itthybitthythpider

itthybitthythpider

LTC, MDS

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All Content by itthybitthythpider

  1. Shoes for Plantar Fasciitis

    itthybitthythpider posted a topic in Scrubs, Uniforms, Gear

    I use Anywears clogs, but over the last few months I've developed what I think is plantar fasciitis (intense heel pain when I get out of bed or after sitting for a few minutes, etc.). Are there any...

  2. 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

  3. 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...

  4. 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...

  5. 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

  6. Q.I.S.

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

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

  7. Complaint Survey

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

    How do you determine tissue

  8. 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....

  9. new to management..Need help

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

    Vancomycin needs lab draws, too. and procrit and

  10. 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...

  11. 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

  12. 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...

  13. 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...

  14. 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...

  15. 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...

  16. 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...

  17. looking for advice:Recently had a patient to brake a bone from a fall

    itthybitthythpider replied to epg712003's topic in Geriatric, LTC

    That happened to my dad

  18. is this legal?

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

    Working off the clock is an epidemic in LTC -.- I wish I knew what to do about it within the facility (and nursing in general) that doesn't call in the state and get me

  19. criteria for admission to LTC

    itthybitthythpider replied to wiley6coyote's topic in Geriatric, LTC

    I've had both the family not telling the resident and the resident not telling the family members where they were going. And both times we got blamed Our admissions coordinator is really good about...

  20. Share some of the most ridiculous patient complaints/symptoms/demands

    itthybitthythpider replied to R!XTER's topic in Nursing Humor

    Patient came to the ER while I was precepting there, so I went to get a history. Me: What brings you to the ER this evening? Pt: Chest pain. Me: What happened? Pt: I was under a car, working on it,...

  21. Are any of you loyal?

    itthybitthythpider replied to MzTayTay's topic in General Nursing

    My peds rotation was on the pediatric burn unit. There are no words to describe it, but I left every day there feeling ill. I remember holding the 3 year old in the body cast while she screamed in...

  22. Difficult families

    itthybitthythpider replied to HurricaneCasRN's topic in Geriatric, LTC

    My favorite is when I tell the family that I can't do something, and their response is to look at me like I just grew two heads and each head is speaking a different language at the same time! If my...

  23. rn taking orders from an lpn?

    itthybitthythpider replied to tofunurse<3's topic in Geriatric, LTC

    At one building I worked in, my facility got in the habit of not taking "problem patients" back once they were admitted to an acute (usually psych) hospital. Almost like punishment at times. We had...

  24. float nurse in LTC

    itthybitthythpider replied to username33's topic in LTC: Directors, Assistant

    Love that! CNAs are the best. Ask them a lot of questions, cause they know the residents the

  25. Don't You Just Want To Scream?

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

    That's scary