For PRN orders, our consult pharmacist discourages orders without a specific time frame. If an order is BID PRN, it should be written every 12 hours, or for TID PRN, every 8 hours. This is to prevent...
The midnight shift is responsible for chart checks where I work, and that is a 24-hour check. In LTC, nurses often have 30 or more residents. When do they have the time to check 30+ medical charts for...
I've never heard of artwork being considered a state violation. Every LTC facility I've been in displays the resident's artwork. I would think there would be more serious things for state inspectors...
Plagueis replied to nursebrandie28's topic in General Nursing
I was interested in the studies regarding taking a nap while at work that was previously posted, and how it can be beneficial. However, every place that I've worked (in LTC) at had rules that...
I can also add the following assessment sheets that my old LTC used: Braden scale, pain, wander risk, and physical mobility. Also, we had to send the diet slip to the kitchen and weight the resident....
I work in LTC, and I've worked every shift. From a work standpoint, I would prefer to work the overnight shift over day shift anytime. I admit, I found it nearly impossible to sleep in the daytime,...
Plagueis replied to MelissaLPN's topic in Geriatric, LTC
In my experience, most issues with meds involve the pharmacy not sending refills in time, even if they are ordered. Just yesterday, for instance, two meds I pulled the refill label for last Thursday...
Correct me if I'm wrong, but I'm assuming the Mucinex you're referring to are the granules, since the pills are extended-release. How well do the granules go through a peg
First, thanks to everyone who responded. And, no, our orders aren't computerized. Diet orders here, or so I thought, just list the kind of diet (ie. regular, puree) the resident is on. It just killed...
I understand that resident's need a physician's order to apply ice, heat, or even for Vaseline, for instance. However, recently I've seen orders to D/C particular food items from a resident's diet....
Plagueis replied to MelissaLPN's topic in Geriatric, LTC
Unfortunately, I know a few nurses who were written up for not giving a PRN pain med at the family's request, despite the fact that the nurses assessment didn't warrant a PRN. So some places may...
Plagueis replied to cardiacnurse34's topic in LPN, LVN Corner
Hmm. I think I worked with the clone of that guy you mentioned. The nurse I know would finish his two meds passes in less than an hour. However, when anyone else (including me) worked that section, it...
I've been hearing stories from my fellow nurses about not having enough equipment (or it goes missing) at work, so they end up buying their own, such as personal pulse oximeters or wrist blood...
I've had pharmacy reps follow me and my coworkers (not state surveyors), and there were a few things that they flagged that may not seem like biggies, but were important to them: Make sure all spoons...