lovingtheunloved

lovingtheunloved ASN, RN

LTC, home health, critical care, pulmonary nursing

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All Content by lovingtheunloved

  1. Choking in LTC

    We don't actually utilize outside hospice agencies, all our hospice care is provided by us, so that's one less involved party to have to call. And Suesquatch, you're my BFF. Reduce my fx too. What...
  2. Choking in LTC

    In our facility, we typically do not send out hospice patients since the goal is comfort, however it is very UNCOMFORTABLE to hang out with a femur fx, and for COMFORT the patient should have...
  3. Choking in LTC

    Even a comfort care only patient I would attempt to dislodge whatever was in the airway. What a dreadful way to die. And "never call 911 on a DNR?" How many times did THAT administrator get
  4. Patient refusing meds, combative

    Is the resident normally A&o x3, or are they demented, is this agitation thing common for them or is it new onset, do they have consent from the responsible party and a physician's order to...
  5. Choking in LTC

    Yes! DNR just means no chest compressions and no manual ventilation. Everything else is done for these patients. DNR status is very
  6. Nursing homes' bad reputation

    If a nurse works in LTC and the only "skills" they are utilizing are bringing tea, blankets, chatting and feeding, they are likely not a very good
  7. Describe your dream LTC

    Shoot, I'd be thrilled to have a housekeeper that actually, um, mops something every now and
  8. Nursing homes' bad reputation

    I'd rather work at Starbucks than be the DON. But
  9. Looooong narrative notes

    New nurses tend to write books. I can flip back in a pts notes from 3 years ago when I was a new nurse, and I was WAY more wordy than I am now. A lot of our newer nurses chart some interesting...
  10. Germ fatigue...

    I finally, in a joking (ish) manner, told one of our attendings to quit wearing that nasty thing in my building. There was literally a foot print from her kid's shoe on the back, and the wrist cuffs...
  11. I'm mad and sad(about pt's family)

    As a veteran of LTC, I can tell you there may be more to the story than meets the eye. Maybe his family did just dump him. But maybe the "sweet old man" was a terrible father, or a mean old drunk,...
  12. Nursing homes' bad reputation

    I wouldn't get too offended by nurses who make comments like that. Generally their own insecurity and feelings of inadequacy make them feel the need to put others down. Nursing takes all kinds....
  13. Foleys and tampons?

    Um,
  14. Nursing homes' bad reputation

    I experience that all the time. From doctors telling me "You're too smart to work in a nursing home," to other nurses smugly telling me I'll lose my skills. I work in a SNF because I want to. I...
  15. Foleys and tampons?

    I would think it would decrease the risk of infection. Sounds better than having loads of menstrual fluid at the
  16. Things that make you go hmmm...Nurse on Twitter?

    What nurse has the time to post anything on Twitter, legal or
  17. Pacifying a difficult family that will not listen to reason??

    I work in a SNF where we do a lot of comfort care, and I see this ALL THE TIME. For some families, they feel helpless and are grieving, and you're there, so you're who they lash out at. Your concern...
  18. The "choking" thing drives me nuts. Everyone stands there looking at me like I'm evil because I don't rush over and fuss and punch the "choker" in the
  19. Dr's giving orders at bedside

    Shoot, I repeat verbal orders at the
  20. Knocking on doors at home (I live alone) I totally do the RN thing at the end of my name...I hate that 'cause it makes me look like a rookie. Putting my car keys in my invisible scrub pockets and...
  21. Anyone work with a prima donna?

    Bear's behind? I'll have to use that. As for the snarky comment, sheesh. When I was an aide and my administrator (in her Gucci heels) helped me shower a new admission, it was a big deal. If...
  22. Was the doctor right or wrong about this?

    Delaying tx? I think not. The doctor has to call back to give the order regardless of how much info was left on the VM. It takes 2 seconds to say, Jane has >100,000 colonies of E. Coli in her...
  23. To flush or not to flush...advice please.

    Oh, sweet! Thank you so much! I'll be printing that and taking it to
  24. To flush or not to flush...advice please.

    It's not about flushing fluid into the tissue, it's about displacing the medication from the tubing to the
  25. To flush or not to flush...advice please.

    Correct.