tyvin BSN, RN

Hospice / Psych / RNAC

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All Content by tyvin

  1. tyvin

    IVDU pt kept asking for pain meds. Managment kept saying to just give it to her.

    tyvin replied to ella2990's topic in General Nursing

    Judgemental...those doses aren't anywhere near what I've seen. I've worked with nurses like you and I come on shift to find some select patients who are suppose to be on routine pain meds writhing...
  2. tyvin

    Long Term Care Stigma

    tyvin replied to TruvyNurse's topic in Geriatric, LTC

    There is stigma but as far as being bored at a LTC job; that was my first biggest laugh of the day. Maybe on nights like any other place and it will definately depend on how many residents you're...
  3. tyvin

    Memory on the job

    tyvin replied to RugerNurse's topic in General Nursing

    Unless you have some deficit already, this all takes time. It's like any other job. Think of being a waitress...are you going to memorize the menu and all the stuff they have to do and if the chef...
  4. tyvin

    Can you refuse to give care to a resident in LTC?

    tyvin replied to CNA2016:)'s topic in Medical Assistant, CNA/MA

    It would appear that none of this behavior is being put on the MDS or else the behavior would have triggered a care plan/action for it. What is the MDS coordinator doing about this? If the behavior is...
  5. tyvin

    Percussion question

    tyvin replied to Eltk1219's topic in General Nursing

    We were taught percussion in my nursing program and expected to employ it. It's part of the total examination of the client/patient and lots of info can be gleaned from percussion; create a baseline...
  6. tyvin

    Can you refuse to give care to a resident in LTC?

    tyvin replied to CNA2016:)'s topic in Medical Assistant, CNA/MA

    This needs to be care planned. Always two staff when givng assitance and your boss has the right to fire you. So what...you just throw the other nurses to the monster. Your facility took him knowing...
  7. tyvin

    They were in bed together.

    tyvin replied to Yaadie's topic in General Nursing

    SNFs are considered patient homes now...I though that was LTC, AFCHs, and AL. When I first started out I was a charge in a SNF (Blank on earth) and it wasn't their home. The patients that transferred...
  8. tyvin

    Running into former patients

    tyvin replied to Volley88's topic in General Nursing

    Oh please, since I worked in an inpatient psych ward I ran into my former and frequent patients all the time in the grocery store on the little island I lived on. They would wave wildly and I would...
  9. tyvin

    MDS?

    tyvin replied to Melcraft91's topic in General Nursing

    MDS coordinator...it depends on what system the facility you're going to work at uses. I worked at a place that let us have "not" over 24 patients each and we did it all save for sending. You are the...
  10. tyvin

    "I Narcanned Your Honor Student"

    tyvin replied to EAGirl's topic in General Nursing

    https://www.google.com/url?sa=t&rct=j&q=&esrc=s&source=web&cd=5&cad=rja&uact=8&ved=0ahUKEwjTyYqg5fvUAhVQ72MKHY6EB0kQFghHMAQ&url=http%3A%2F%2Fwww.who.int%2Fmediacentr...
  11. tyvin

    "I Narcanned Your Honor Student"

    tyvin replied to EAGirl's topic in General Nursing

    I just found out that my step-brother is on disability. Why...he can't quit putting food into his mouth. He's 400 lbs and brags he gets to sit home and eat. There are many more examples of people that...
  12. tyvin

    Student nurse dismayed by bedside nursing attitude

    tyvin replied to new gal's topic in General Students

    Dear OP, I agree with you but apparently you stepped on a few nerves. Perhaps nerves wrought from overworking in med-surg. I am an RN who worked as a CNA when I was an RN (long story). Don't take the...
  13. tyvin

    "I Narcanned Your Honor Student"

    tyvin replied to EAGirl's topic in General Nursing

    Excuse but to add to the comments about fiscal responsibility... The money...do we include the elderly who falls 3 times a week at home and is helped by EMS, do we include the alcoholics that...
  14. tyvin

    Flagged FBI Report

    tyvin replied to Cami28's topic in Licensure: Criminal History

    I know a couple people who were stopped, had a bench warrant out for non-payemnt of traffic tickets and were arrested. It's not that unusual in states that still pursue to do this stupid practice....
  15. tyvin

    Need advice on challenging for a CNA test

    tyvin replied to pratt006's topic in General Nursing

    When I got my RN license I was in a state where the island I was on only had 2 hospitals and 2 LTC facilities. Someone had to die before a position was availible. I had to make a decision if I was...
  16. tyvin

    Do APNPs continue learning?

    tyvin replied to Alexxoxox's topic in Nurse Practitioners, NP

    Each state has it's professional licensing standards. In my state all licensed professionals have to do some type of maintenance, be it CE, or whatever. With lawyers (for example) they can log in so...
  17. tyvin

    "I Narcanned Your Honor Student"

    tyvin replied to EAGirl's topic in General Nursing

    Love dark
  18. tyvin

    Document or die?

    tyvin replied to yarrumzil's topic in General Nursing

    You'll have your COW with you. I dispised handwriting nurses notes. When the computers came out that was a dream. You need to brush up on your keyboarding skills/typing since you say you're computer...
  19. tyvin

    Discharge patient with Foley, but forgot to give the syringes to remove foley

    tyvin replied to Bamafan2011's topic in General Nursing

    I agree, who discharges a patient with a foley and expects them to take it out. I don't think I've ever used a syringe to take a foley out (in the beginning until I found out how much easier it was...
  20. tyvin

    Age of Nurse = Level of Experience? Or Not?? The survey says...

    tyvin replied to allnurses's topic in General Nursing

    I agree with your ageism remark. Sure, it's just a study but we aren't suppose to be concentrating on age. Why inlcude age. Is that for the nursing shortage we never had, or so the libs can free up...
  21. tyvin

    You've Got To Be Kidding Me

    tyvin replied to CapeCodMermaid's topic in Geriatric, LTC

    Hi; My name is Sybil, I'm heterosexual. The pronouns I use to identify myself are her, she and throw in Ms. I am a Native American and don't blame white people for the genocide of my ancestors, I use...
  22. tyvin

    Bait and Switch?

    tyvin replied to Natkat's topic in Case Management

    Welcome to nursing. Same goes with hospice; we are case managers. You have cases and you manage
  23. tyvin

    Psych pts protocol

    tyvin replied to joyful_wanderer's topic in Emergency

    When I worked inpatient psych the ER had a set protocal. When a psych patient was brought into the ER or went in, the social worker would give them a choice whether to go to inpatient psych ward...
  24. tyvin

    Chewed out from family

    tyvin replied to Volley88's topic in General Nursing

    You need to approach this from a psychological view point. The family is upset, looking for someone to blame. Is it right...no. What do you do; patience and understanding. The less said the better....
  25. tyvin

    Need help..hate my job :(

    tyvin replied to butters9812's topic in General Nursing

    Do a search on this site for independent nurse consults, opening up your own business, be your own boss...there're tons of posts to read with good