AngelRN27

AngelRN27

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All Content by AngelRN27

  1. Perspective on Possible New Job

    AngelRN27 replied to BluePotion's topic in Medical-Surgical

    Congratulations on such a wonderful opportunity as an LPN! I don't know about people discouraging LPN's in med/surg (why not get the experience?) but I do wonder where you are located as, in my area,...

  2. New to LTC, does signing off MD orders mean something different here?

    AngelRN27 replied to auntiedebe's topic in Geriatric, LTC

    I'm still not 100% sure as to what the OP was asking,

  3. New to LTC, does signing off MD orders mean something different here?

    AngelRN27 replied to auntiedebe's topic in Geriatric, LTC

    I was initially going to agree with BrandonLPN until I saw your second post. Our facility doesn't have a rounding doc like his, but I've never heard of an MD giving 10 orders in one call before at my...

  4. New to LTC, does signing off MD orders mean something different here?

    AngelRN27 replied to auntiedebe's topic in Geriatric, LTC

    I am having trouble understanding what you mean here... at my LTC facility, when a new MD order is received (either a TO or an order physically written by the MD while physically present at the...

  5. Male RNs, What Areas of Nursing Are Looking for Them?

    AngelRN27 replied to chrisc-40's topic in Male Nursing Students

    I don't believe that the tendency to see male nurses in ER/trauma is because they are easily hired there; the relationship is backwards. Men seem to be attracted to/apply for those positions more so...

  6. Does your LTC get mad when you send patients do the ER?

    AngelRN27 replied to Blackcat99's topic in Geriatric, LTC

    Just as a general response, there are plenty of situations where "we" can and *should* send out a resident without waiting for the doctor to return a phone call (at least on an 11-7 shift, this is...

  7. Tell the CNA to clock out and go home

    AngelRN27 replied to Blackcat99's topic in Geriatric, LTC

    I was recently told to do the same thing on nights (11-7) if a CNA was caught sleeping. I have very good communication with my CNAs and I feel as though they respect me very much, so when I announced...

  8. Eek, Is 48 patients by myself too many for a nightime LTC center shift?

    AngelRN27 replied to hettink's topic in Geriatric, LTC

    Good for you! Many times it's easier to start off on a busier shift (days or evenings vs. nights) so that you can get a good grasp of your time management and prioritizing skills, plus get to know...

  9. What to do when a nurse is LAZY?

    AngelRN27 replied to SwissMiss28's topic in Geriatric, LTC

    OP: I work in LTC as well (night shift: 11p-7a) and believe me, I know what it's like to have tasks/follow-ups trickle down throughout the day and land in my lap... I have 2 nurses at my facility that...

  10. Plan of correction: Pressure, infection, falls

    AngelRN27 replied to Shell5's topic in Geriatric, LTC

    Sounds like a good idea! Our facility is also restraint-free but we do use bed and w/c alarms for our high risk residents. I also recently implemented "safety rounds" on night shift where each CNA is...

  11. Plan of correction: Pressure, infection, falls

    AngelRN27 replied to Shell5's topic in Geriatric, LTC

    Cape Cod Mermaid, just curious: What does your falls team do, exactly? I was recently moved to the 11-7 shift as (the unofficial, no raise included, but do all the work) Supervisor, and though falls...

  12. Blood pressure medication / checking blood pressure

    AngelRN27 replied to abeautifulmind's topic in Medical-Surgical

    I work in a LTC facility and our CNAs do not take vital signs. We must take a BP prior to administering any cardiac drugs, and the general policy is to hold for a BP of less than 100/60 (if either...

  13. Med surg patient ratio

    AngelRN27 replied to pugmom79's topic in Medical-Surgical

    I am not currently working in med/surg but I have several friends who do here in the South Florida area. Everyone I know that works on days seems to have

  14. Distraction activities

    AngelRN27 replied to JBMmom's topic in Geriatric, LTC

    At my facility the only residents that are in the dining room at that time are those that engage and participate during activities which are usually Bingo, coloring, or on the weekends things like...

  15. PICU Practicum

    AngelRN27 replied to Sinman's topic in PICU, Pediatric

    Congratulations! I just obtained my RN license last April, so I'm a very new nurse, but I, too, did my practicum in the PICU of a regionally (nationally?) renowned Pediatric Hospital in my area. It...

  16. Dangerous patients

    AngelRN27 replied to dallet6's topic in Geriatric, LTC

    I see the logic behind both sides of the "dumping" debate, however, I would like to know what an experienced ER nurse would suggest we in LTC do with these patients? An assessment of a problem is no...

  17. RN in ltc

    AngelRN27 replied to obizyanka's topic in Geriatric, LTC

    I am a staff RN at a LTC facility here in FL and there is no difference between my job and the LPNs that I work with. The LPNs can handle PICCs if they are IV certified just like I can, and they can...

  18. Medication & treatments on midnight shift

    AngelRN27 replied to Micki72's topic in Geriatric, LTC

    At my facility there are currently no treatments (unless you count Nebulizer tx, which I assume you don't mean to include in the scope of tx's) on the 11-7 shift. We schedule skin tear treatments on...

  19. State Survey all this week.

    AngelRN27 replied to KRODD's topic in Geriatric, LTC

    Don't be fooled-- my facility just went through state and believe it or not they stayed for two 3-11 shifts (well into 8 or 9pm) not only to watch 2 or 3 med passes but also because they used these...

  20. What lies were you told when you were first hired in LTC?

    AngelRN27 replied to Blackcat99's topic in Geriatric, LTC

    I'm with CapeCodMermaid on this one; I can't think of any lies that I was told by my facility during the hiring process, or otherwise. Quite honestly, the threads I've read here make me feel luckier...

  21. OK Managment you win. Nurses are leaving on time now.

    AngelRN27 replied to Blackcat99's topic in Geriatric, LTC

    At my facility no one leaves without completing their charting (at least not on purpose, or all the time) but they must clock out at the designated time unless there is a special circumstance. For...

  22. Night shift in LTC/Skilled Nursing

    AngelRN27 replied to kRN0512's topic in Geriatric, LTC

    I have been working at my current LTC facility as an RN for 6 months. I was just moved to the 11-7 shift approx. 3 weeks ago. The nurse-patient ratio you mentioned in the OP seems standard for this...

  23. LTC-What is meant by "The skilled nursing area of LTC"

    AngelRN27 replied to Blackcat99's topic in Geriatric, LTC

    I'm not sure what you mean when you state that "not all residents have what's considered a 'skill.'" ... I made no reference the the *residents* having skills LOL. Your response supports mine. I...

  24. Best path towards DNP in geriatric medicine

    AngelRN27 replied to julz1980's topic in Doctoral Nursing Degrees

    I, too, plan on pursuing my DNP in the coming years (although I do not necessarily want to specialize in Geri as you do). I also plan to use my DNP as a means of working as a Nurse Practitioner. I'm...

  25. LTC-What is meant by "The skilled nursing area of LTC"

    AngelRN27 replied to Blackcat99's topic in Geriatric, LTC

    Please note that not all patients in Skilled Nursing have to be as acutely ill as described above. Any resident in long term care that cannot care for themselves completely and therefore is not part...