katsanchezRN

I had a pt whose daughter was a pharmacist and I didnt know it when I began teaching on comfort meds. (Hospice pt). A few days later we were talking and she thanked me for my education I taught her things she didnt know about the medications. The teaching was inappropriately worded, but teaching on medications is our job and no matter our pts or their families professions. We still must teach. I have had numerous pts and family memebers who were/are medical professionals and they are always receptive and grateful for education provided.

In my state we can ask them if they are able to answer, if they would like their meds in hallway/dining rooms etc. It is also care planned as we have mny that get novolog and should get it right before breakfast and they are already in dining room. Hope it went well! We just had our state survey also...stressful!

I too started in ltc. It is overwhelming at first, but the cnas help alot. If you don't know who someone is ask them, they will be able to tell you. In our facility we have pictures of the residents in our Mar, this made it easier for me. Good luck to you!

We just had our state survey and we recieved an ij tag....this was such a horrible feeling. We have great systems in place to monitor everything, but somehow this slipped through the cracks. We had a resident on coumadin who had not had an inr since December. The nurses had been faxing the doctor for orders but he never responded. She was fine, no bruising, bleeding etc. And we got a stat inr and it was therapeutic. I am the adon and I am so frustrated over this. I've taken it personal. I have inserviced, even written nurses up over waiting to long to here from primary MD. We have a medical director they can call for orders that is what he gets paid for....but they didn't call...I pray that they have learned from this...we have some new systems in place now so this will never happen again. Just needed to vent.

The ltc I work for has lost an unemployment claim through appeals for an employees who was terminated for substaintiated abuse. I guess it depends on the unemployment appeals judge.....I would never have thought that former employee would have one the case. I also had a friend who was termed dt 2 complaints by her employees ( she was an admin at a hh agency) saying she was mean, and she appealed her denial and lost her case

I've been a nurse for a year and I see my self going from the graduate nurse to experienced nurse. Kinda sad though everything was so exciting and new as a graduate.

I am a NM and I worked hard to plan a nice luncheon and have a nice gift and hand wrote out individual cards for each of my nurses. I was very hurt that 2 nurses other than the 3 that were already there working showed up. I even took the floor so my nurses who were working could eat uninterrupted. I didn't even get a thank you. BUT I did get to hear the complaints about it afterwards. I tried.

Very touching! Going to share with my cnas. Thank you for posting!

When I started as a cna 14 years ago....we used soap and water and wash rags and also cloth diapers for those who needed them. I still think that is the best way also.

I had the same question. Thanks for posting!

I went to an adn program and I loved nursing school. Sure it was tough and not every day was peachy but I expected that. I made the best of what I could. The way I see it there was no reason to whine about all the work we had to do, that is what I had to do to be a competent nurse. If i didnt do well on a test the i studied harder to do better on the next.To become my dream was my end goal and that is what I kept in sight.

Love, love, love this! Can I steal it?

It should be on your BON site. Hope that helps!

One of our hospitals is doing something like that now for true non-emergancies...that a pcp or walk-in clinic could handle....I've heard its a 100 definitely not what the visit cost, but should cut down on the nonsense visits

Lol! Laughter is a good way to decompress and I would have laughed after also!

Thank you to everyone and your kind words of advice and encouragement! It really means alot to me.

Thank you! :)

There is so much adrenaline pumping you have no other feelings at the time. You are in complete nurse mode. Afterwards is when the feelings hit. It was alot different than I expected.

She probably should have been a dnr in the first place. She had many comorbidities and alot going against her. However she was planning on going home at the end of this month. We respected her wishes. It definitely is an out of body experience. I didn't sleep a wink last night. Im glad we were able to give the family a chance to say goodbye and make the decision.

Thank you all for you kind words!

Wow! Really? There would have been no hope if we hadn't! If they are a full code and have no pulse I assumed every nurse would start CPR. I was taught to anyways. She would have been down for over 4 minutes if we hadn't....

I do. Our crash cart consists of oxygen, ambu bags, suction and a back board. I have been talking to them about getting one but no luck yet. Our applebees has one for goodness sake..

Thank you.

When I took my boards, I was going to do that, how ever I checked my bon site first and I had a license. Took my test at 8 am and was licensed by 4 pm that day. It was a very fast turn around.

Feeling new emotions ... today I did CPR for the first time. I have been a nurse for a year and work in a LTC facility. We initated CPR for 4 mins before ems arrived....when ems got there she was Brady but had a pulse.breathing on her own and was somewhat responsive....ems complimented us on a good job....but she passed in the hospital. Had been put on a vent and the family decided to take her off. I guess I'm just having feelings I've never had. I was happy we were able to bring her back with CPR alone. But to hear she died anyways has me feeling well I don't know how to describe it....and I have never done CPR, I have never felt someones ribs crack under my hands, it is a horrible feeling....I just needed to get it out. I've never posted on here before. Guess I just need a debriefing...