supervisorhatchet

supervisorhatchet

LTC

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All Content by supervisorhatchet

  1. Any tips for a new RN starting off in a nursing home?

    Know what you know, and all the rest.....ask lots of questions. Use your peers to help you gain knowledge! There are never any dumb questions, and mistakes are just new opportunities to learn!
  2. New School nurse sub - advice??

    Don't worry too much. It is no different than any other nursing job....Your job is to follow the MDs order. No order no med, tx, etc. And in case of emergency....you are never alone! There is internet every where! You'll make it, and ace it to. ! :ye...
  3. Locker dilemma

    I worked at a place for over 2 years and never got a locker....When one did open up, it was on another unit, all the way on the other side of the building, on a lock down unit that I did not even have access to. >LOLsomething we did at another pla...
  4. how to get in the elusive ICU club...any suggestions

    this may seem silly, but how can I get into the ICU? I have been RN for 2& 1/2 years. I have worked med surg & long term care, and briefly in home health. They dont want new grads...so I am not a new grad anymore. But they still don't want m...
  5. confused about insulin

    I just read a report from a recent survey, and one of the tags was that insulin was administered after the meal. Is this accurate? I thought that FSBS was checked before the meal...the insulin could come any time (W/IN 30 MINUTES) of the meal...befo...
  6. RN supervisor legal responsibility

    Just wondering if anyone can tell me what my legal/ethical/moral responsibility is when "RN supervisor" has been assigned to my name. and if I am going to be assigned RN supervisor, shouldn't I get a raise?
  7. med error or flawed entry

    just wondering... recently noticed several medications on the med cart not match what is on my eMAR... such as eMAR might say tylenol 650mg 1 tablet q6hrs...but what I have on hand is 325mg tablets & I must administer 2 tablets to get ordered 650...
  8. new to management..Need help

    hi everyone...I am new to management, I need some resources for common meds that require lab follow up common dx that require lab follow up a system for chart audits and a system for compliance rounds
  9. It seems like every day I get a new job description. Can you do this. and oh today, I need you to do this. And focus on this today.. And today beat all. I was informed after being in my position for several weeks, that I will be having to take on cal...
  10. new job description every day, unpaid on call

    administrative, hourly paid RN if on call nurse can't get someone to come in, and the floor isn't covered, the nurse gets to work the floor:down::down:
  11. new job description every day, unpaid on call

    no contract
  12. fluticasone aerosol + nasal spray

    without knowing what the nasal spray is...it is hard to say...However, there are different classes of inhaled medication... flonase is an anti inflammatory = reduces swelling then there are steroid sprays, antihistamine strays, and even sprays for th...
  13. anyone ever been part of a RCA meeting?

    not sure about hospital procedures. in long term care, we do RCA for just about any negative outcome... such as pressure ulcers, falls, skin tears, etc it really isn't a big deal, it is a risk management strategy to find the cause...so that it can ...
  14. med error or flawed entry

    thanks for the replies I have a lot of work to do. The administrator has sort of put me in charge of getting the MARS cleaned up. I found about 40 of this type of error on 1 med cart in 1 shift (I don't usually work the cart) thanks for the clarific...
  15. 2 new grads in charge?

    I say the same thing..The bad ones weed themselves out, usually.
  16. Please help! disaster drill

    :DHey everyone. I am new to position of staff development and am responsible for filling in the gaps in education with my staff. This icon really shows how I feel ! next week we are having a disaster drill. Here is my problem, I am NEW to position ...
  17. Please help! disaster drill

    haven't had a chance to look at all the sites, but thanks so much. our safety commitee wanted to wait a couple of months, but admin said no...we are passed due and in our survey window... But as staff development coordinator, I felt the soon the bett...
  18. Please help! disaster drill

    I meant to say hot water heater for the kitchen. Which is gas powered...It is a good scenario, as our O2 is stored in the room next to the kitchen...it is ironic we planned this mock diaster for the upcoming week, and this weekend we actually has a g...
  19. diaster drill. PLEASE help!

    Hey everyone. I am new to position of staff development and am responsible for filling in the gaps in education with my staff. next week we are having a disaster drill. Here is my problem, I am NEW to position and I don't think this facility has had ...
  20. diaster drill help needed

    :DHey everyone. I am new to position of staff development and am responsible for filling in the gaps in education with my staff. This icon really shows how I feel ! next week we are having a disaster drill. Here is my problem, I am NEW to position ...
  21. what chain of command?

    oh, what a day! It seems as though I say this every day. All of the days run together. Can't get the meds from pharmacy, can't find the order on the chart, lab results are locked in an administrative office, medical director won't return phone calls....
  22. FED UP CNAS!!!!

    LTC is hard work, if you are DOING your job it is HARD..from the CNAs, nurses, admin....It is hard. As a nurse, I don't ask my CNAs to do anything for me, because I know they have enough to do. If I see them sitting at the desk, I find them something...
  23. what chain of command?

    Really thinking that would be great...We send so many out, just because we can't get the MD to return calls! Some nurses just do what ever they think doc will tell them to do...But I am not comfortable with that. I did not go to medical school .
  24. Foley sterile field

    Just practice.....When I was in school, we got a cath kit to play with. We took that kit home, and I found one of my daughter's dolls that had a hole big enough, and me and a partner quizzed each on other, watched each other until we were comfortable...
  25. Medication Administration through a feeding tube

    ok...having worked in ltc and having lots of peg and g tubes... wait...back up #1 rule !!!!!!!!!!!!!!!!!! always act in a way that you can defend in a court of law. if you can't defend your actions at the end of the day....then you can't defend your ...