jacquelyn.

I completely agree. Working in a SNF I have learned so much. My assessment skills have gotten amazing, because I know if they go down hill there is not way I am equipped for a code. Me and two nurse techs :). I've also become a pretty good supervisor and teacher in all of a few months.

I am a new grad and throughout school I worked as a med tech in an assisted living for memory care. And yes the course is only 8 hours of boring stuff I didn't pay attention to. However we have a nurse to over see all of the medication administration. We have bubble packs for each pill everyday. I feel these are idiot proof. We do administer insulin and prn medications. However most of my coworkers do not have medical training of any kind. Just the other day a med passer gave antacid instead of milk of magnesia because she thought they were the same thing. I mean all you have to do is read the MAR and the bottle. And another one didnt record the blood pressure before she gave metoprolol so did she take the BP and just give the pill?? I wrote her up and she was mad at me cause she forgot to write it down. I know I would feel uncomfortable if my mother lived there you never know what they are giving. The nurse we have is very hands on and is always educating staff on how to give meds. And you have to be to run this type of facility. There is protocol in place that after so many med errors you get fired though. So many of the techs work hard not get any errors.

It's hard stuff. Redirection works only about 50% of the time for me. But I also find medication alone doesn't solve my problem. At my facility if a particular resident is disruptive we try to remove them from a common area or move other residents. Decreased stimulation can help alot. Even just shutting their door so they dont see the hustle of the hallway helps some stay content in their room. But its also about knowing what works for each patient. We try to avoid large group setting for some residents to not provoke them. Its a tough disease. I've been doing it for 3 1/2 years and I'm finally going to try something new. It's exhausting but you'll get to the rewarding part.

Are these patients anxious? Or is there something else going on. I have patients that do it to get attention or they are so wound up they can't stay still. Maybe try some sedatives if the doctor is willing. This is a great time to try some nursing interventions. Restraints may just make it worse.

It's not just about studying you have to learn and apply the information. Most nursing tests ask you what you would do in the perfect worl or what is the best answer not just the correst answer. I know it is something we have all struggled with, but as you go you will develop your nursing brain where you are able to answer those questions. Just think what would be the best for the patient, always think safety. Find your way to learn. I honestly dont study very much, I learn by my own CNA practice and clinical practice. I like to observe and be hands on. I always relate new information to a patient I had or an example in real life, this helps me alot. Good luck and dont be discouraged.

I had been denied once but when I open the letter I muttered to my mom that I got in then just started crying I wasn't able to talk for like ten minutes. One of the best moments of my life.

you know yourself and how you learn. you need to sort through the material i'm sure some of it you know and get get through quickly. Spend time on what the nurse is going to do. My program focused on nclex style right away where all the answers are right but you have to pick the best answer. Just relax everyone in your class is in the same boat. Talk to them see what they are doing. And "nolli" is right a method will emerge as your best way to study and process information. Good luck. trust me we have all been there

Just be prepared and most likely your instructor will be there with you guiding you. I had an experience where I was supposed to cath a two year old boy and I was freaking out. But another student came with me and my instructor and I did really good. Luckily he was paraplegic but it was great practice. Its like all the adrenaline and then you just do it. Goodluck, Just do it :)

This just sounds awful. I hope you figure it out. I'm sure you will find another facility that will support you rather than blame you.

If it is in the capsule can't you open it in applesauce. I would consult the doctor or pharmacist to get another form of the drug the patient can manage.

I would use the old one. Not much changes in a year. You can always check online whether on your phone or hospitals usually have online resources. Save your money.

It's so hard to pick. Any offer would be great. I just can't do surgery. I've learned alot about dementia in my current job. So maybe neuro or geriatrics. But I always thought Obstetrics.

I have also had very packed schedules through nursing school. But A&P is hard and time consuming. I'm not sure what all I took then it was only 2 years ago. But I worked up to 32 hours a week. I think you"ll be fine if your prepared and time manage.

I know what you mean. We have tab alarms in long term care and whenever I hear anything like it I'm looking for whose moving or on the floor. Try some peace when you get home to relax. I usually take a bath or a glass of wine to unwind my brain.