SneakySnake

SneakySnake

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All Content by SneakySnake

  1. Bruise or ecchymosis?

    I said- "resident has bruising on arm and hip because they have been scratching" Other nurse said- "It looks ecchymotic to me, not bruised....just my opinion" I thought ecchymosis was bruising:o? Can anyone offer some clarification on this?
  2. Do you ask questions in the middle of shift report?

    Why yes....yes I do :)
  3. First job out of nursing school in LTC...any advice

    First off I have advice for any new grad no matter where they may be working. Remember when you were a kid and the things your parents would do just didn't make any sense sometimes? Remember thinking that when you were an adult you would do things di...
  4. It is never right! I told the higher ups we need an in service (and to crack a few heads over the carelessness) and the higher ups tell me to get the info together and they will present it. At our facility we are still counting manually and using the...
  5. "The "missing" cards, as I understand the OP, were accounted for by the "proof of use" sheets - assuming that means the sheets on which individual doses were signed out." Yes that is right. So far any errors I have found have been related to the NA...
  6. That is exactly what we have. You could not remove the sticker without problems but a person could remove the whole sheet from the ledger. I think that is the reason the NAIC was originally put into place. This is the only place I have been that has ...
  7. OT vs NURSE

    An OT at my facility told me today that I could NOT assess my patient because they were resting. Now anyone who knows me would describe me as pretty laid back and hard to anger but this OT really ticked me off:devil: I held it together and didn't sna...
  8. OT vs NURSE

    The administrator, DON, head the therapy dept. and the OT apologized to me today! Shocking :)
  9. OT vs NURSE

    Administrator just called me at home. Assured me from what she has been told it sounded like i handled everything appropriately and that I am not the first to have problems with this OT. She wants to see me when I go back to work. I am so thankful to...
  10. OT vs NURSE

    It took a lot of restraint to stay calm and I eventually lost it (but not in front of her) because she kept cornering me in the hall and trying to escalate the situation. The nurse who called administration was the one in the room I ducked into. She...
  11. OT vs NURSE

    Everywhere I have worked I really enjoyed the therapy staff. I wasn't just being nice when I told her how much I appreciated our professional relationship how I had enjoyed collaborating with her. I like knowing what therapy is doing. I have family...
  12. OT vs NURSE

    I haven't decided if I will take it to the DON or her boss yet but I did have the three people who saw what happened write down what they saw and sign it for me. The thing is this patient just had a CVA and she is drowsy all the time. I know she nee...
  13. Can I have two nursing specialties?

    My nurse midwife was a CNM and a NP. She became a NP first and later decided she wanted to become a CNM.
  14. Co-worker question

    There is a new nurse at our facility that encourages ALL the patients and their families to come to them with problems. This person has convinced many of the residents (and families) that they are the only one who will "get the job done". Some of the...
  15. The same old battle - work vs school! Ughh..

    I wish I could have 2 days off every month to watch reruns of The Simpsons lol
  16. In one of my pocket guides there is a list of inappropriate medications for the elderly. They are classified as "always avoid", "rarely appropriate", and "often misused". The list is based on 1997 Beers Criteria & Classification. https://www.dcri...
  17. Co-worker question

    TheCommuter, I think you are right.....what do I do?
  18. Co-worker question

    I have tried to be direct and handle this in a straight forward manner. The last time this happened to me I went to this nurse and said "Hey I saw Mrs. Smiths husband was talking with you is there anything going on with Mrs. Smith that I need to know...
  19. Co-worker question

    This person is a staff nurse.
  20. Inappropriate medications for the elderly

    Thank you all for the replies and the links! I have really enjoyed the learning.
  21. Inappropriate medications for the elderly

    are inappropriate?
  22. HIPAA question

    I wanted to make a cheat sheet to use at work. I have no access to a computer at work so I would have to type it up on my home computer. The cheat sheet would have a room number and patient name nothing else. Would this be a HIPPA violation? If that ...
  23. Implement a RADICAL IDEA! "Medical plan of care."

    :yeah:
  24. The green house project

    Anyone here work at a THE GREEN HOUSE® home? What do you think? What is the nurses role? I think they sound like a great idea! I am curious and would like to learn more.
  25. Stupid mistake that I can't fix

    We are switching over to e-charting and the program does not have spell check:eek:. I made my nursing note clicked save, and immediately noticed I had put "membrain" instead of "membrane". Of course, there is no way for me to fix my spelling (stupid,...