luvmy2angels

luvmy2angels

Geriatrics

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All Content by luvmy2angels

  1. Can You Be Fired....

    Can you be fired for not taking a lunch break during an 8 hour shift? I know it is the law that you need to take a 30 minute break. My employer has recently cut back on staffing causing the nurses to be extremely overwhelmed. There is only one nurse ...
  2. Abuse/Neglect question

    Does anyone consider it to be either abusive or neglectful for a LTC facility to not have enough staff to care for the number of residents? According to the state regs the staffing ratio is ok, but the acuity of residents is very high and not providi...
  3. Infection control question...

    I work in LTC and we have been told that we are NOT allowed to wear gloves in the dining room, this includes while clearing dirty dishes/napkins. Reasoning: it is not conducive to creating a "home like" atmosphere. We don't wear gloves at home when s...
  4. Making anoymous complaint

    Just wondering if anyone has ever made an anoymous complaint against your employer. I feel there has been a huge issue regarding patient safety at my place of employment that resulted in a patients death that could have been prevented. I know I am pr...
  5. The 3rd one does not really seem like an ethical dilemma to me. It seems to me that you were just using good nursing judgement in checking the sugar again. Something as simple as the alcohol not drying before you take the blood sample can cause an ac...
  6. Do you know of any facility in PA that hires without license?

    I started applying for jobs about 4 months before i graduated. Most places i applied to (both hospitals and long term care facilities) were very willing to hire me with out having taken the boards yet, as long as i had my temp to practice permit. Mos...
  7. Ever had a Reiki Massage session??

    My wonderful neighboors gave me a gift certificate as a graduation gift for a really neat "spa" or massage place in town. I stopped in and got thier brochure. These people offer chocolate facials (using REAL chocolate) and a chocolate and marshmallow...
  8. LTC project: Who enters admission orders? MD or RN?

    RNs as well as LPNs enter admission orders where i work. Doc will sign them at some point when he does rounds, but we put them in.
  9. Wounds in LTC

    I agree with dietary consult, does your facility have a wound Dr or wound team?? If not and this is something you are interested in you can always get more education in wounds and start a wound team at your job. Once they got a routine wound Dr and w...
  10. MHA degree....

    Thanks for the replies. I myself am not interested in an getting my MHA. I am a nurse and my dept is run by someone with their MHA and has no respect for us as nurses. she has had no formal nursing training but likes to act like she is a nurse. she ...
  11. Please Help me decide

    I agree, ER position without a doubt!
  12. Working nightshifts

    I went back to night shift after working days for 15 years or so. I got off at 7, would come home and get the kids up and ready for school and would go to bed around 9 am. I would get up at 3 pm to get my son from school and then was usually up until...
  13. CNA's documenting in charts...

    I am just curious if anyone else has an employer that says it is okay for anyone to document a nurses note in a resident's chart?? I work in personal care but I know when I worked in skilled nursing the CNAs were not even allowed to look in the chart...
  14. CNA's documenting in charts...

    Thank you!!
  15. CNA's documenting in charts...

    Just an FYI...I would NEVER consider a CNA or any other member of my team a "peon". And I certainly don't feel the chart is a "magical book". My concern is that information may be written in the chart and not given to me directly therefore interferin...
  16. Advice - Patient Ratio and BS Check in ALF

    Once you get a routine down it may not seem as stressful. One question...can't any of these things be delegated to the aides?? I know where i work there are 2 nurses on dayshift and one aide so the nurses get all the accuchecks and vital signs, but t...
  17. I work in a personal care facility where they are trending towards the person centered care environment which i am totally on board with. Although we are trying to make this as home like as possible i also believe we are still in healthcare and there...
  18. Focus on Person Centered Care and infection control

    yes, we do have an infection control nurse. I will talk to her about this. Thanks, nice to know i'm not crazy, LOL!!
  19. Lancaster General

    May take a while to get in but definatley worth it, great school and great hospital!!
  20. Can an LPN.....?

    Yep, they sure can!!
  21. Quick question

    i worked as a CNA for 18 years before going to LPN school. I personally feel every nurse should work as a CNA first. I continued to work through school but only worked every other weekend and went to school part time in the evening. My children were ...
  22. We were told by our new boss to stop using nursing "jargon" ( and yes, she used the air quotes ) when writing our nurses notes and resident support plans. I find this very offensive and disrespectful. I went to nursing school and part of school was l...
  23. Using nursing "jargon" in charts and support plans

    No, she is referring to things like PRN, BID, TID...your normal everyday abbreviations that i have used every day since i was out of school. She dumbs us down everyday, staff moral is on a downward spiral. I am afraid we are soon going to have to mee...
  24. Medicine Cart

    That is a perfectly legal practice where i live (PA), as long as cart is locked and also if using computer for med pass make sure you tilt screen down or put up blank page so nothing on the screen is visible, also make sure any report papers you have...
  25. HIPAA violations and the cell phone

    this has been a trend where i work as well and has resulted in numerous firings over the past months. I agree, if you aren't professional enough and have enough common sense to know it is illegal to take pics without permission they should be fired a...