indynurse '87

I don't see anything that would cause a problem, My real first name is Debora, but I go by Debbie and have not encountered any problems.

I had this very discussion with an MD when he came to make rounds a couple of years ago, his statement to me was that the main active ingredient in the cough syrup worked on the "cough center" in the brain, so therefore worked when given per tube.

I have had State Surveyor on my med pass with me. I pulled up all of the ordered meds, and explained to the surveyor that this particular resident required meds to be crushed and placed in apple sauce due to the fact that once the tablets were placed in her mouth she would chew them up then proceed to spit them out. Surveyor smiled and said "That's fine" watched me and signed off a "perfect med pass". It's not the fact that our residents refuse, it is the fact that they "don't remember" HOW to take the meds. We are not hiding it, just administering it as per the MD order.

After crushing and placing in AS/Pudding or other medium, if you have a resident that will take what I call "birdie bites", taking just a small amount off the end of the spoon and just absolutly will not open their mouth, place a small amount of the med mixture on the bottom lip and they will lick it off! It can take a minute or two to get it all in them, but you DO get it in them.

MedTech has applied for NLN accreditation, but has not received it yet. You may want to wait till they are. Harrison College in Indianapolis has also applied, they had their inspection last October, and should know the results of acception in May. Personally, I think I am going to enroll with Indiana State University's online LPN to BSN program. I was going to go back to IVY TECH, but the wait list is too long. And I really do not want to be strapped to a 12 hour clinical that I would have to travel a fair distance to. From what I understand with ISU, there are no clinicals, or testing out of clinicals. You precept with an RN at a local hospital/LTC facility. Good luck in your finding what is right for you!

I held that type of position for 5 years and LOVED it!!! You will be responsible scheduling, conducting and tracking all educational and mandatory facility and state required inservices for all staff. Also, you will be resposible for monitoring, admin. and recording new hire and annual PPD's. As far as the infection control, my biggest hurdle in that was having the floor nurses remember to fill out the initial log sheet when a resident was placed on an antibiotic, sometimes one would slip thru the cracks, so I contacted the Pharmacy we used and asked them to send me a list the first Monday of each month of all the residents that were placed on an antibiotic the month previous. That way I could be sure my reports were accurate. Good luck !

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Central Indiana 23 years exp. 19.33/hr for current position at LTC facility. $2 shift diff. for evenings.

Brush up on your assessment skills! The MD's only visit once per month, YOU are the MD's eyes and he/she can only go by what you tell them.The LTC nurse's assessment skills are sometimes his/her best tool to be an advocate for their resident. Don't be afraid to call an MD, I have workrd with a few "new" nurses that have been hesitant to call because they were new, remember the MD does not know you, or that you are new. Just have all your ducks in a row before you call ie: s/s, v/s, any pert. labs/meds, and have the chart right in front of you when you call and you will do just fine ; ) PS: never say "I don't know"! the best reply is "I'm sorry, I don't have that information in front of me right now, but I can find it for you"

Merry Christmas! I will be going in at 7 pm tonight.

I would make several copies, go out to the facilities, ask to fill out an application and attatch your resume to the app. Ask if the HR or DON is available for interview. The reason of asking for DON or HR is that some of the samller facilities the DON IS the HR for nursing and does the interview/hiring. Good luck!

Back in the early 90's I worked agency. I loved it! Some of the hospitals did have orientation, you were required to arrive 2 hours early of your first shift at that facility, and a short orientation was given on the floor you were to work. At LTC facilities the would have a packet you were required to read and sign off on that you understood the info. There were MANY times at the LTC facilities I would arrive and the nurse I was relieving would say "here is your hall, this is your cart, here are your keys, here is the 24 hour report sheet, if you have any questions the aides can help you" and attempt to leave! I would have to make them sit down and give me a run through on the report sheet and count the narcotics! Even though there were times it was sink or swim, I still loved it. I was sent to places that afforded me the opportunity to get expierince I would have never gotten by being staff nurse in one place.

Indy is for Indiana and '87 is the year I graduated from Nursing college. Hence: Indynurse '87

I knew what HHH was, when giving one be ready to RUN!!!! Or your clean whites would be "brown" in a hury.... "Thar she blows!!!!"

Ohhhhh my! Do I remember those days .... I too remember M&M (Maalox and Methiolate) for pressure areas along with the heat lamp, packing wounds with betadine ointment mixed with sugar, pelvic, wrist and leg restraints, gerichairs with locking trays to prevent the patient form getting up. Feeding pureed diets to a difficult patient with an asepto. Very seldom did we have G/Tubes. it was usually NG tubes for feeding patients with swallowing problems. Testing diabetics urine for sugar levels and coverage.