rainbowsandsunshine

rainbowsandsunshine

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All Content by rainbowsandsunshine

  1. New Grad RN as new DON?

    New Grad RN as DON is a very bad idea, right??? Right?? Please give me some perspective, because I am just wondering. Is this even possible, has anybody experienced it before? Seems concerning to have somebody with no nursing experience as the DO...
  2. How do you determine what is a good facility BEFORE you work for them?

    Once, on a weekend, I was approached by a potential job applicant (I was on the nurse cart doing my rounds) and she introduced herself and asked if I liked working there. She then asked what I struggled with the most at my job. I fumbled and strugg...
  3. I really need to find a new job ASAP, because of a variety of factors.... things have just become unbearable for me there. At any rate, I am having a really tough time finding a job ANYWHERE, and even LTACs are ignoring my applications. Am I stuck ...
  4. I have your meds, please take them:)

    I agree, I always watch them take their pills, and frequently check their mouth to make sure everything went down (if they are not Ox3). I would never leave pills at bedside. If the patient did not want to take them, I would put them back on the me...
  5. Postfall Neurochecks. What's your protocol?

    witnessed with head injury or unwitnessed = automatic neurochecks. q15min x 1hr q30min x 2 hr q1hour x 4hr q4h x 24hr the worst is the frequent fallers.... Sometimes they fall so often that you cant even finish one sheet of neuro's before beginning...
  6. Needing some realistic perspective....

    In nursing school, I really enjoyed my psych clinical, but I wonder how much of the 'real' psych world we actually saw. Most of our day was spent out in the milieu, going to activities with patients and sitting in on a few patient/psychiatrist evalu...
  7. My LTC experience doesnt count :( HELP!!

    So frustrated..... After months and months of searching as a new graduate and coming up empty handed, I felt blessed to get a good paying job in LTC. Now, almost a year later, my "blessed, good paying job" has turned into a nightmare situation. I a...
  8. Favorite Dr or Nurse Name

    Dr. Winkle, urologist. "If you cant tinkle, call Dr.Winkle!" btw, he is awesome :)
  9. Skin Tear and Duoderm Question

    Working in LTC, we also use steri-strips (if small and skin flap intact), or tegaderm (large or missing/altered skin flap)
  10. Best Nursing Quotes

    Showing up is half the battle. Never be afraid to call for backup!
  11. What career step got you into OB?

    I really want to be an OB nurse!! (and so do LOTS of other nurses!!). My question for you is: What did you do in your career that enabled you to get into OB nursing? I dont have acute care experience yet, which is a major stumbling block for me. I...
  12. How does Safe Harbor work??

    Lately at work, I have been very worried about our staffing ratios and the difficulty of caring for so many patients. These concerns have fallen on deaf ears with my supervisors. I was looking at the BON website and it talked about Safe Harbor... b...
  13. So done.

    Makes me sad, but I am so done. Done with LTC, or maybe just this facility but it is making me sick. Mentally and physically sick. I have so much internal anger... and I am never able to express it at work, so it gets vented out on my poor family. ...
  14. The 5 things you love & hate about being an RN

    I work LTC... Love: 1. My favorite residents. The ones who are always kind, happy to see me, and tell me they miss me when I am gone 2. The co-workers I trust. Working with my favorite nurses can really make a day 100% better 3. Plenty of overtime ...
  15. Pay for hospital nurse vs LTC nurse

    I started last year as a new grad RN in LTC. I think I made about $2 more per hour than the hospitals... but the benefits are TERRIBLE!!!! Note to self: next time, instead of accepting a job out of desperation, look at the bigger picture (i.e health...
  16. What do you do when......

    You run out of time at the end of the day and your work is not done? I will work a 12 hour shift, and stay an hour late and things are still not finished (mostly the little treatments, like creams and skin preps). I don't want to falsify documentati...
  17. Reasonable Nursing School GPA?

    around here, the new grad programs all want a 3.0 or higher. Lucky me, I graduated with a 2.9 Doh!
  18. CNA'S suffer second hand smoke

    OMG, we battle with this a lot at our facility! The unofficial policy is that the CNA who 'smokes' the resident is given a reduced assignment to compensate for time lost while outside doing the smoke breaks. However, anyone who is a non-smoker is al...
  19. plus size scrubs.

    I wear a lot of the cherokee flex-i-bles line. I get them from amazon (Marcus Uniforms). Beware of the side pocket tops though.... it is not 2 separate pockets, it is one large pocket across your belly (like a hoodie sweatshirt pocket). I always b...
  20. Co-workers talk.....

    Oh my..... LOL, this week I heard from a RESIDENT!! and the DON that I am moving! Out of state! Wow, I had no idea :) I hope somebody is paying for this move, because I have no idea when or where I am going. LOL. (on the bright side, both the ...
  21. how do you chart your prn narcs

    We document on the Mar & Narc sheet & Pain Management flow sheet when given, reassess and document the effectiveness on the MAR & Pain management sheet. It is a lot of charting and a big PITA, so if I give PRN pain meds frequently (at le...
  22. Is it me or just the nursing home I'm working in

    I started as a new grad in LTC and I had a 1mo orientation. IMHO, if you are in training, you should have your trainer right by your side or easily accessible for your orientation. Even if you are completing the work, they should be right there wat...
  23. I am a RN in LTC... in my facility, the staff RN does basically the same thing as LVN's, but they are considered the supervising nurse. I work along side many LVN's, and my job duties do not differ from theirs significantly. However, because of my ...
  24. Collecting urine sample

    Depends on the patient.... If I have time, I usually try to get them during the day. Or, if we have a lot to get, I will try to get a few so night shift doesnt do all of them. We have a lot of incontinent people, so doing straight caths can be tim...
  25. iPod use in LTC facility

    I have an iphone and I am frequently looking up meds, MD phone numbers/addresses. I mostly use it to message with the doctor and to look up things on the internet for work (we dont have any computers for nurse use)