fluffwad

It's usually the families that won't allow the DNR. Too many think it = "leave them in a corner to die". I spend A LOT of time correcting misconceptions about this.

Ditto to all of what Angie said + the realiztion that we are not responsible for the function of the universe or almighty enough to make sure everything goes right. Everything happens for a reason, even the bad stuff; and it doesn't happen according...

In LTC, it's not unusual for the folks to go in batches......esp. when the seasonal viruses start coming thru, but also at the change of seasons. We just lost 9 this month (10% of census).......all different reasons. The weakest ones just don't seem ...

potential or actual alteration in psychosocial function / status related to [whatever is making her delirious] resulting in impaired social interaction / mood changes / impaired emotional control you might also want to care plan delirium / resulting ...

At my facility, the MDS nurses have no on-call, no weekends, no holidays.

How did insurance changes effect CRRNs? I've had my CRRN since about '97, but I have to say I rarely ever meet any other CRRNs. I absolutely agree that you should get the core curriculum from ARN. The test was like taking boards all over again.

It's a pharmacy that can make special preparations themselves...not just sell prepackaged medications, we have one here that makes a topically applied cream with Ativan in it. (They don't manufacture the drugs) I think these used to be a lot more com...

I just finished doing a 25 hr home-study course on Anger Management for my CEUs. I wish I'd found this book 20 years ago! Everyone I know could benefit from this kind of thing.......the stress I've been feeling at work has diminished greatly now. Co...

I agree that the pendulum has swung rather far in the other direction.....but I was doing LTC when half the patients were zorked on Haldol, people used restraints on anything that moved and tied the patients to the rails in the hallways. Sounds like...

I've been at it 7 years. At least 4 months is right, maybe a year before you get the sense of the finer points of the thing. Get yourself sent to training / seminars / etc. Subscribe to AANAC, take their courses. Learn and stay up to date with all th...

if that's a phrase that the nurse managers used i would just move on before things get ugly.

Have you considered the telephone triage nurse positions like Kaiser Permanente has? Possibly MDS nurse in a LTC.

My typical day is lots of assessments, lots of meetings, keeping an eye on all kinds of stuff. Ever done the MDS before? OCD is a plus here, being well organized is a must. check out aanac.org

Sounds like you need a change of pace / scenery / co-workers. Consider a different unit or facility. Some companies just have a 'mentality' that runs thru the whole place, sometimes just in certain parts of it.

Don't say anything to her now. It's not your place, and it would just create problems. If they don't keep her and she brings the subject up afterwards, be supportive.

MDS coordinator....although, sometimes I miss having a weekday off........it's tough to get appointments on the weekends or after work.

Almost every nurse I know came out of boards with brains fried and thinking they've blown it...... besides, you get another chance ( or 2). Test anxiety is not unusual.......besides you just put a ton of time and money into getting thru......things w...

When I graduated (1983) you could get a job as a graduate nurse until you got the boards results.......boards were only done twice a year back then and the wait for the results was long. Now, you cannot work as a GN or GPN.....at least in my state. M...

I've had symptoms since I was a kid......but it didnt become a problem until i was 40. Water just spreads the acid around more. Find a GI specialist / get a second opinion from some other doc..... I find it difficult to believe a doc would actually s...

what year did you graduate? 1983 what was your first job out of nursing school? nursing home skilled unit how long did you stay there? 3 yrs why did you leave? better pay elsewhere, wanted other experience did you have adequate orientation to your n...

After being married for 27 years, we're 2 sides of the same coin. When they meet him, my co-workers tend to say things like "OMG there are 2 of you"

Working for an agency as a new grad is a mistake. You will be expected to hit the floor running and will not be given any support....you need to get a couple years experience in a steady job first.

I take measures to protect my privacy and quit ASAP. There are those out there who would seize the opportunity to try to file suit to get some of the action. I don't think I'd even tell the relatives ( my FIL is always coming up with silly business i...

It means keeping them comfortable, not to neglect them until they die but it also means not getting too aggressive with interventions or trying to prolong their life. Without any kind of info on the patient, I can't be specific but it seems to me tha...

Managing Anger, A Handbook of Proven Techniques http://nursingeducationofamerica.org/course_list/all.htm