AngelRN27

AngelRN27

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All Content by AngelRN27

  1. NOC nurse

    AngelRN27 replied to CYoungLPN's topic in Geriatric, LTC

    In a nutshell? Top tips: be meticulous with paper work, follow up on anything and everything you can from previous shifts, be proactive, and make sure CNA's are doing rounds as often as they should...

  2. Cosigning Conundrum

    AngelRN27 replied to KelKelRN's topic in Patient Safety Issues

    I didn't read through the previous comments, but, I was personally never taught that insulin and heparin had to be cosigned for...? Perhaps it is an area-based ideal? I went to nursing school in...

  3. Bicarb Drip and Low GFR...

    AngelRN27 replied to sleepy17's topic in Medical-Surgical

    hodgieRN answered this perfectly. As an insignificant side note (I might get some eye rolls for this one) bicarb is actually produced by the pancreas. It is monitored and controlled, however, by the...

  4. When a med runs out

    AngelRN27 replied to CYoungLPN's topic in Geriatric, LTC

    txredheadnurse is precisely right about everything in her post. I know that many times we dread using the e-kit because of the required paper work and fear of getting behind during medpass. To be...

  5. New RN, 6 days orientation, night shift. Seeking advice!!

    AngelRN27 replied to Bunny99's topic in Geriatric, LTC

    I am also a new RN and I have been working at my current SNF for 9 months. I work the 11pm-7am shift and work the floor as well as function as charge nurse. I pass meds for 37 residents at the moment,...

  6. How does your facility confirm you are giving all your meds?

    AngelRN27 replied to fairyluv's topic in Geriatric, LTC

    THIS^^^ Apparently during my first month of employment at my current facility, there was an alert and oriented patient that accused a nurse (whom was already generally distrusted, for reasons unknown...

  7. Missing Narc.....but for how long?

    AngelRN27 replied to SE_BSN_RN's topic in Geriatric, LTC

    One simple "trick" I use during narc count if the bingo card has tiny pills (such as Ativan) is I shake the card. This way, all the little pills move in their bubbles. Nine times out of ten, your eyes...

  8. How does your facility confirm you are giving all your meds?

    AngelRN27 replied to fairyluv's topic in Geriatric, LTC

    I'm not sure how to answer your question about HOW to confirm whether or not meds are being given, but I can say that the way they went about it doesn't really confirm anything... all of my LTC...

  9. What time do your CNA's do their first rounds on 11-7?

    AngelRN27 replied to Blackcat99's topic in Geriatric, LTC

    Hmm I might have to implement walking rounds with my CNAs as well. I constantly get a little blame game going between the afternoon and night shifts and perhaps that will solve

  10. What time do your CNA's do their first rounds on 11-7?

    AngelRN27 replied to Blackcat99's topic in Geriatric, LTC

    You kind of threw me for a loop there by asking about FIRST rounds but then mentioning LAST rounds... do you mean first rounds as in when they first come on shift? As per what I see at my facility (I...

  11. What shift does the 7am med pass?

    AngelRN27 replied to keepitsimple0025's topic in Geriatric, LTC

    I'm curious to know what kind of meds would need a specific administration time with such tight parameters? Just for personal

  12. Does your SNF use EMR in any capacity?

    AngelRN27 replied to SuzieVN's topic in Geriatric, LTC

    I would love for the majority of our charting to be electronic... I don't want to speak with too much confidence as I'm never used EMR in an LTC environment, but at first glance, it seems like it...

  13. What shift does the 7am med pass?

    AngelRN27 replied to keepitsimple0025's topic in Geriatric, LTC

    Do you technically mean a two hour window? One hour before, one hour after... or are things different in Colorado? If you mean just one hour TOTAL, I think that makes a medpass pretty impossible in...

  14. Does your SNF use EMR in any capacity?

    AngelRN27 replied to SuzieVN's topic in Geriatric, LTC

    I wish! All paper at my facility. I was unaware of that deadline mentioned above. No word of that at my

  15. 8hr daily sched of a rn

    AngelRN27 replied to soonrn2527's topic in Geriatric, LTC

    Great points from Suzie. Pretty much covered it all. Btw, having an RN as staff nurse doesn't necessarily correlate with the acuity of the facility. I work the floor at my SNF and our facility does...

  16. Omnicare (new thread)

    AngelRN27 replied to CoffeeRTC's topic in Geriatric, LTC

    And you're right, Michelle, sicker and sicker patients. Sometimes I swear I should be able to state that I have med-surg experience. Our patient load is becoming pretty

  17. Omnicare (new thread)

    AngelRN27 replied to CoffeeRTC's topic in Geriatric, LTC

    Yeah I wouldn't say our e-kit is the equivalent of an in-house pharmacy by any means, but, be that as it may, it's always done its job as far as I've worked at my facility. We actually have three: and...

  18. Omnicare (new thread)

    AngelRN27 replied to CoffeeRTC's topic in Geriatric, LTC

    Hmm... Michelle were they uncommon medications? Not having an in-house pharmacy is frustrating (you're lucky, Brandon!) but we have plenty of antibiotics and pain meds in our E-kit. No new admissions...

  19. Gero NP dreams vs. experience

    AngelRN27 replied to Vespertinas's topic in Geriatric, LTC

    I understand where you're coming from. This is why I want to work for about 5 years as an RN before I pursue my

  20. Med surg vs icu

    AngelRN27 replied to Nurseinthemaking20's topic in Medical-Surgical

    General rule of thumb: if all the nurses got solid breaks, it isn't that bad!

  21. Med surg vs icu

    AngelRN27 replied to Nurseinthemaking20's topic in Medical-Surgical

    Each has their "pros and cons" really. I personally think that med surg is best for a new nurse simply because that is where you will truly "learn to be a nurse." You will see every diagnosis under...

  22. What shift does the 7am med pass?

    AngelRN27 replied to keepitsimple0025's topic in Geriatric, LTC

    At my facility, 11-7 is responsible for 7am meds, while 7-3 is responsible for anything due at 7:30am. I can only think of two residents that have a medication due at 7am at my facility, though (I...

  23. Destroying medications

    AngelRN27 replied to nurseywifeymommy1's topic in Geriatric, LTC

    At my facility, expired or DC'd meds are returned to pharmacy. I believe we get some sort of reimbursement for whatever medication was unused. "Wasted" pills and liquids go into the sharps

  24. Omnicare (new thread)

    AngelRN27 replied to CoffeeRTC's topic in Geriatric, LTC

    I'm just curious to know what kind of STAT drugs some facilities are having to wait

  25. Omnicare (new thread)

    AngelRN27 replied to CoffeeRTC's topic in Geriatric, LTC

    I haven't heard of these changes down here in South FL... Although I've always found it a little frustrating to have to use an off-site pharmacy, I don't have too many complaints about Omnicare. We...