artsmom

artsmom BSN, LPN

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All Content by artsmom

  1. Out of Scope of Practice?

    We require an order for the initial
  2. Out of Scope of Practice?

    Yes,
  3. Out of Scope of Practice?

    Yes it needs to be an order, but a T.O. is
  4. Out of Scope of Practice?

    Same here. The doctor is usually last to know the patient requires
  5. Out of Scope of Practice?

    Completely
  6. Out of Scope of Practice?

    I don't think I fully understand the problem. The day nurse told the family hospice was needed because their family member's organs were shutting down, right? While possible phrased inappropriately,...
  7. What about long term acute care? That is where I got hired after 6 years of LTC, they were the only ones to call me back! I learned a ton
  8. You made many good points. As someone else mentioned, however, I wouldn't immediately discount people that live far away. When I was looking for jobs, I would apply for jobs that were up to an hour...
  9. LTC med nurses-Are you obeying all of the rules?

    Let them look at you then. If the pt can't tell me who they are and I don't know them, I always ask. Telling you not to check the cards against the MAR is terrible. I always check them. This weekend...
  10. Moments that make you giggle....

    One of my pt's is a former DON, and a very high fall risk. Last night her and another resident, also a high fall risk, were sitting at the desk. The DON thinks she runs the joint, and thought her...
  11. LTC med nurses-Are you obeying all of the rules?

    At my job, the night nurses are responsible for checking for expired meds on the carts once a week. Most do it, some definitely don't. Pay more attention to the stock meds- vitamins/liquid APAP/etc.,...
  12. How do you keep your faith in LTC?

    Maybe you need out of LTC? My mom felt like you and had to get out- it was far too depressing for her. Personally, I love LTC. The repetitive screaming certainly hurts my head, and the sad faces are...
  13. Im a new Grad on orientation, please help me

    You should have asked her to help you when the time was getting late and you still had a ways to go. Seems to me she was taking advantage of someone to do her meds and giving her a break. Why are they...
  14. Possible TIA or effects of medications?

    We wouldn't send out for this either. A lab w/u and urine. Maybe his meds caught up to him? I had a lol go out cold during activities yesterday. The poor activities director thought she was dead!...
  15. 6 years Nursing-no acute experience

    maybe you could try going through a nurse you are friends with? someone who could vouch for you as a person. I got into acute care after 5.5 years of nursing home
  16. LTC has changed-How do you give out 5pm meds now?

    Every time they refuse is a bit much. Our policy is if they refuse a med more than 3x we call and let the doctor know. Like we don't have enough to do, now call the doctor when Betty Boop refuses her...
  17. Where does the job end?

    One of my reasons for leaving my last job was because I could never leave my problems at work. Totally different setting than hh but same issue. Not worth it to
  18. Perspective and sympathy

    Are we married to the same man??? Anyways, I think nurses have to be cautious with how much sympathy we dole out. There are sick people with hard lives, and we need to care for them the best we can,...
  19. Change of Shift Report in LTC

    We are a mixed LTC/STR- so on the rehab's we give admit dx, general info (diet/code/mental status) and any current issues. For the long term patients we only report that 1. they are stable, no issues...
  20. Patient requests

    Let me guess- cardiac patient??
  21. Patient fx hip after family refused alarm

    I think the nursing home terminated you so fast because they are scared and hoping swift action will keep a lawsuit at
  22. Patient requests

    The charger request wouldn't bug me. At my LTC my patients can't call long distance. I often give them my phone, never mind the charger. It is the requests that are out of sheer laziness that make me...
  23. Clinical Failure

    "I would suggest being honest and letting them know you are ready to make a change and be responsible for the rest of the program." I think this would be your best approach. Leave way too early for...
  24. Patient requests

    For me to straighten her leg that she was perfectly able to do
  25. Dear God, Help me

    True. I don't have any regulars for the guys actually. I have used "the babies are sleeping" but some don't care