Plagueis

Plagueis

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All Content by Plagueis

  1. Clients? Are they no longer patients?

    Plagueis replied to bassadict69's topic in General Students

    I just read an article this past week in a nursing magazine about a nursing home that has also started referring to their residents as 'neighbors.' I wonder if this new name will catch

  2. What do you call the Doc?

    Plagueis replied to Flipper911's topic in General Nursing

    Plus, it is often one-sided. Nurses are usually called "Janet" or "Bob," not "Ms. Smith" or "Mr. Evans." I've never heard a nurse referred to by her professional

  3. what can be done????

    Plagueis replied to marielina85's topic in General Nursing

    Well, with residents who are AAO x 3, they often refuse bed alarms/sensors because they don't like the noise the alarms makes when the get up or move around in bed. Plus, other residents are often...

  4. How long did it take you to learn to be on time completing med passes?

    Plagueis replied to Nuieve's topic in Geriatric, LTC

    Where I work, there is no supervisor on my shift (11 to 7), so if someone falls, I have to take care of everything. The med pass stops. Then, I have to assess, and if the resident has to go out to the...

  5. Is this comon practice where you work?

    Plagueis replied to Amysuenu's topic in General Nursing

    I work in LTC, and borrowing seems to be a common practice. When I was on orientation, I was told that we were not allowed to write "med not available" on the MAR, as the facility would be cited for...

  6. I can't find the order for a med on the MAR/POS!

    Plagueis posted a topic in Geriatric, LTC

    It's that time of the month: recaps (or changeover). There is a question that I have about what to do with orders that cannot be found in the patient's chart. For instance, on one's of the patient's...

  7. What to do with CNAs that sleep during the night shift?

    Plagueis replied to Plagueis's topic in Geriatric, LTC

    Well, the aides do answer call lights, but where I work, they don't ring as often as they do on the other shifts. Plus, we don't have a vitals books. There is a book for I & O's, but they are made...

  8. What to do with CNAs that sleep during the night shift?

    Plagueis replied to Plagueis's topic in Geriatric, LTC

    Thanks to everyone who responded. I personally don't have a problem with aides who bring in books or something else that will help them to stay awake. I did it when I was a CNA and I worked on the...

  9. if employers cant ask about children during an interview

    Plagueis replied to smartnurse1982's topic in General Nursing

    Well, I have been asked in past interviews (back in the early 90s), straight up, whether I had kids or not. I answered honestly that I did (my child was under 5 at that time), and that I had...

  10. How many deficiencies does your facility have?

    Plagueis replied to TheCommuter's topic in Geriatric, LTC

    Wow! 47? I'm curious: what happens next to a facility with so many deficiencies, especially with the IJ

  11. How many residents do you care for Per Shift?

    Plagueis replied to NCIANurse's topic in Geriatric, LTC

    I think that one reason for some of the problems that new grads have with LTC (besides too many residents) is the lack of a proper orientation. I had a few weeks of orientation, but spent most of that...

  12. Having another nurse check insulin doses & other med Qs

    Plagueis posted a topic in General Nursing

    There is talk going around work that management is thinking about requiring nurses to have another nurse double-check insulin doses, meaning another nurse would have to watch one draw it up, and sign...

  13. Really struggling with first job in nursing home

    Plagueis replied to Pegasus65's topic in LPN, LVN Corner

    I'm glad your newer positions are going well. I've been there as a newer LPN. I know that LTC residents are considered "more stable," but i wish there was more of an orientation period in this...

  14. "Borrowing" one patient's med for another.

    Plagueis replied to Katie5's topic in General Nursing

    Forgive me if I sound dumb, but why did you have to hide the coumadin that wasn't used after new INR results came in? I've had residents whose coumadin dose changed weekly (say, from 5 mg daily to 4...

  15. Having another nurse check insulin doses & other med Qs

    Plagueis replied to Plagueis's topic in General Nursing

    I would love to have another nurse around to double check insulin doses, but, as many of you know, many LTCFs are understaffed as it is. That's why it's odd that a LTCF, where nurses have upwards of...

  16. We Can't Use Tap Water for G-tube Meds? Only Sterile Water?

    Plagueis posted a topic in General Nursing

    The following is a link to a recent article from the October 2009 issue of AJN about tube feeding, and how it should be performed. I know that we aren't supposed to mix meds or combine meds with...

  17. We Can't Use Tap Water for G-tube Meds? Only Sterile Water?

    Plagueis replied to Plagueis's topic in General Nursing

    Yes, I admit that this is a good reason to crush meds separately. In practice, however, if a patient with a G-tube has multiple medications, such as the 30 that txspadequeenRN mentioned in her post,...

  18. We Can't Use Tap Water for G-tube Meds? Only Sterile Water?

    Plagueis replied to Plagueis's topic in General Nursing

    I've always wondered about why tube fed meds cannot be mixed together, nor crushed together, but oral meds can be given together. I mean, for tube meds, you put one in, flush with water, then put...

  19. Having another nurse check insulin doses & other med Qs

    Plagueis replied to Plagueis's topic in General Nursing

    I understand that med errors can happen with insulin, but the same can be said for "high risk" coumadin, or a narcotic, but no double check is needed for those drugs. (Sometimes a patient may have...

  20. Phasing out LPN's?

    Plagueis replied to liberty_bell's topic in LPN, LVN Corner

    It's a popular rumor. Potential LPNs may be concerned that they're "wasting" their time going to LPN school. I've heard this rumor a lot myself, especiallly over the past year during LPN school from...

  21. Having another nurse check insulin doses & other med Qs

    Plagueis replied to Plagueis's topic in General Nursing

    Thanks to everyone who responded. As I work in LTC, I have 30 residents to pass meds to, and there isn't always another nurse nearby to double check. On my shift, 3 to 11, we don't have any...

  22. Why????????

    Plagueis replied to Virgo_RN's topic in General Nursing

    Yes, I've seen this. I can also add to this family members who believe that the nursing assessment is wrong, so they'd rather have their loved one sent out, despite what the assessment or MD says....

  23. Over-hiring LPNs-forced to work as an aide?!

    Plagueis replied to luv_a_nurse's topic in LPN, LVN Corner

    I'm a LPN who's also worked as an aide, even after being licensed. (I was a CNA for years before becoming a LPN.) I was still paid my LPN wage, and all I did was aide work. This has happened to other...

  24. Drug seekers: where's the compassion?

    Plagueis replied to Born2BWild's topic in General Nursing

    I'm a newer LPN, and I work in LTC. In school, us students were taught the phrase, "Pain is whatever the patient says it is." Other nurses, both RNs and LPNs, have told me they were taught a similar...

  25. RN going back to be a medical assistant

    Plagueis replied to nurse441's topic in Nursing Career

    I'm sorry about your situation. Based on the threads on this site, it seems like California isn't the place to go for newer nurses. Have you tried LTC? There are a few RNs at my LTCF, since the...