itthybitthythpider

itthybitthythpider specializes in LTC, MDS.

Latest Activity

1. Assited Living: The new skilled care

   itthybitthythpider replied to NJayne17's topic in Geriatric, LTC

   Ive noticed the trend with skilled, too. SNFs are the new sub-acute and sub-acute is the new med-surg. So all the long-term SNF patients are being sent to ALFs and ALF patients are staying

2. Just wondering if this is the norm..

   itthybitthythpider replied to SeeTheMoon's topic in Geriatric, LTC

   Even a wet to dry shouldn't be soaked through. But yes, it would definitely need to be followed up on if you felt there was a mistake. If you look through the chart and everything and it does say...

3. Just wondering if this is the norm..

   itthybitthythpider replied to SeeTheMoon's topic in Geriatric, LTC

   Even if the order states Change every 3 days, they should be changed as needed, also, especially if they are soiled or soaked through. Leaving dressings on that are soaked through is not the norm. I...

4. Complaint Survey

   itthybitthythpider replied to txdon's topic in LTC: Directors, Assistant

   Oooh! I'd never heard that before. Just the clocks.... That's an interesting

5. Q.I.S.

   itthybitthythpider replied to Nascar nurse's topic in LTC: Directors, Assistant

   I've got my fingers crossed for you, too. Good

6. Complaint Survey

   itthybitthythpider replied to txdon's topic in LTC: Directors, Assistant

   How do you determine tissue

7. Transition to LTC nursing

   itthybitthythpider replied to CassB's topic in LTC: Directors, Assistant

   You are lucky, coming from a psych background! We get a lot of psych patients in LTC. Some nurses forget they are supposed to be more than passing meds and charting! You'll get the hang of it, though....

8. new to management..Need help

   itthybitthythpider replied to supervisorhatchet's topic in LTC: Directors, Assistant

   Vancomycin needs lab draws, too. and procrit and

9. is this legal?

   itthybitthythpider replied to cheng1988's topic in LTC: Directors, Assistant

   And the argument that ensues during change of shift takes longer than getting the actual work done and staying over! Plus the next shift never has time to get their work done, so then you have extra...

10. How do you handle this?

    itthybitthythpider replied to motownrn's topic in Geriatric, LTC

    I've had a couple get upset at me for sending a res out (and especially for sending them out without telling), but I can always justify myself to them and my

11. Most important thing to know in LTC

    itthybitthythpider replied to beatrice1's topic in Geriatric, LTC

    Keep your "brain" (the piece or paper or papers you write everything on) close and use it often! I like to color code mine with different pens and I write EVERYTHING down, even if "I won't forget...

12. Calling EMS to pronounce

    itthybitthythpider replied to fallinnstyle's topic in Geriatric, LTC

    For a DNR, we call the doctor and the funeral home and family, and that's it. I have seen police involved, but I think that was for unexpected deaths. The doctor will pronounce when we call with our...

13. When do you stop feeling dumb and feel like a confident Nurse??

    itthybitthythpider replied to beatrice1's topic in Geriatric, LTC

    One thing that helped me when I was learning was to take a list of meds I didn't know home and look them up in the drug book. Same with new diagnoses. I'm still learning everyday, too! I love nursing...

14. Long Term Care Cutbacks

    itthybitthythpider replied to katoline's topic in Geriatric, LTC

    Cheaper supplies, cutting out unnecessary supplies. They don't pay for over time. HUGE focus on therapy, so we have to bend over backwards for them to get minutes in. Skeleton crew for CNAs. No...

15. how long does it take to get used to what you do? (working in LTC)

    itthybitthythpider replied to kimogieo's topic in Geriatric, LTC

    I shed many many many many tears my first year in LTC XD My coworkers and I had a "crying room" (the utility room on one of the stations) where we would go when we were upset or needing to vent or...