ricksy

ricksy

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All Content by ricksy

  1. New Nurse Pain Med Question

    Hi. I am a new nurse working my first job in LTC (RN) for about 4 months. I am older (second career---know some of you younger ones question my motives for second career), but it is the job I wanted...anyway, in clinicals we were never to pass pain m...
  2. Progress Notes

    Can anyone help with knowing when and which residents in LTC to do progress notes on...other than the ones MDS nurse tells you to? What do you really chart? My DON told me that "this" is their home and not to do the 'bowel sounds x4 active' stuff. Wh...
  3. I work in a very small LTC facility, am a new nurse, and would like to know what are the "special welcoming" things you do to make a resident and/or his family feel safe and like they actually made the right choice by choosing your facility. Lately, ...
  4. HELP! LTC RN VS LPN!

    Fifth month in LTC as brand new nurse. Evening shift where either an LPN or RN has half a shift (and one floor to pass meds), and then the other nurse has whole shift (and one floor to pass meds). When the "half nurse" leaves, the other nurse takes...
  5. Nurses ignoring nausea complaints

    I am a new nurse. I work LTC. Have a resident who had been complaining of "upset stomach" for 2-3 weeks now. No emesis and afebrile. Eats about 25% of meal.. Zofran often with little effect. Another nurse that rotates with me on the same shift ques...
  6. Will I get this??

    I am a 52 yr old RN...in my second career. I could have written most of this post. I have been in LTC for 5 months....To answer your question, yes...you WILL get this. Sometimes I have 30 residents to attend to and we have NO desk nurse. I was scared...
  7. Tattoos are taboo at work. Yes? No?

    I say to each his own , but it is okay for a facility to have policy regarding the coverings of tattoos. If you pay the paycheck, you have the right. I just find it ironic that people spend billions of dollars on acne and scars every year, yet want t...
  8. New nurse here. I get the rotation of holidays and all that.....I want to know if my facility is rare by NOT paying you for the holiday you had off. I have Labor Day off, but was just asked today if I want paid "from my personal time off" for the yea...
  9. Small rant

    Five months as new nurse at LTC. At my facility, it seems that all that matters is 'what state will say'.......I am getting tired of it. Example: have a resident who has some dementia along with other issues who is completely dependent on staff. He m...
  10. Nurses ignoring nausea complaints

    Thanks guys. The MD did order some tests, and on my day off, she was found to have HBG of 6! She ended up getting 6units. I am not sure how she was "walking and talking" but she was, with no other complaints or symptoms. !!!!!
  11. Are energy drinks effective?

    I sat for 4 hours in an ER with my returning vet son, age 25, who drank a "tall boy" MONSTER drink. Heart rate at 135. I would never tell any one to drink anything of the sort.
  12. It's never too late!

    I went back to school at age 50. The first year, my son was in Afghanistan, was in a suicide bombing, and lost 10 friends. Somehow I passed my classes...although, I don't really know how....anyhow, I am a registered nurse now.....one of the best thin...
  13. Have we lost the "art" of nursing?

    Too many laws and Cover YOUR A$$.
  14. Nursing Educators

    Simple...facilities need to quit being cheap...MORE FEET AND EYES ON THE FLOOR.
  15. New Grads, What Do You Expect

    Yes to details. Yes to meeting other staff. No, don't mind getting hired on spot!!!!I am 5 months into first job at LTC and hired one week after NCLEX. I took a tour that day, met a few staff, and peed...right there in that cup. I was asked questions...
  16. Why are medication orders written this way?

    I just encountered the 1.5 Coumadin order yesterday..wondered the same thing!
  17. Feeling Guilty

    The feelings you have inside are because you are a human being, with feeling. Even though a nurse is a patient advocate, it is difficult in (our) heads to rationalize what needs to be done. As a nursing student, you probably began your journey wantin...
  18. One of (my) LTC facility families, specifically the POA, had recently confided in me that he was questioning himself as to the need to continue to have his loved one in a facility and not at home with him. I directed him to have a consult with the ph...
  19. DO NOT pass on the poop

    THANK YOU!
  20. Hospital Clinicals

    We started one week in. You will be fine. It is all about "therapeutic communication" and vital signs. You won't sink. I promise.
  21. what needs to be done for a new admission

    I recently had some difficulty as a new nurse with an admission. I hope the question regarding "can the duties be split up" be answered. Thanks for the post.
  22. HELP! LTC RN VS LPN!

    Thanks for your insights, everyone. I, too, wonder what happened in the three days I was off, after leaving a resident I had only cared for for 3 hours. As a new nurse, I appreciate your thoughts! Trying to understand the process.
  23. Its official! I am leaving nursing.........

    You a say "I said you were disrespectful and rude to that CNA in particular. I stand by that opinion." My response: No where in my post is what I actually said to that CNA. You were not there so you don't know if I was disrespectful or not. Finally,...
  24. Its official! I am leaving nursing.........

    Nice post.
  25. Its official! I am leaving nursing.........

    For the record, the adjectives I used for the CNA are correct. She is 19. That makes her young. She is little. She is 5 foot 3 and about 100 pounds. Uh, disrespectful to her? No. She is beginning nursing clinicals in three weeks and I have GIVEN her...