optimist

optimist

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All Content by optimist

  1. Things you'd LOVE to tell coworkers...and get away with it!

    "I don't care to hear all your family drama while I help you clean this brown blowout" "Just because im leaving to pick up something for lunch does not mean I want 'swing' by the KFC on the other side...
  2. Is this out of my scope?

    I know in NC, the role of teaching is reserved for the RN with the LPN being allowed to reinforce. Well my sister who works in the school system asked me to participate in her classroom, coming in as...
  3. What do you fear most on the job?

    My biggest fear is inadvertantly contracting something and bringing it home to my family. In LTC you have to do your own research on each patient to find out if they have anything communicable (its...
  4. I work at a great facility.......?

    The facility I work for has 30 patients per nurse.Of that assignment, at least 8 will have trachs and 10-12 will be Gtubes, all of which are skilled patients.This nurse does have the luxury of a med...
  5. Housekeeping wish list

    Housekeeping "Knock,Knock" Me: "Patient care,please come back" Housekeeping: "Im just gonna get this trash out" (as they continue walking in!) It never fails that when I have a patient in an awkward...
  6. Brand new license, brand new job, and pregnant...

    Congrats! I was in your exact shoes a couple of years ago. I didnt tell my employer outright, but around 6 months it became pretty obvious.Unfortunetly I didnt hit the one year mark for FMLA when the...
  7. TEAS exam

    Kudos to you for getting an 85!! I took the TEAS 3.0 back in 07 and got an 86. I had to retake it (version 4.0) this year to enter an LPN-RN bridge program because my score was 3 years old (and for...
  8. I encounter this scenerio often in LTC.First I would try all nursing interventions to bring up O2 (raise HOB,increase O2 per protocol,any ordered Nebs,etc) If the patient is still a/o and in no acute...
  9. worst death you've seen

    While it was nothing excruciating like some others have seen, I witnessed a woman die of a broken heart in LTC. She and her hubby of 52 years shared a room in the AL wing.He had multiple...
  10. nursing student needs help with colostomy care

    I do wound/ostomy care in LTC and I lovelovelove a product called Convatec Eakins Cohesive. Its a sticky wax type product that can be molded to fill in the gaps under the wafer.Good
  11. Things colleagues have taught me NOT to do...

    Keep your mouth closed and hold your breath while removing the socks of someone with extremely dry flaky skin.Not because of potential odor but because you risk ingesting flying dead skin flakes. Be...
  12. Wet-to-dry dressing question

    Ive been doing wound care for 2 years in LTC and Ive used WTD on pink viable tissue before. Ive learned that it promotes granulation and circulation (so a little bleeding while removing is not...
  13. Vent

    I too experienced these feelings when I first entered the nursing field. As time progressed I noticed I simply could not sympathize/empathize with these patients and no longer desired to care for them...
  14. 12 hour shifts

    Im currently working 12 hour Baylor shifts in LTC while I go back to school,Saturday and Sundays 7A-7P(+8hour bonus) so I work 24 hours a week and get paid for
  15. I do wound care in LTC. One day I was doing a routine dry dressing change on a ladys hand as she had dry gangrene to her fingers. We were casually talking as I pulled the old dressing off when...
  16. I signed a 3 year, $3000 contract and realized after 6 months that I hated the position. Actually, LOATHED, might be a better description. It happened that I was put out on medical leave about that...
  17. New RN to interview for Nurs Home where family member is

    Ive been in this position.When I interviewed for the job I mentioned that my grandmother was a resident. They didnt think anything of it and I landed the job. My Grandmother also had advanced...
  18. Smelly question

    As a wound care nurse in LTC I have plenty of experience dealing with the smelly side of nursing! What Ive found helpful is to cool the room, either crack a window or turn the fan on low to get the...
  19. I work in LTC as the weekend treatment nurse. Im responsible for all dressing changes,catheters,lab collections,etc as well as managing the 2-3 wound vacs we have. This weekend one of my residents had...
  20. LTC LPN's...how many patients do you have??

    The LTC facility I work has 230 residents and 4-5 nurses during the day. Theres a good mix of low acuity rest home type patients all the way up to comatose trach
  21. What area of nursing should I choose?

    Does it have to be hospital?? I personally prefer LTC (tried Med/Surg and it wasnt for me) In LTC you have the opporitunity to get to know your patients on a personal level and maybe contribute to...
  22. Pregnant and Perplexed

    Kudos to you for wanting to pursue a career that will make you happy, the decision to make that jump takes guts! May I suggest though trying your hand as a CNA while you work your way into nursing?...
  23. facebook and HIPPA

    I work in LTC and have patients that send me friend requests on FB. Im afraid that if i deny them theyll be offended when i see them at work the next week.But on the other hand Im not sure I want...