DSkelton711

DSkelton711

OB/GYN/Neonatal/Office/Geriatric

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All Content by DSkelton711

  1. Working night shift, difficulty sleeping during the day!

    DSkelton711 replied to gloryfied's topic in Health, Stress Management

    When you wake up are hungry or thirsty? Maybe a very light snack would help. Also, someone recommended I think of nothing but the number "1" until I fall asleep. Over and over just visualize "1"....

  2. Assisted Living

    DSkelton711 replied to adamsmom2's topic in Geriatric, LTC

    lol. I have no life anymore! I'm wondering how long I can keep up my pace where I am at as I am 52 yo and was on disability for 2 years prior to getting this

  3. Assisted living- what happens when patients need more care?

    DSkelton711 replied to lexilou's topic in Hospice, Palliative

    You would not be bored where I am. I could use help with caregiver ed as well as resident ed. I am crunched for time and just had more put on me. I work 9 hour days and I still can't keep up. Our...

  4. Overuse of antipsychotics in nursing homes

    DSkelton711 replied to hotflashion's topic in Geriatric, LTC

    Each person should be treated individually per their own symptoms and other interventions. About the Haldol, many of the drugs are black boxed. But for myself, if I was in a locked facility with...

  5. Assisted Living

    DSkelton711 replied to adamsmom2's topic in Geriatric, LTC

    Adamsmom: ADON? I am the "DON" where I am now. No assistant. I wish I did. How is your ALF set up? Thanks.

  6. Assisted Living

    DSkelton711 replied to adamsmom2's topic in Geriatric, LTC

    SCALF= Specialty Care Assisted Living Facility these are residents requiring a higher level of care due to dementia or other mental health issues. It is a locked facility. Many of our ALF patients...

  7. Assisted living- what happens when patients need more care?

    DSkelton711 replied to lexilou's topic in Hospice, Palliative

    @tothepointeLVN: That is probably what I saw happening. Death wasn't imminent but coming at some point. I know the only "sitter" I ever saw were hospice. ALF is one of those weird places where...

  8. Assisted living- what happens when patients need more care?

    DSkelton711 replied to lexilou's topic in Hospice, Palliative

    "[ALL of our patients who are not in their private homes are in ALF. They remain there when they become unresponsive and require total care." Unless death is imminent or there is a round the clock...

  9. Assisted living- what happens when patients need more care?

    DSkelton711 replied to lexilou's topic in Hospice, Palliative

    I will input but only what I know for my facility. We have 43 residents. 2 CNAs do the care and the LPN does the meds. In assisted living our resident must be able to transfer and ambulate without...

  10. I am wondering if I wouldn't qualify for long term disability

    DSkelton711 replied to flyingnurse73's topic in Nurse Disabilities

    Disability can be hard to obtain. If you have been unable to work and you've got good medical documentation then you may want to go ahean and apply. I applied and first judge turned me down. 2nd...

  11. Lost my job again!!!

    DSkelton711 replied to lecavalier4's topic in Nurse Disabilities

    I was on disability for 2 years, but I did get some better and I needed the money so I am back at work. Each day I have to nearly crawl out the door. Some days I am in tears. My employer does not...

  12. Back injury at work

    DSkelton711 replied to japomeroy67's topic in Nurse Disabilities

    Whhile I won't go into my horror story I will tell you that there are opportunities for employment for those with pain issues. It may take time and maintaining motivation, but they are there. I wish...

  13. Why do some nurses guess on BP?

    DSkelton711 replied to Dixon, future NP's topic in Patient Safety Issues

    If the cuff is placed to where the bladder will occlude the brachial artery sufficiently, the cuff size is appropriate, the sphyg is on zero before you pump, and you make sure to go 20mm above the...

  14. Assisted Living

    DSkelton711 replied to adamsmom2's topic in Geriatric, LTC

    Where I live, nurses are not required. However, because of the sheer size of our facility and how it is run it is necessary for us to have LPN

  15. Asking family not to visit for a week or two to help a dementia resident adjust?

    DSkelton711 replied to Nascar nurse's topic in LTC: Directors, Assistant

    I've only had to advise one family to avoid visiting for a few weeks. They were actually relieved. I think this should be an individualized plan. And the family should be involved with the decision...

  16. Assisted living- what happens when patients need more care?

    DSkelton711 replied to lexilou's topic in Hospice, Palliative

    Also, in my state, ALF and SCALF do not require licensed or certification to staff. Praise the Lord my facility decides to operate above

  17. Assisted living- what happens when patients need more care?

    DSkelton711 replied to lexilou's topic in Hospice, Palliative

    I am an RN who heads a rather large ALF and SCALF. I follow the regs when unsure of something. Even if it means the resident decides to move somewhere else. If I have a resident who is constantly...

  18. Assisted living- what happens when patients need more care?

    DSkelton711 replied to lexilou's topic in Hospice, Palliative

    Ooh big no-no. Can't remain in ALF if combative or unable to care for themselves. Against state regs. Now in the case of needing help with ADLs or more skilled care--if the resident is expected to...

  19. Overwhelmed

    DSkelton711 replied to DSkelton711's topic in General Nursing

    Thanks. You are so right. We need to care for ourselves once in awhile. I am going to start looking for something that is not so rough on my body. Do not want to get disabled again like

  20. Overwhelmed

    DSkelton711 posted a topic in General Nursing

    I am an RN in a LTC. I am the only one where I work so I carry alot of responsibility and have no back up. My boss continues to add to my schedule things to do and I am already overloaded. This is...

  21. Assisted Living

    DSkelton711 replied to adamsmom2's topic in Geriatric, LTC

    Our SCALF (on third floor above our ALF) LPN is in charge. There is also a CNA at night of ALF. Two CNAs on SCALF. It's a little inadequate but we manage fairly

  22. LPN: Med Cart to Admissions Nurse

    DSkelton711 replied to brandinalove's topic in Geriatric, LTC

    In our facility a RN has to do assessments as it is not in the scope of LPN in the state I live. Sounds like something a person with good prioritizing, time-management and assessments skills could...

  23. Assisted Living

    DSkelton711 replied to adamsmom2's topic in Geriatric, LTC

    I work in an enormous ALF that has LPNs for morning and afternoon shifts. It is a bit like a LTC. Lots of charting, orders, meds, ordering meds from the pharmacy, assessments (called an LPN summary)...

  24. Im injection screw-up

    DSkelton711 replied to bertha1's topic in General Nursing

    aha. A co-worker. Seems like anytime it is someone I know or work with I goof up! I'm sure she'll be fine. And I see you already read about subq. Hope you feel better about

  25. ANA, State, and Specialty Associations

    DSkelton711 replied to Melissa0181's topic in General Nursing

    If you join ANA you are automatically joined into your state chapter. Choose what would be of interest and benefit to you. You can always cancel if you don't feel it's for you. I like the clinical...