts but mostly 8 hrs. This facility is the smallest I have ever...
blessedmomma247 replied to Emmienme's topic in Geriatric, LTC
Its the norm.. The key is having a good solid routine and stick to it. Create a cheat sheet to help remind you. Do you have a laptop on your cart? I use mine to set reminders to help. It takes a while...
blessedmomma247 replied to Loribabble's topic in Geriatric, LTC
Def speak with the DON and ADMIN and if you feel like you got no where, report to the state. As a NOC nurse, I do not have labs in the middle of the night....and I do my best to limit vitals in the...
blessedmomma247 replied to lpn92211's topic in Geriatric, LTC
I have been an LTC nurse since 2009 and before that I was an CNA for 8 years. I will say it takes a special person to work in LTC. As mentioned above, you will have a lot to deal with. I have...
HI guys, I am not sure if this is the right place or not to post here... I could not find a thread r/t group home nursing. I recently accepted with a company that manages group homes. I will be the...
blessedmomma247 replied to blessedmomma247's topic in Home Health
The house manager is supposed to making the appointments and arrangements for transportation. But there is one client who makes her own appts. The clients I am currently working with are wheelchair...
Hi guys...I could really use some help. I have a co worker that made a horrible mistake and I want to help her. I have worked with her on and off for several years. She has two disabled children, plus...
blessedmomma247 replied to paramed401's topic in Geriatric, LTC
I agree with the comments above. I think it would be a good idea to sit down with them and dicuss your findings. I do not understand calling 911 for every single fall. Does the patient have the right...
After four years as an LPN with 11+yrs as a CNA; I really do not think of my self as a "new" nurse but I am always learning and do not know everything when it comes to my job as a floor nurse in a...
Hi everyone...been a nurse for almost five yes and was a CNA for 11 yes before that. All of my medical career, I have been in LTC. Just started as a detox nurse and looking forward to this new...
After 14 years in this field, I have made a decision. I recently accepted a position as a detox nurse at new medical detox center. This was a hard decision to make because despite all the BS I have...
blessedmomma247 replied to blessedmomma247's topic in Geriatric, LTC
Just wanted to update. I was called on Friday by staffing to cover the night shift for the weekend. When I got to work, I learned that I was covering for Nurse J. Turns out she got fired "after a...
blessedmomma247 replied to blessedmomma247's topic in Geriatric, LTC
Yes they counted the NARCs at shift change together but the count was correct. The nurse did not pull the NARC that she signed she gave on the MAR. Which is a med error because its an omission. I do...
blessedmomma247 replied to blessedmomma247's topic in Geriatric, LTC
Just wanted to clarify... the PM nurse signed the MAR that she gave the scheduled NARC. But when the night nurse checked the NARC count book, the last initials were from the day nurse. The PM nurse...
blessedmomma247 replied to blessedmomma247's topic in Geriatric, LTC
There are three hallways on each unit. During the day shift and PM shift, there are three nurses on the floor. At night, there is two nurses on the floor. Each night nurse takes a hallway and they...
blessedmomma247 replied to mvm2's topic in Geriatric, LTC
Suggest to the family to have him seen by a dermatologist. I have see this a lot in residents who have dementia and wondered my self if its a reaction from one of the meds or is it
blessedmomma247 replied to ricksy's topic in Geriatric, LTC
For LTC charting, here are a few common things she might be looking for (mostly for medicare charting/MDS) . 1) Is the resident alert and oriented x 3 or are they confused? 2) Do they require...
I agree with the pp...you can also still go to community college and take the gen ed courses and common pre reqs while you are still searching your major. I wanted to be an fighter pilot when I was a...
So, I started my new job today and was very happy with the nurse that oriented me. She was very informative with the policy and procedures and I noticed she was very efficient with her med pass. She...
As I sit here typing this out, I am still replaying the events that happened to me last week at work. I knew this day was coming, I was just hoping to find another job first. It was Monday and I saw...
blessedmomma247 replied to jnurse21's topic in Geriatric, LTC
To me, as a nurse, if I had an order for a BP medication WITH PARAMETERS, then I would take the patient's BP and HR prior to given the medication. And I would do the same if a resident was also taking...
So I am doing class room orientation this Thursday and Friday. I am assuming that I will get my new schedule during this time. My shift will be 11p-7a. I have worked this shift before and loved it....
blessedmomma247 replied to blessedmomma247's topic in Geriatric, LTC
I actually have considered MDS...did some training so I could cover vacations. I think I am gonna take this chance ...finish school and maybe work toward the goal of MDS or managing.... Thank you for...