pinkiepieRN

pinkiepieRN

adult psych, LTC/SNF, child psych

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All Content by pinkiepieRN

  1. medication coming in inappropriate form for use

    pinkiepieRN posted a topic in Patient Medications

    I work in a SNF/LTC, but I hope this might be applicable across the board. We have many residents who receive crushed medications or medications via g-tube. If that's the case, we're supposed to...

  2. All medications to be given at least 4 hours before dialysis

    pinkiepieRN posted a topic in Dialysis, Renal, Urology

    I work in a SNF/LTC but we have a fair amount of residents who receive hemodialysis. The corporate office was in our building recently and had us change medication administration times for all of our...

  3. Towson nursing admission fall'14

    pinkiepieRN replied to jenny1love's topic in Maryland Nursing

    TU Nursing alum (class of Spring 2009) chiming in! FYI, they were on spring break last week so that's probably why nothing went out last week. I don't think I got my admission letter until April,...

  4. Nurse!!! Nuuuurrrrsssse!!!!

    pinkiepieRN replied to Anna Flaxis's topic in Emergency

    I'm not ED but this is applicable. I was on my way down the hall, getting ready to leave this morning. I hear, "NURSE, NURSE!" come from a passing room and it *sounds* urgent. I scan the hallway...

  5. anxiety depression and adhd have caused me to struggle to find my fit as a new nurse

    pinkiepieRN replied to brad0428's topic in Nurse Disabilities

    I'm not sure if you said in the OP whether or not you have sleep issues, but I find Melatonin to be helpful for

  6. Just accepted Unit Manager Position with no LTC experience....

    pinkiepieRN replied to Junebug59's topic in LTC: Directors, Assistant

    I believe she's referring to IPN as "Intervention Project for Nurses" or something similar. It's like mandated substance abuse testing/counseling and they place restrictions on your license, like not...

  7. The Admission Process: Make Sure You Actually Say Something of Importance!

    pinkiepieRN posted a topic in Patient Safety Issues

    I work in LTC so this may not be applicable across the board, but here goes. We've picked up some new grads on 3-11 and I'm not exactly happy with them. The one that's off of orientation and working...

  8. PT fell... Now I'm paralyzed with fear

    pinkiepieRN replied to mevsmom's topic in General Students

    If patients didn't fall all the time, we wouldn't have fall protocols and fall assessments and yellow skid-free socks and yellow stars and place high fall risk patients close to the nursing station if...

  9. Nurses Notes plagiarism at work such a thing?

    pinkiepieRN replied to Lanipeach's topic in General Nursing

    There are just only so many ways to phrase things. For many of the long term residents at my facility, similar things apply throughout shifts for multiple residents. "A&Ox3. Verbal and...

  10. BG- 74, would you give or held insulin?

    pinkiepieRN replied to Hope2017's topic in Patient Safety Issues

    I *think* what OP is trying to get across is that a patient has a standing order for 5 units of insulin in addition to a sliding scale with parameters. I've had this issue before and yes, I have...

  11. Hired on days, manager request to switch to night

    pinkiepieRN replied to PinkString's topic in Patient, Colleague Relations

    I make $32/hour but with taxes, FSA (max contribution), 401K and health insurance for myself and husband, it honestly doesn't come out way much more than your paycheck does, but I make do. Between my...

  12. New Nurse Multiple med errors

    pinkiepieRN replied to Doll Head's topic in Patient Medications

    I mostly find myself handing out blood pressure meds, like Hydralazine or Dilatizem. And the pass time is actually 12MN. Sometimes the TID meds are ordered to be given at 12MN though, like Neurontin...

  13. New Nurse Multiple med errors

    pinkiepieRN replied to Doll Head's topic in Patient Medications

    You work on nights and have 2 major med passes, right? 2300 and 0600? Sometimes it can be easy to miss a med if it's irregular (like the occasional 0200) but even if you just scan the Kardex and see...

  14. Crushing pills on long term care facilities

    pinkiepieRN replied to newgrad1988's topic in Patient Medications

    There's a check-box on our admission orders for "may crush meds unless contraindicated or otherwise stated" that normally gets checked by nurses on default. We can also check a box for "send in...

  15. med error

    pinkiepieRN replied to Inaniel's topic in Geriatric, LTC

    How did you document? Did you document that you held the med? Did someone else catch that you hadn't signed it off? Did someone say you were getting written

  16. Crushing pills on long term care facilities

    pinkiepieRN replied to newgrad1988's topic in Patient Medications

    I work in LTC and the only Trazodone I've ever seen is indeed crushable. Most of the meds that aren't crushable will say XR/SR/LA, etc. but I agree with printing out a list of those which are...

  17. Called the Nurse Manager

    pinkiepieRN replied to Charlie92's topic in Job Search, Interview, Resume

    If you only work somewhere for 2 weeks, what will you and that company gain? Heck, what would your dad gain? Sure you'd take the job he wanted, but how would he feel when you left it for your dream...

  18. Nursing students on medication

    pinkiepieRN replied to kjnsweets's topic in Patient Safety Issues

    I take serious offense that you say "real psychiatric disorder". What's your definition? I also doubt that anyone is being prescribed indefinite citalopram just willy nilly. Taking medication is not...

  19. Nursing students on medication

    pinkiepieRN replied to kjnsweets's topic in Patient Safety Issues

    Adderal is a substance that will likely show up as a stimulant on a drug test, but if the person has a prescription, that's not likely to be a problem or cause them to get thrown out of a

  20. Nursing students on medication

    pinkiepieRN replied to kjnsweets's topic in Patient Safety Issues

    I take Concerta for ADD and it does help keep me awake; it's a stimulant. It also helps me focus and stay on task. I certainly hope and mostly would like to assume that if this student has an rx for...

  21. Rant: Staffing issues & coverage for call outs

    pinkiepieRN posted a topic in LTC: Directors, Assistant

    I work as the 11-7 supervisor in my building and am coming up empty with solutions to this problem. I think it's a combination of low morale and immaturity, but there is an epidemic of call outs...

  22. Will I ever hack it?

    pinkiepieRN replied to SleeepyRN's topic in Geriatric, LTC

    I think I honestly spent 8 weeks on orientation and then still felt shaky. I was constantly asking questions of the other floor nurse, thankful for the unit manager being at the nursing station for...

  23. It's end of shift and I'm leaving on time. Not!

    pinkiepieRN replied to nursefrances's topic in Patient, Colleague Relations

    I had one this morning. I'm normally the house supervisor but I got pulled to the floor due to a last minute call out. I know the general details of these residents, but am not necessarily 100% on...

  24. The Admission Process: Make Sure You Actually Say Something of Importance!

    pinkiepieRN replied to pinkiepieRN's topic in Patient Safety Issues

  25. At a crossroads, need advice

    pinkiepieRN replied to mjobrien's topic in Pre-Nursing Students

    Just curious because I didn't see it (other than you aced your pre-reqs and the money is good) - why do you want to do nursing? Did you enjoy being a