AngelRN27

AngelRN27

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All Content by AngelRN27

  1. Hoping for some feedback or advice on what to do!!!

    AngelRN27 replied to LPNurse24's topic in Geriatric, LTC

    First, I've never seen/heard the term STNA before... is that the equivalent of a CNA? Secondly, as a nurse you technically have the ability to write other employees up, both CNA's and other nurses....

  2. Alert,oriented LTC patients who refuse routine nightly insulin?

    AngelRN27 replied to Blackcat99's topic in Geriatric, LTC

    Notify appropriate parties as per facility protocol (and common sense + your judgment) and document! Try different tactics to teach/encourage med compliance if her nightly insulin is truly necessary...

  3. I and O's

    AngelRN27 replied to CapeCodMermaid's topic in Geriatric, LTC

    No I&O at my facility except for output for foleys (and this is simply to know that the foley is working, really). Meal consumption and fluid intake during meals is charted by our CNA's. Other...

  4. LTC med pass

    AngelRN27 replied to jennell209's topic in Geriatric, LTC

    Your facility's Nurse/CNA/Resident ratios seem pretty standard and not out of this world. I agree with many of the previous posters. Don't be so hard on yourself. I've been working at my current LTC...

  5. No BP taken before BP meds??

    AngelRN27 replied to brandinalove's topic in Geriatric, LTC

    My facility also uses the "Hold if BP less than 110/60" parameter, and we must therefore take a BP before any BP med admin. I usually have 24 patients and usually finish all med passes on time

  6. Calling in sick, staffing issues

    AngelRN27 replied to staffing24's topic in Geriatric, LTC

    Agreed. However, I still don't see this as a valid argument to call out once a month. Not to minimize the difficulty of working as a nurse in LTC, but every job has its "extras." If everyone called in...

  7. LTC has changed-How do you give out 5pm meds now?

    AngelRN27 replied to Blackcat99's topic in Geriatric, LTC

    My facility does not require us to contact the MD about refused meds until it has occured for the same med x3 as another poster mentioned. If this was the protocol at my facility, I would be calling...

  8. What does an MDS RN do?

    AngelRN27 replied to NemoRN's topic in Geriatric, LTC

    I recently accepted a position in LTC in Homestead, FL. Pay rate (starting) is

  9. Moments that make you giggle....

    AngelRN27 replied to Pat2012's topic in Geriatric, LTC

    One of my favorite things about LTC is that there is pretty much a reason to laugh to yourself (or sometimes OUT LOUD) every shift! We have an infamously aggressive resident that is usually AAOx2-3...

  10. Change of Shift Report in LTC

    AngelRN27 replied to gmweatherill's topic in Geriatric, LTC

    At my facility we do not have a standard "report sheet," we simply use our census sheet to give report. The previous post does highlight some very important points that should be covered in report,...

  11. Possible TIA or effects of medications?

    AngelRN27 replied to Isitpossible's topic in Geriatric, LTC

    I agree with the STAT lithium level idea. Otherwise, I don't think that these are TIA symptoms (I've had the displeasure of seeing a handful of them, although everyone is different). Also, had he...

  12. LTC has changed-How do you give out 5pm meds now?

    AngelRN27 replied to Blackcat99's topic in Geriatric, LTC

    At my facility we are allowed to give meds in the dining room is they are PO. Nothing invasive can done though, so no sub-q's, IM's, finger sticks, or even BP's allowed. I do all my diabetics first...

  13. Do all LTC's chart the meals on the MAR's?

    AngelRN27 replied to Blackcat99's topic in Geriatric, LTC

    At my facility, percentage of meals consumed is documented by the CNA in their own log book. As for BM's, they have their own spot at the back of the MAR to be charted by the nurse. The CNA's report...

  14. My first code blue- CPR :(

    AngelRN27 replied to Rachelj1222's topic in Critical Care

    My first code was during my Nursing Practicum (4th semester) in the PICU... It wasn't my patient, but she was a young girl and she seized and then coded. I assisted with CPR while the PICU filled with...

  15. Long Term Care and Holidays

    AngelRN27 replied to LTCNS's topic in Geriatric, LTC

    I agree with what previous posters stated. I just recently (2 months) started a floor nurse position in LTC and during the hiring process (July) I was worried about my mother's birthday in August...

  16. Calling in sick, staffing issues

    AngelRN27 replied to staffing24's topic in Geriatric, LTC

    I work in LTC as a floor RN and, while I agree with the first poster about not assuming, and also with the second poster about it being a little tough to work 5 days a week in LTC, I have to say,...

  17. Associate Degree in RN

    AngelRN27 replied to Shano18's topic in Diploma, ADN, BSN

    From what I have learned from LPNs that I know from work (I'm an RN, ADN) I don't think that an ADN is anything like an LPN program. LPN programs seem to focus on practical skills while ADN (due to...

  18. Too much emphasis on "caring"

    AngelRN27 replied to sweet~revenge's topic in General Nursing

    Only read the OP, but....... Maybe I haven't seen enough on a regular Med-Surg floor to really feel what you mean. I just got my first nursing job in LTC and we have PLENTY of autonomy. As a matter of...

  19. Finally ordered my stethoscope

    AngelRN27 replied to LadyLeo75's topic in Scrubs, Uniforms, Gear

    Good luck to all of you in Nursing school! Get ready for a fun (but rough!) ride! Personally, I got a $12 Steth at a scrub store when I was first starting nursing school, and it really hasn't ever...

  20. Keeping organized

    AngelRN27 replied to AlleeBooRN's topic in Geriatric, LTC

    I use a "nurse's note" sheet when taking report so it can be as messy or as neat as I need it to be. I save my patient census for my own notes during my shift. After report I do quick walking rounds...

  21. Do you have to always call for abnormal labs?

    AngelRN27 replied to Blackcat99's topic in Geriatric, LTC

    I am a recent grad and just began my first job in LTC a little over a month ago. We fax all labs (normal & abnormal) to the doctor, and call in all critical values asap. As for abnormal labs, we...

  22. just curious!

    AngelRN27 replied to NewLPN11's topic in Geriatric, LTC

    I have been working in LTC (first nursing job) for a month now. I still leave work a little antsy wondering what I must have forgotten to chart or document that shift... as the previous poster...

  23. Trachs and vents at LTC

    AngelRN27 replied to Blackcat99's topic in Geriatric, LTC

    My facility is SNF plus one hall of ALF, and we do not have any trachs or vents atm. We do accept trachs but no vents. I personally feel very comfortable with trachs as one of my longest clinical...

  24. Computarized Med Pass in a LTC facility????????

    AngelRN27 replied to pretty70's topic in Geriatric, LTC

    I just completed my first month as my first nursing job at an LTC facility and we use paper charting. But I'm not sure why many posters have said that a barcode system would be impossible? Isn't...

  25. LTC Nurses... please answer

    AngelRN27 replied to Finallydidit's topic in Geriatric, LTC

    What exactly do you mean when you say that most new grads are clueless when it comes to patient care? What is it that you are observing them do (or not