debbiemig

I would like to know if any of you have a problem getting your meds out in a timely manner. I have a rehab unit of 39 residents. They ALL have many meds. Most of them need to be premedicated for pain before going to Physical Therapy. My shift begins ...

Where I work, we have a nurse who works every Sunday. She's 82 yo. Hard of hearing and more energy than I have. She " goes by the book" on everything. She is a pleasure and has no problem asking for help. She's been with us for about 20 yrs.

Of course it's for real! The times have changed for the better thankfully! I've been in long term for many years and I've watched how the restraint situation has changed. I remember years ago( going back into the 60's ) when as a nurses aide, we used...

I was at a LTF the other day visiting a friend. I knew several of the nurses there including the ADON. She asked me if I wanted to work perdiem. They pay 23.50 perdium. That is Putnam County, New York. I work in Westchester County and make more. The ...

I believe it is a Federal Law not to restrain residents. We did this in our 300 bed facility several years ago. What a uprising we had, staff and family members. What we had to do was be more creative in fall prevention! We have low beds on most of t...

I have discussed giving Lovenox with some of my rehab patients, who have NEVER objected to recieving it in the abdomen. They have told me that some of my fellow nurses have given it in the deltoid and " it hurts!" They say it burns!

I can remember as a very young teen in the early 60's having surgery for an inquinal hernia repair and spent a week in the hospital. I was out of bed 2 days after and walked with my nose to the floor the entire time I was in the hospital. My youngest...

We haven't done HDC in about 15yrs where I am. I'm so glad, I think it was cruel. Give me an IV anytime!

zippy, i'm from ny. up until about 18 mos ago, i was able to do everything an rn did in long term. i have been with this facility for over 30 yrs. i have been inservice coordinator, i helped open a rehab unit, i admitted residents, doing the assessme...

2 weeks ago we had our state survey! There were about 10 survey people, several were being trained. We did'nt have one citation in regard to med errors or untimely med administration. Could it be that the state is well aware of this problem and just ...

I remember one year, the facility I have worked at for years, gave us all carnations on the day shift,(the flowers were distributed about 11am) then we were asked to leave them for the next shift!!!!!!!!!!!!!!!!! How about that! They really love and ...

Thanks for your inpt. The DON is very well aware of the problem, she was my supervisor a few years back. The facility didn't mandate the rule of 1 hr before the scheduled time and 1 hr after. this is a state mandate. Many of the states rules are very...

I would like to know if any of you have a problem getting your meds out in a timely manner. I have a rehab unit of 39 residents. They ALL have many meds. Most of them need to be premedicated for pain before going to Physical Therapy. My shift begins ...

Who has a more in depth education? A Nurse Practitioner or a Pysicians Assist.? I know both write scripts and both work under an MD.

Thanks for clarifying for me. One concern I have at the ECF where I work is that there is a PA who takes call for a few of the Drs. The answering service is instructed to refer to him as" Dr. S........". When he calls the facility and speaks to a nur...

We have one lady who has a Gtube and will likely always have it. Our problem is, it leaks The adapter pops out of the feeding tube. We have tried taping it in place, but this doesn't work either. We tried a new adapter with no luck.I thought I remem...

Last December my hubbies dad fell off of a ladder in the garage and onto his head.He was airlifted to the trauma center where he was placed on life support. EEG showed no activity( there was brain matter at the scene). He had very clear advance direc...

AMBIEN!

[QU OTE=PHTLS]How are you taping the tube?We tape it like a figure eight from the base of the adapterfrom the G tube to the top of the adapter from the from the tubing from the pump. I do appreciate everyones advise. I knew this was the place to ask!...

We have one lady who has a Gtube and will likely always have it. Our problem is, it leaks The adapter pops out of the feeding tube. We have tried taping it in place, but this doesn't work either. We tried a new adapter with no luck.I thought I remem...

Here's an update on my DON who I mentioned was MEAN! She was fired!!!!!!!!!!!!!Came to work drunk! Not one person was sorry to see her go! Debbie

This is a tough call! On one hand the resident does have rights, on the other, he is in the facility because he can't care for himself! If a resident is confused and clearly not able to make a rational decision, I think we have failed the resident if...

:) Thank you for your kind words! Debbie

The reprimand was before lunch of the same day!

This DON is miserable! We have gone through 10 ADON's in the past 18 mos.That must say something. Her worth is in her ability to second guess the state .She is mean!Mean! Mean! I have a problem with authority figures, they make me very nervous! You a...