tnmarie

tnmarie

geriatrics, hospice, private duty

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All Content by tnmarie

  1. Tips for getting pt with severe oral aversion to eat?

    tnmarie posted a topic in Pediatric

    One of my new patients has a severe oral aversion. There is no physical reason the pt can not eat PO. Any tips on getting a peds patient with severe oral aversion to eat? The child is 8 y/o and...

  2. Anyone dealt with COBRA?

    tnmarie replied to tnmarie's topic in General Nursing

    Thanks for all the replies. I still haven't decided what to do yet. Gonna see how much continued coverage through COBRA will be before I decide anything and also gonna find out when exactly my...

  3. Anyone dealt with COBRA?

    tnmarie posted a topic in General Nursing

    Hello all and happy New Year! So here is my situation: I went directly from one job to another at the end of December. I am not eligible for insurance through my new employer until February. I have...

  4. LPN Hospice Nurse

    tnmarie replied to Mahogany Queen's topic in Hospice, Palliative

    Main duty is keeping the pts comfortable and helping the family and pts cope. Pain management is a biggie. The skills I used in hospice weren't that different than LTC or other places; you just...

  5. What constitutes a "fall" at your facility?

    tnmarie replied to mmc51264's topic in Patient Safety Issues

    We have a younger res that acts out when you don't do what they want when they want. S/he sits down and then lays back in the floor. If we don't actually observe the res in the process of laying...

  6. Running low on soap

    tnmarie replied to simonsmom's topic in Patient Safety Issues

    Wow, I think you are working at a place I recently left! I was determined to stay a year. I made it 10 months. I bought the supplies. I loved the residents. After buying barrier cream and other...

  7. After the Fall LTC/SNF Nursing Know-how 101

    tnmarie replied to Let's help out's topic in Geriatric, LTC

    @Dana: that is why we do neuros after unwitnessed falls. It is safer to proceed as if they did hit their head since we don't know. As far as getting the nurse in the situation, I don't think I...

  8. After the Fall LTC/SNF Nursing Know-how 101

    tnmarie replied to Let's help out's topic in Geriatric, LTC

    We have a whole fall packet: pain assessment form, change of condition form, neurochecks, investigation report, ect. We do the same as everyone has said: CNA stays with patient and calls for nurse....

  9. Second job?

    tnmarie replied to SDALPN's topic in Private Duty

    Back when I was living in a more rural area, I worked PRN at LTC to help offset some of the bumps in the PDN road. It had the added bonus of keeping more more marketable because in my area, facility...

  10. Why do we not get paid for lunch even if we never get to take one?

    tnmarie replied to leekaye's topic in General Nursing

    They know what is happening and they also know that nurses are working for them FOR FREE because they don't know or won't fight for their basic rights as employees/humans. You know how much money...

  11. Why do we not get paid for lunch even if we never get to take one?

    tnmarie replied to leekaye's topic in General Nursing

    My former employer took away the only other nurse in the building on my shift. This of course meant that I could not leave the floor and would not get lunch. I promptly called my state board of...

  12. A new puppy!!

    tnmarie replied to CloudySue's topic in Private Duty

    I have rarely heard of an instance of a PDN doing "a little extra" that didn't end like this. Once they see you will do the little extra, they will expect more and more. Then when you put your foot...

  13. What real life skills do lpn's do regularly?

    tnmarie replied to northmississippi's topic in LPN, LVN Corner

    The skills you use are going to depend on where you end up and even the shift (night shift did all the U/As, colostomy and PEG care in my last SNF). My last SNF didn't let LPNs do IVs but most SNFs...

  14. SNF/LTC new nurse needs advice

    tnmarie replied to Bunnybop's topic in Geriatric, LTC

    What medications absolutely must be given daily? All medication MUST be given as ordered. Unless it is PRN, it must be given daily as scheduled. If it is not given, it is a med error....

  15. Trying to change fields

    tnmarie replied to maddyfan4's topic in LPN, LVN Corner

    It is hard to transition from HHC/PDN back to facility nursing. In my personal experience, it was hard to get any position outside of HHC/PDN since that has been my primary field of practice in...

  16. Social Skills in Nursing: The Art of Validation

    tnmarie replied to TheCommuter's topic in Patient, Colleague Relations

    I don't think it is necessarily that we don't want to be friends, some of us would rather just be doing our work (shocking, I know). The more time we spend schmoozing with our coworkers, the less...

  17. how to become a PDN in california?

    tnmarie replied to mdflores's topic in Private Duty

    Something to keep in mind: most agencies have a non-compete clause. You can not take your current client away from your current agency if you have signed a non-compete clause. It may not be...

  18. Moving to Tennessee- info needed

    tnmarie replied to adaniels7's topic in LPN, LVN Corner

    My mom started out at $8.00/hr as an LPN in LTC in the early 1980s so I don't even want to think of what the pay was like BEFORE

  19. Moving to Tennessee- info needed

    tnmarie replied to adaniels7's topic in LPN, LVN Corner

    Chare has left you with the link you need regarding transferring your license. Just a clarification on another post in this thread: the nursing compact is more for people who live near a border. I...

  20. A Good Nurse Manager...

    tnmarie replied to Emergent's topic in Nurse Management

    I am just a peon LPN but this is so true in my area. Every year, usually just after state makes the rounds, all the DONs/DNSs quit and go to other facilities in the area. It's crazy. I've been at...

  21. New to PDN

    tnmarie replied to Gooselady's topic in Private Duty

    The last two companies I worked for, it was against company policy to use laptops, tablets, etc. so I can't really offer much advice. Oddly enough, they didn't care if you brought books to read or...

  22. Refused admission

    tnmarie replied to savoytruffle's topic in Geriatric, LTC

    Many nursing homes will not accept or keep residents with certain behaviors. I work at one that accepts EVERYTHING, but some nursing homes do not accept yellers, overly combative people etc. If they...

  23. New to PDN

    tnmarie replied to Gooselady's topic in Private Duty

    In my experience, the majority of PDN patients that require IV fluids or frequent blood draws have PICCs , CVCs, or other more permanent forms of IV access. I don't think starting IVs is a very common...

  24. New to PDN

    tnmarie replied to Gooselady's topic in Private Duty

    Found it: Also for vents, you can find most vent instruction manuals and even some videos on the interweb once you know the company and model

  25. New to PDN

    tnmarie replied to Gooselady's topic in Private Duty

    I've done PDN for almost 5 years and I am returning to it after a break to get one year's recent facility experience. I have an EXCELLENT assessment tool that I took with me everywhere for peds pts....