blessedmomma247

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 worked at before. With a full census we are at 55 be...

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 to get a good routine set....and you will change ...

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 middle of the night; esp if they are stable. I do s...

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 worked other shifts in the past but I prefer the nig...

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 bound d/t paralysis (2) and one from a back injury...

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 LPN for two homes, 8-10 clients total. Ages and di...

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 3 other children. To make things worse, her husba...

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 to refuse to go to the ER? I have been an LPN for ...

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 LTC/Sub-Acute/Rehab setting but I also feel extremel...

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 adventure. Any advice/ tips would be great.

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 endeared , I loved loved my job as an LPN floor nurs...

Thank you so much for the tips!!

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 number of noticable med errors." The DON had also pos...

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 same as you mentioned,sign my MAR after giving the ...

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 did not give that med. As for nurse j, she had acces...

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 split the middle hallway. Every med has the same key ...

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 behavioral.

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 assistance with ADL's? If so, how many staff is required...

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 kid...nursing never even crossed my mine. I starte...

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 asked if I felt comfortable doing a few tx's, meds...

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 them pull up. State surveyors. I have been a nurs...

I work with Expicare Nursing Agency. They are pretty good...keep me busy!!

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 Lasix. What is happening, is that most LTCs are n...

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. But that was years ago...prior to having my 3 younge...

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 encouraging words