Pat2012

Pat2012

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All Content by Pat2012

  1. My hall is eating me alive...

    I have worked now at my facility for almost a year. In general, I enjoy where I work and I love my residents. However, in the past 3-4 weeks, it has been absolute Hell, because many of my patients are crashing and require a lot of time and care. T...
  2. What I Wish I Could Say to My Residents and Their Families

    I would just like to add one to the list: "No.... the comfort cart, is not for YOU to snack on, it's for the family of the DYING resident!"
  3. Rehab needs to get a clue

    i have been very annoyed with interruptions during med pass, and I've started a paper sheet communication, for people to WRITE IT DOWN, because I'm sick and tired of "so-and-so needs butt cream".
  4. Time management and delegation

    I agree with bluegeegoo. You need to set boundaries, or you will be doing a lot of extra work that your CNAs should and can do. If it's not something that will take less than a minute or so to do, I will say that I can't get that for them right no...
  5. Moments that make you giggle....

    Yesterday, a resident told me "this cold water is really good." I gave her a smug look and said "I made it myself." Both of us: "bahahaha!" What moment have you had recently that gave you a good laugh? :)
  6. I don't know what to do...

    On a daily basis myself and my CNAS deal with an ALZ pt who is verbally and physically abusive. She will not let my CNAs near her to change her brief or do HS care, she has slapped people, spit in people's faces, and raises her fists if you try to ...
  7. Describe a shift in LTC? Please??

    First of all, I'd ask for more than 2hrs of orientation.... I mean, if they did that at the place I work at, I'd be headed straight out the door...... My typical day: I have 25 realitively independent residents, and the hardest hall in the whole bu...
  8. does anyone regret this career?

    No. But I was careful before I even went to nursing school. I did a lot of volunteer work in the health field and I did work as a home care aide and took a cna course, because I wanted to make sure. I also was very careful which job I picked. I d...
  9. I am a brand new RN, this is my first really nursing job, and my first ever full time job. I have got the dinner med pass down pretty good. Assuming there aren't any major crisis, I can get it done within' the time frame... The evening med pass, h...
  10. Wrist pain via repetitive motions?

    I am wondering if any of you get wrist pain from the repetitive movements that you do, when working with the med cart? Such as opening the OTC bottles, wripping the pill packages, pouring? I have noticed my wrist and hand will hurt either after wor...
  11. LPN New to LTC

    Be prepared to understand that there is text book nursing, and real life nursing. Understand that you will never make everyone happy or be able to be on everyones own little schedule. Expect to be interupted all of the time, and that just when you ...
  12. How many days of orientation?

    I think I was given 13, but I am asking for more, because I feel uncomfortable taking the floor by myself
  13. The Stress of LTC

    I tend to vent alot. I also try to remind myself it's just a med pass, and the world will not end if I don't get the night time med pass done exactly on time..... sometimes I have to take deep breaths when I get interupted for something that really...
  14. I work afternoons on a longterm care unit. One of the residents has absolutely no impulse control what-so-ever, and purposely will interupt you when she knows you are the most busy. What she does is ask for PRNs, which she doesn't need but asks for...
  15. What will my responsibilities Be

    I work afternoon shift. I get 25 patients to pass meds on, do breathing treatments, and wound/skin treatments. I also have people who need to be monitored because they're on a monitoring list for infection/fall/etc. I have 3 CNAs on my hall I supe...
  16. Motivating the Nurse in All of Us

    The Man in the Glass When you get what you want in your struggle for self, And the world makes you king for a day, Just go to a mirror and look at yourself, And see what that man has to say. For it isn't your father or mother or wife, Who judgment up...
  17. Help! Took a baby break and I've forgotten everything...

    I'd also like to recommend Jamie Davis's podcasts for nurses, because after he talks briefly about the news in nursing, he always reviews a topic: nursing show tv | Nursing Show Online Radio | Podcast | News, Comment, & Tips for RN, LPN, Student...
  18. Help! Took a baby break and I've forgotten everything...

    Sure: American Diabetes Association, American Society of Hematology, about.com, AnswersTV, Brightstorm, CDC streaming health, childrensLA, Cleveland Clinic, DoctorNaJeeb, DoctorofMindMD, DrGlassDPM, ed4nurses (very good one), howcast, mayoclinic, med...
  19. I need help with Fundamentals of Nursing

    My advice would be to do NCLEX style practice questions on whatever you are being tested on, and make sure they have a rationale so that you can understand why the answer is right or wrong. Reading, listening, etc, is all good, but what they really ...
  20. Help! Took a baby break and I've forgotten everything...

    If it were me I'd probably focus on patho because it's applied to so many different areas (care maps, NCLEX questions, clinical paperwork). Youtube (a source I used extensively in nursing school), has excellent videos on various patho subjects. Man...
  21. Pro cal nursing help

    I ask three questions with this type of math. 1) What is the order? 2) What do we have (or are given)? 3) What do we need the drug to be in (ml, mg, etc). Then, I always do dimensional analysis so I ensure that I'm crossing everything off that nee...
  22. I am a type 1 so I will mention a few things. Type 1's who are on an insulin pump can set their carb ratio to whatever their doctor thinks is best. It can be 1:15, but many times it can change throughout the day. For example, my carb ratio's at 00...
  23. How to deal with physicians effectively

    Do you use the SBAR method when you're calling these Dr? I find that it helps me organize my facts so I'm not forgetting something important. It is also concise and to the point...
  24. ASN new grad in nursing homes/long term care

    I'm a new grad with an ADN and I recently got hired at a long term facility. The pay and benefits are good. Many of the nursing homes I applied for seem to be more open to new grads, than the local hospitals.
  25. I would try to do a bed bath and foster as much independence as possible to preserve autonomy. You may also want to research the AJN website or a library that has it, because they always have great suggestions for working with patients with Alzh and...