optimist

optimist

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All Content by optimist

  1. The "dirty" side of nursing...

    I do wound care for a living and have no problem at all reaching up into a fist deep rotting ulcer to clean off necrotic tissue clinging to an exposed bone (yeah you can imagine the smell of that...
  2. contract

    I too was faced with this dilemma right out of school. I wanted to work there because of the great experience and reputation but was hesitant to sign the 3yr/$3000 contract. Well I did and my...
  3. As a brand new nurse, I was holding an agitated pts arm while another nurse was trying to draw stat labs on her. The nurse blew out the first attempt pulled out and stuck again inches below it (same...
  4. My career as an LPN started in Med/Surg, quickly realized that wasnt for me and moved to LTC where I have happily been doing wound care every weekend for 2 years now. I love my job. I love working...
  5. Just hired at a Skilled Nursing/LTC Facility

    Ive been in LTC for a long time both as an aide and a nurse: a few tips *Learn to roll with the punches. It can be a brutal job some days both physically and mentally.Take one day at a time and dont...
  6. Thanks for all the advice guys! And I did try a vacation a few weeks ago, took a whole weekend (as thats all Im allotted per year is one weekend) and didnt answer my phone for extra shifts for one...
  7. New to ltc, questions after 1st orientation

    Ive done LTC for a while now and sadly these are rather typical. I was aghast the first time I heard through the grapevine that one of my pts had cdiff (wasnt passed in report) and there was no...
  8. A Funny Moment in LTC...

    The other day I was changing a dsg to this mans sacrum when he started to have a bm.I didnt want it to soil my new dsg and brief so all I could do was grab a wipe and catch it. When he finished the...
  9. Communicating with patients that don't speak English

    Unfortunetly in LTC we dont have access to interpreters. At my facility we only have one resident that does not speak english. We have learned the basic phrases to meet her needs...
  10. This may seem petty/silly I work weekends doing wound care in LTC. Recently we acquired a new nurse on weekdays for wounds (2 nurses m-f, just me on the weekends). She is such a nice person and trying...
  11. Im doing my job,Im not part of your team

    UPDATE**** So I was still torn when I came into work this morning. Part of me agreed with those who thought it was a harmless gesture of goodwill, part of me was still irritated that she was using my...
  12. Nurses Enjoy LTC

    I worked as a CNA in LTC while in nursing school. Once out I went straight to big hospital med/surg and I absolutely hated it. Now granted it was an invaluable learning experience and I took so much...
  13. Ok so this may turn out to be more of a rant than a question because right now Im really upset about it. I graduated with a diploma LPN and have been practicing for about 3 years now. I returned to...
  14. LPN must obtain CNA cert to reenter school?

    UPDATE----I did go above that person to the dean of the nursing program. I was applying to the straight ADN program because the bridge program was highly competive with less than 20 seats available,...
  15. 7 wks pregnant, offered 36 hr night position

    Since all the other posters were so positive I had to be the one negative comment. I was in the same position, found out I was 7 weeks on day 4 of orientation for 36hr nights in medsurg. It was okay...
  16. What HAVE you said to patients???

    50 Y.O man admitted to LTC for abnormal gait (note:he can ambulate to the BR but chooses not to because he's "too young for a walke"r so he lies in the bed and uses his brief by choice!) While...
  17. Gtcc fall 2012 what would you do?!! Help!!!!!

    I really liked the PN program. When I graduated I was offered a position with HP Regional and honestly felt I had a better knowledge/skill base than some of my orientation cohorts ( I had to show some...
  18. Gtcc fall 2012 what would you do?!! Help!!!!!

    Let me tell you.........I graduated from the PN prgram at GTCC in 08. This year I applied for the PN ADN bridge and was rejected with 34 points. If I were you I would take the 165 and 166 BY...
  19. LTC facility-TAKE DOWN THAT ARTWORK NOW!!!

    I agree with Morte CAREPLAN IT!!! But on the positive side, that must be a dang good facility if all the state had to ding them on was the question of dignity and age appropriate
  20. I keep a cheat sheet with me of my DNRs as they are the minority where I am.If you dont know assume theyre a full code. Start CPR call for backup. CNAs are trained to do CPR, have one continue CPR...
  21. Wrinkle free uniforms??

    Maybe its just me, but I hate to see a professional nurse wearing scrubs that look like she/he just rolled out of bed. We put a great deal of effort into becoming professionals, I think we should look...
  22. deep tissue injury blanchable?

    DTI will not
  23. Im a big fan of Peaches brand white scrub bottoms.They have a little flare to the bottom,extra pocket on the side for scissors/pens, and manage to conceal my finest polka dot thongs
  24. Stuck between a rock and a hard place

    Before you make your decision, check with recruiters at the hospitals in your area to see if your education is sufficient. Some hospitals frown upon exelsior education because of the lack of hands on...
  25. code blue question

    Whenever you're in doubt stay with the patient and hit your emergency button (some are on locators on your badge or on the in-room call system) call for backup from your fellow nurses/charge nurse. In...