Plagueis

Plagueis

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All Content by Plagueis

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

    Plagueis posted a topic in Geriatric, LTC

    I'm a newer LPN who was recently switched to the 11 to 7 shift. The last time I worked, a couple of the CNAs fell asleep around the nurses' station. They told me that they don't do it on purpose,...

  2. BID strictly every 12h or just twice a day?

    Plagueis replied to krg8089's topic in First Year After Licensure

    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...

  3. Forced to stay at work or abandonment?

    Plagueis posted a topic in General Nursing

    I have some questions about facilities requiring staff to stay after their shift is over because they cannot find people to work the next shift. This hasn't happened to me yet as a CNA (thank...

  4. Do you give meds without seeing the MDs order if he MAR has been checked?

    Plagueis replied to canadianRNeducator's topic in Patient Medications

    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...

  5. LTC facility-TAKE DOWN THAT ARTWORK NOW!!!

    Plagueis replied to juzme's topic in General Nursing

    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...

  6. brilliant freaking idea - pull ALL CNA's. . .

    Plagueis replied to Lola77's topic in General Nursing

    And I'm sure that at some facilities, the nurse who confronted the DON and wrote the complaint would be fired for insubordination, or for some other

  7. Sleeping on lunch break

    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...

  8. How to admit new patients in LTC facilities

    Plagueis replied to lvnnars1's topic in General Nursing

    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....

  9. Why do night shift nurses get paid more when day shift clearly does MORE work?

    Plagueis replied to squatmunkie_RN's topic in Patient, Colleague Relations

    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,...

  10. Am I in the wrong Nursing home?

    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...

  11. Cough Syrup via PEG Tube

    Plagueis replied to MisMatch's topic in General Nursing

    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

  12. Do we really need a MD's order for this?

    Plagueis posted a topic in Geriatric, LTC

    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....

  13. Do we really need a MD's order for this?

    Plagueis replied to Plagueis's topic in Geriatric, LTC

    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...

  14. Giving PRN at family request

    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...

  15. Any other LPN's find LTC too much to deal with?

    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...

  16. We only have one pulse oximeter for the facility, but we have flat-screen TVs!

    Plagueis posted a topic in General Nursing

    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...

  17. Tips for preparing for surveyors @ work

    Plagueis replied to patskeelvn's topic in General Nursing

    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...

  18. Rant about ungrateful, demanding patients

    Plagueis replied to KSU-SN's topic in Patient, Colleague Relations

    Yep. Same thing happens where I work. Some of my coworkers have been written up and suspended when they stood up for themselves, or tried to be firm with rude residents or visitors, because the...

  19. Just wondering...

    Plagueis replied to NurseFrustrated's topic in General Nursing

    The same thing happens in LTC, too, and it makes me very frustrated. I don't get it. When I've personally gone to a drug store with a script, and there is a question about what the physician ordered,...

  20. Rant about ungrateful, demanding patients

    Plagueis replied to KSU-SN's topic in Patient, Colleague Relations

    I'm sorry that this happened to you. However, in my experience, this type of behavior is not limited to the younger generation. I've seen older people (50 and up) go crazy with the call bell, demand...

  21. Smart Nurse vs. Dumb Pharmacy, Round One. DING! | Life of a Nurse

    Plagueis replied to VivaLasViejas's topic in General Nursing

    We must have the same pharmacy at my LTCF that you have. Moreover, the we-already-sent-it line often applies to other refills that we faxed days ago, but still haven't received, despite numerous phone...

  22. Nurses in their 60's or 70's

    Plagueis replied to Otessa's topic in General Nursing

    Two of my coworkers in LTC are in their 60s; one has decades of experience, while the other is a newer nurse who graduated from nursing school a couple of years ago. They both work the med cart (plus...

  23. I hate being a LPN in LTC. The horror!

    Plagueis posted a topic in Geriatric, LTC

    I'm a LPN, and I'm conflicted about whether to leave the LTCF I work at, even though I'm still on "orientation." I loved working in LTC as a CNA, but ever since I've been on orientation as a LPN, I...

  24. Any hope for experienced LVNs in DFW area in LTC?

    Plagueis posted a topic in Texas Nursing

    I'm a newer LPN with one year of experience in nursing homes, and I was wondering how the market was in the Dallas-Fort Worth area for experienced LVNs. (I'm currently in high-cost New Jersey.) I know...

  25. Refusing unsafe workload?

    Plagueis replied to Ginger80's topic in General Nursing

    Wow. 165 residents? Even 120 sounds like way too many to be responsible for, even on that particular shift. I had 60 when I worked the 11 to 7 shift, and I was busy the whole shift. One thing I'm...