al586

al586

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All Content by al586

  1. I just got hired at a LTC any advice?

    al586 replied to newnurse_12's topic in LPN, LVN Corner

    congrats on your new job! Don't be afraid to ask questions, & as Midwest4me said, Prioritize! Who needs labs, who needs accuchecks, who needs essential meds, and so on. Embrace the British motto:...

  2. Full Moon Syndrome: Fact or Fiction

    al586 replied to madwife2002's topic in General Nursing

    As a nurse in LTC, I can say truthfully, without shame or embarrassment, the full moon phenomenon exists. I don't know why, but my more difficult patients get considerably more difficult during a full...

  3. How do you keep your faith in LTC?

    al586 replied to al586's topic in Geriatric, LTC

    Thank you all for your responses! I cannot express how grateful I am for your comments. It's nice to know there are people out there who understand, and to remind me why I chose LTC in the first...

  4. Dear God, Help me

    al586 replied to artsmom's topic in Geriatric, LTC

    I have two patients like that, and, coincidentally, their rooms are directly across from each other. You're never safe; you are bombarded from both

  5. If you think you need to call the MD, CALL THE MD!!!!

    al586 replied to wooh's topic in Patient, Colleague Relations

    The best advice I ever received in regards to calling a doctor came from my excellent supervisor on our evening shift: "Keep calling until you get what you need. You are not calling them because you...

  6. New RN in LTC

    al586 replied to alyiana's topic in Geriatric, LTC

    May I add to the excellent advice you have already received? I'll probably forget a few things, but hopefully some of these will help you. When coming on shift, here are a few things I do, many of...

  7. Common nicknames for hospital items.

    al586 replied to LifesAJourney's topic in Nursing Humor

    Here's a few I often hear at work... Walk in Clinic = Doc-in-a-box Fall matts = landing strips 30 ml plastic cup = shot glass Nasal cannula = nose

  8. What jobs did you do before nursing?

    al586 replied to nursefrances's topic in General Nursing

    Florist assistant Waitress, at a couple different places. Very useful experience in dealing with people. Bartender, also useful in learning people skills. Tattoo Artist for 15 years. This was THE...

  9. electronic bp cuff

    al586 replied to TurboGirl's topic in General Nursing

    I would advise caution in using your own BP equipment on the floor - it can be a liablity issue. I had played with the idea of buying my own pulse ox to use at work, as ours were pieces of junk that...

  10. Dealing with "Web-Trained" Patient/Family Members.

    al586 replied to BostonTerrierLover's topic in General Nursing

    At work, we call the constant internet searching of diseases, meds & treatments "Googleitis." There doesn't appear to be a cure for Googleitis, and those people affected by Googleitis are...

  11. Harassment at work, patient to staff

    al586 replied to Tiredoftheabuse's topic in Patient, Colleague Relations

    I totally agree with this...incident reports have a tendency to disappear where I work as

  12. what items could you not go a nursing shift without?

    al586 replied to Brian's topic in General Nursing

    Coffee, patient cheat sheets, stethoscope, pulse oximeter, bandage scissors, yellow highlighter, black sharpie, 4 color ballpoint pen, & a prayer to God that I don't have to kill doctors or...

  13. Giving PRN meds- need some clarification

    al586 replied to nikkicb2004's topic in Geriatric, LTC

    I also agree with the above comments..You did the right

  14. Phasing out alarms?!?

    al586 replied to al586's topic in Geriatric, LTC

    Thank you all for your responses! I feel a bit better toward the alarm issue now. I truly appreciate your

  15. If There Was A Major Epidemic / Pandemic Would You Report For Duty?

    al586 replied to DoGoodThenGo's topic in General Nursing

    As a divorced woman with no children, I would go...but I would not hold any person with children at home in bad regard if they didn't go

  16. Thinking of switching out of LTC to something else

    al586 replied to Catch22Personified's topic in Geriatric, LTC

    I'll try not to take offense at the LTC nurse thing..:) How about a nurse practitioner specializing in geriatrics? It requires more education than A BSN, but would capitalize on your current

  17. Charting Bloopers

    al586 replied to AHarri66's topic in Nursing Humor

    I'll admit to one of my own charting mistakes.... The computerized charting in our facility uses a standard assessment form for PT, OT, & Skilled Nursing, so we have to list the department for...

  18. My Nursing Career In Six Words

    al586 replied to No Stars In My Eyes's topic in Nursing Humor

    Love

  19. LTC - What are my actions after receiving phone call regarding new orders?

    al586 replied to username33's topic in Geriatric, LTC

    In addition to the excellent advice you have received so far, I'd like to add that I make a habit of immediately communicating the telephone order to the pharmacy (we fax the initial order at my...

  20. My Nursing Career In Six Words

    al586 replied to No Stars In My Eyes's topic in Nursing Humor

    Ativan should come in [a] room

  21. types of co-workers/patients to be aware of. HOW DO YOU DEAL WITH THESE PEOPLE?

    al586 replied to tater.jake's topic in Patient, Colleague Relations

    No offense taken...I see it everyday, in LPNs who think themselves better than RNs, & RNs who fancy themselves

  22. types of co-workers/patients to be aware of. HOW DO YOU DEAL WITH THESE PEOPLE?

    al586 replied to tater.jake's topic in Patient, Colleague Relations

    Amen!!

  23. Disrespected daily by residents

    al586 replied to b.randolph's topic in Patient, Colleague Relations

    IMHO, racial slurs are simply unacceptable, particularly in an oriented person and no rationalization of using them simply as descriptive term justifies their continued usage. I certainly would not...

  24. Nurse hand me the...

    al586 replied to mindy1982's topic in Nursing Humor

    Oh wow, does this bring back a memorial event on clinicals! We had a student in our class who had recently come to the US from Russia. We had an obese patient with extensive ulcerations on his legs...

  25. Pradaxa

    al586 replied to Jenni811's topic in Patient Medications

    Pradaxa is used selectively in our SNF, since it cannot be crushed or even taken out its capsule. (The potency can increase significantly if taken out of its capsule.) Therefore, we can only use it...