AngelRN27

AngelRN27

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All Content by AngelRN27

  1. Medication Errors....

    AngelRN27 replied to momandstudent's topic in Geriatric, LTC

    It seems from your post that the only intervention being implemented is a nurse "remediation" but that isn't always the core of the problem. Is any investigation done as far as the individual error?...

  2. what needs to be done for a new admission

    AngelRN27 replied to SleeepyRN's topic in Geriatric, LTC

    Agreed ^ Make sure you do your initial assessment right away to be sure the patient is safe, vitals are okay, and that all pertinent things are in place as applicable, such as O2, IV Fluids, etc. If...

  3. Is working in nursing home harder then working in hospital for new RN?

    AngelRN27 replied to RomanRN's topic in Geriatric, LTC

    It really depends on you. I worked in LTC for a year right as a brand new nurse and I was oriented for 3 days. Obviously I continued to ask questions along the way as I encountered different...

  4. What should new LTC nurse know??

    AngelRN27 replied to scrublifenurse10's topic in Geriatric, LTC

    Everything mentioned thus far is very good advice. I understood your post differently and thought that maybe you were asking what type of nursing skills or assessment data might you need to be...

  5. Nurse "tools" for LTC

    AngelRN27 replied to scrublifenurse10's topic in Geriatric, LTC

    Oh I see what you mean. Hmm, it's a good idea, and sounds like something that I would do a year back. Once you get your feet wet, however, you'll realize that a napkin, foam tray, loose leaf paper, or...

  6. Nurse "tools" for LTC

    AngelRN27 replied to scrublifenurse10's topic in Geriatric, LTC

    What do you mean when you say you have "BS/insulin scale" in a book? Please note that insulin sliding scales vary per patient; there is no universal scale to refer to or to be memorized. As far as...

  7. Why Nurses Don't Want to Be Identified in Public?

    AngelRN27 replied to Mully's topic in Patient, Colleague Relations

    Great story. I enjoyed your writing even more so. Very descriptive and eloquently written. Forces me to ponder over where you were before

  8. High Cost Medications

    AngelRN27 replied to CapeCodMermaid's topic in LTC: Directors, Assistant

    Interesting, I didn't know they used Lovenox for that purpose. I understand that the standard for this type of therapy is heparin as Lovenox is so short term.

  9. Going alarm-free

    AngelRN27 replied to LittleMamaRomeoRN's topic in LTC: Directors, Assistant

    I used to work night shift (11p-7a) at a LTC facility and I must say that those fall alarms were GOLD! We used the ones that have a "unit" that attaches to the bed frame, and the actual "pin" that...

  10. High Cost Medications

    AngelRN27 replied to CapeCodMermaid's topic in LTC: Directors, Assistant

    What is the reason for their Lovenox therapy? When I worked at a LTC facility, anyone that came in on Lovenox had it dc'd within the first 7 days or was switched to Heparin (pending their first labs,...

  11. ETT Securement and Position Change

    AngelRN27 replied to SticU <3's topic in MICU, SICU

    I want to clarify (no sarcasm here) that my use of the term "old school" was in no way meant to be taken as a negative thing. I simply meant to convey that tape no longer seems to be the standard, as...

  12. ETT Securement and Position Change

    AngelRN27 replied to SticU <3's topic in MICU, SICU

    Wow, tape is sort of "old school" at this point, and I've really only seen it immediately after a fresh intubation. My facility also uses a Hollister but we change position of the ETT q shift, not...

  13. RNs who work in Long Term Facilities

    AngelRN27 replied to PatriceRN1004's topic in Geriatric, LTC

    Since your question also pointed to the role of the RN in LTC, it might be relevant to add that apart from working the floor I also had some managerial duties on my shift as well. Just a

  14. RNs who work in Long Term Facilities

    AngelRN27 replied to PatriceRN1004's topic in Geriatric, LTC

    OP: My first job straight out of nursing school was in LTC. I was also worried about "losing my skills" and quite honestly thought that perhaps a nursing home environment was "below me" (before I...

  15. My Resume

    AngelRN27 replied to Katie13LPN's topic in Job Search, Interview, Resume

    Above are valid critiques. From a purely grammatical standpoint, you should spell check. I noticed a couple of simple errors that may make the slightest difference/first impression. Also, I would...

  16. how PRN schedule works in LTC

    AngelRN27 replied to Orion81RN's topic in Geriatric, LTC

    At my facility, it works just as CapeCod described above. My facility also uses per diems quite often. It seems that our full-time staff is basically JUST enough to get through each day. So, when ONE...

  17. I feel like such an idiot

    AngelRN27 replied to NurseEricaB's topic in Geriatric, LTC

    Antibiotic ointment? Do you mean OTC triple antibiotic ointment? Because in that case the ointment also contains Neomycin and Polymixin B. Therefore, unless the order that she wrote "for a reason"...

  18. MARS: electronic or paper?

    AngelRN27 replied to hope3456's topic in Geriatric, LTC

    Very disappointing. My facility is pretty responsible compared to the horror stories I've read about LTC here on AN, but a lot of our small issues when it comes to scripts, med changes, change of...

  19. Raises/ending pay

    AngelRN27 replied to annajanern's topic in Geriatric, LTC

    In my area hospitals start at around 23-24. My LTC starts you at 26 but no shift dif. Also, raises are 3% yearly at my facility... As a side note, in regards to the terribly dreaded term "settle," I...

  20. I'm my own worst problem

    AngelRN27 replied to JBMmom's topic in Geriatric, LTC

    Quite honestly, based on my limited 10 month experience in LTC and the hundreds of posts that I've read in this section of AN, it seems like leaving late is just part of the LTC culture. We have a lot...

  21. COPD

    AngelRN27 replied to Grasshopper11's topic in Medical-Surgical

    Too much O2 on a pt with COPD will eventually suppress their drive to breathe. You are

  22. Too good for my own good? Rant!

    AngelRN27 replied to AtheistRN's topic in Geriatric, LTC

    Sorry to go a little off-topic, but why is it that people refer to the night shift as the NOC or NOCS nurse? What does this stand for? I've never heard anyone use that phrase here in Miami, but I see...

  23. NOC nurse

    AngelRN27 replied to CYoungLPN's topic in Geriatric, LTC

    This sounds pretty much like my facility. Census is about 75, of those I take 3 carts which is 50 residents or so. I only have 8-10 medicares though, no "medical follow ups" so only about 10 notes to...

  24. MARS: electronic or paper?

    AngelRN27 replied to hope3456's topic in Geriatric, LTC

    I agree with hope3456. I think an EMAR would also ease some transcriptions woes that also come with a paper MAR system. Also, perhaps medication re-ordering could become somewhat more

  25. MARS: electronic or paper?

    AngelRN27 replied to hope3456's topic in Geriatric, LTC

    Still 100% paper charting here. Computers are basically only for e-mail and some med re-ordering. Located in