lumbarpain ADN, RN

Geriatric/Sub Acute, Home Care

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All Content by lumbarpain

  1. lumbarpain

    When to call or page the doctor?

    lumbarpain replied to mibrow81's topic in Geriatric, LTC

    The facility should have given you a written form on this.....I always remember the A B Cs. Changes in behavior or LOC, medication administration difficulties, which can fall into swallowing...
  2. lumbarpain

    Oxygen Tanks

    lumbarpain replied to sls73's topic in Geriatric, LTC

    I hated when maintenance never replaced the empty tanks, then a code came.....also when the crash cart was left without the O2 being checked, Most times the gauge read empty. We had these HUGH O2...
  3. lumbarpain

    Love the idea of LTC...

    lumbarpain replied to emptyboxcars's topic in Geriatric, LTC

    I had tried the hospital scene, found it very hectic(not that LTC isnt) and unrewarding. Also found that I never got to KNOW my patients and develop that certain connection with them while they are...
  4. lumbarpain

    What would you do???

    lumbarpain replied to lumbarpain's topic in Geriatric, LTC

    First day orietation in a Ltc/sub acute facility. had a nurse that was not the orientating type. I am a seasoned nurse and maybe she just assumed I was ok with everything....I dont feel thats the...
  5. lumbarpain

    Will I ever get out of LTC or am I doomed?

    lumbarpain replied to JZ_RN's topic in Geriatric, LTC

    As a New Grad I know you are full of the pee and vinegar to get out there and cure the world, I dont mean that viciously, but the trend of Baby Boomers coming into full swing into the Nursing homes...
  6. lumbarpain

    Pill falls on pt gown...is it safe to give?

    lumbarpain replied to sle1191's topic in Patient Safety Issues

    I would give it, If the gown was clean, as long as there is no food, no vomit, body fluids, etc. on or near the pill. Dropping onto something noticibly dirty, or even ASSUMED dirty I would replace...
  7. lumbarpain

    Marker on syringes

    lumbarpain replied to kiwigirl123's topic in Patient Medications

    Use tape or labels on plastic bags or bottles...syringes...a label if it stays
  8. lumbarpain

    Med order question -giving Roxanol to someone who is dying

    lumbarpain replied to Need2Care's topic in Patient Medications

    Depends on the breakthrough discomfort/pain. If the standard order was given at 6am and the patient asks for it again at 7am, then you can give it......but if he asks again for it at 8am.....the doc...
  9. lumbarpain

    What would you do???

    lumbarpain posted a topic in Patient Medications

    I was orientating to a LTC/Sub Acute floor, my first day......had a nurse that was highly unorganized and uncomfortable to ask questions to. She answered me many times with I dont know, I dont know,...
  10. lumbarpain

    What would you do???

    lumbarpain posted a topic in Patient Medications

    I was orientating to a LTC/Sub Acute floor, my first day......had a nurse that was highly unorganized and uncomfortable to ask questions to. She answered me many times with I dont know, I dont know,...
  11. lumbarpain

    What will you do?

    lumbarpain replied to MissRN7's topic in Patient Safety Issues

    a very good PMH will suffice just fine or contacting close family members to see if there were any other reactions the patient may have had that maybe the patient doesnt recall thats if you feel that...
  12. lumbarpain

    Nursing Home Blues

    lumbarpain replied to circularstaircase's topic in Geriatric, LTC

    Orientation, whats
  13. lumbarpain

    Handling the "R" word

    lumbarpain replied to LydiaNN's topic in Developmental Disabilities

    I dont think that any word is appropriate to use because it directs you right to the disability itself. It only draws attention right to it. And then people in their own minds eye make their own...
  14. lumbarpain

    Think Twice Before Becoming a "NURSE"

    lumbarpain replied to mcrutRN's topic in Activism, Healthcare

    I GOT frustrated, tired, burned out with LTC/sub acute nursing after 4 years....It wasnt so much the patients(, the poor people who just are in chronically ill /depressed/or post surgical) It was the...
  15. lumbarpain

    Documenting on patient falls or what looks like one in LTC

    lumbarpain replied to lumbarpain's topic in Geriatric, LTC

    ps, glad you guys enjoyed my little tidbit of a Overblown Ficticious Funny Nurses Note. We need to laugh more in this world......Truly, we
  16. lumbarpain

    Documenting on patient falls or what looks like one in LTC

    lumbarpain replied to lumbarpain's topic in Geriatric, LTC

    Ok, with everyones help here the 3 words that can describe a patients fall in NNs are.....".Found"( which I will never use again) "discovered",(great word, never thought of that one) and"...
  17. lumbarpain

    Documenting on patient falls or what looks like one in LTC

    lumbarpain replied to lumbarpain's topic in Geriatric, LTC

    You guys are the greatest. Thanks for your help on this matter. I think communication is so vital in the medical profession, yet given the telephone effect that we used to play in school, the same...
  18. lumbarpain

    Documenting on patient falls or what looks like one in LTC

    lumbarpain replied to lumbarpain's topic in Geriatric, LTC

    Maybe I should have been a novelist. Maybe the next life. i think when I start this NEW JOB AGAIN for the umpteenth time ....I will advise whomever gives the inservices to include proper terminology...
  19. lumbarpain

    Missing Percocet

    lumbarpain replied to bebe8295's topic in Patient Medications

    Best thing I have always done is try to avoid giving out Narcotics as much as you can. If you can give Tylenol or a patient can have aspirin or another OTC med. By all means give that instead. I...
  20. lumbarpain

    Missing Percocet

    lumbarpain replied to bebe8295's topic in Patient Medications

    Nursing note documentations should be checked for administering pain meds/narcs. I know we have to document whenever a pain med is given to a patient...it cannot be just signed out on the MAR and...
  21. lumbarpain

    First med error.

    lumbarpain replied to me1989's topic in Patient Medications

    We all make mistakes. Dont let this be a setback for you. if you monitered the patient and informed your supervisor and if the doc didnt give specific instructions then dont pack up the old...
  22. lumbarpain

    Pre-Pour medication: to do or not to do

    lumbarpain replied to Do_Good's topic in Patient Medications

    Many nurses do if they are regular full timers that are there everyday on the same floor with the same patients. But its a dangerous practice and the MAR must be checked for changes, DCs, and new...
  23. lumbarpain

    What Do You Think?: What's Your Protocol On This?

    lumbarpain replied to All4NursingRN's topic in Patient Medications

    Strange how nothing was ever done about those glass ampules and the glass remnants when I was in school I never liked them and thought the same thing how dangerous they were to both nurse and...
  24. lumbarpain

    New grad living in misery r/t nurse managers and educator

    lumbarpain replied to maxdog's topic in Patient, Colleague Relations

    Coming from NJ near NYC...I can relate to the abusive, hard nosed, glaring nurse managers you are dealing with. Best thing to do is make direct eye contact with them back showing them you are not...
  25. lumbarpain

    HIPAA question - The Neighbor

    lumbarpain replied to tewdles's topic in HIPAA Challenges

    Yes, be pleasant and avoid giving out information because Mrs. Neighbor may be just a busy body too looking to gossip. You never know who your patient has a good relationship with or not. Good to...