motherof3sons

motherof3sons

LTC

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All Content by motherof3sons

  1. Nursing Home and Hospice unit

    Our facility does the same as ktwlpn.....we have residents that have come in with hospice care and others that are referred to hospice care. Hospice is in addition to LTC....and we join efforts to...
  2. Lice-itchy scratchy

    Lice move and jump in the hair....I almost dropped a LOL, while transferring her bed to chair and was up close and personal to her head and saw lice jumping in her
  3. overheard at the bedside

    Hard of hearing LOL asked for help with her sleeve and was asked to "raise your hand" somehow she thought it was said to "raise your shirt" and did so...no bra on. Another LOL was nearby and burst...
  4. Stupid Nurse Tricks (Or How To Look Incredibly Stupid)

    I was doing a blood sugar and talking at the same time.....when I pressed the lancet, I pricked my own finger. Quite surprised myself....after cleaning my finger reglove ect...the resident is...
  5. CNA staffing cuts

    Our facility gave up its skilled certification and we do have some private pay....probably less than 8. Part of the problem is that we have 2 wings and when supper is going on pulling one to assist...
  6. CNA staffing cuts

    Our facility has been thru a lot of turmoil since Oct 13. We no longer have skilled residents now, just LTC. Last night I went into work and management has cut staffing. I was the only RN and I...
  7. Stupid Nurse Tricks (Or How To Look Incredibly Stupid)

    Sticking ones self in the lip with a clean needle thinking that the cap was still and was going to remove it with my teeth.........ummm taking out over bed lights with othro trapeze. I am sure...
  8. Here's a new one: chart assessments before midnight.....

    Well of course you would write a note with your assessment at the beginning of your shift and a second note later for any condition changes. You can't chart at 2200 for the whole night. What I was...
  9. Here's a new one: chart assessments before midnight.....

    Our facility allows us to start a note and save it as a draft. That way I can start a note at 2230 but finish it a 0400 but the time I started it stays at 2230. I am not sure if your system will...
  10. Phasing out alarms?!?

    Our facility phased out alarms about a year ago and my first reaction was the same as the OP. I think when you have chair/bed alarms it give a false sense of security. Without alarms it has made us...
  11. I never, ever went to ER when I was a kid

    I think I visited the ER once for a fx thumb. The ER visit took place 24hr+ after the injury, when the thumb was swollen, purple and yeah I couldn't move it! My brother had 2 ER visits.....took the...
  12. Struggling with being my own dads Hospice Nurse

    You loved him enough to care for him and let him go.....and that is what matters most! The fall and possible aspiration could have happened in a facility. Stop beating your self up.....let the guilt...
  13. Can anyone give me a quick rundown of what RNs do in LTC?

    Our facility is 57 beds so at night there is only one RN. The night RN does all meds, neb tx, wound care, insulin ect. There are probably 12-15 med passes at 6am. I had no LTC experience when I...
  14. In LTC can LPN fire an CNA?

    We do this also with the added that the CNA needs to speak with DON before returning to work. Depending on the issue whether they return or
  15. Just recently I read an article, I think in the newspaper. It was about a woman's choice to end her life by simply stopping eating and drinking. She had a form of brain disease and she didn't want...
  16. Is this neglect?

    Anyone that is in our facility comfort care or hospice needs to have meals and fluids offered to them. This is neglect. It needs to be reported to your charge nurse and if nothing is done to your...
  17. Sometimes when there are demanding families, I like to pull another person in the room with me. That helps me set firm boundaries and gives me back up
  18. Don't feel sorry for me because I work in long term care...

    LTC nurse here and I don't regret one moment since I walked away from acute care. I have 20+ years experience and I have better skills now then when in acute care. When all the administration staff...
  19. The Top 10 Things I Loved About Nursing

    So very true....22years and still love what I do. Still love to fix someone and make em better. Reminds me of my 2 yo nephew "kiss it make it
  20. Bitter Cold

    Last week we had -20 before wind chill......it hasn't been that cold for a long, long time. Don't forget to pack extras in your car(blanket, gloves, hat) just in case you were to break
  21. Flexible med times

    I would love to see our facility start doing this. This would give so much flexibility to the one giving meds. That way you wouldn't be waking residents up to give HS meds. On the evening shift we...
  22. Would you accept this call out excuse?

    Thursday night I got a call at 7pm from a night shift CNA saying she was tired and didn't sleep that day and couldn't come in for her shift 11-7. I told her that I that I would write up the...
  23. conscious pt terminal wean

    After going to a hospice seminar something that was said has stayed with me a long time. "Pain meds(morphine, dilaudid, fentanyl, ect) are given to make the body comfortable so the soul can leave"...
  24. Don't go into nursing school if_____

    if you don't play well with others or aren't a team player. if you think 7-3:30 means that you will leave every day at 3:30 if your expectations are that of glamor and glitz liken to
  25. Christmas at the nursing home

    Our facility is similar. We do a resident Christmas party and staff buys for our residents. Then on Christmas eve, presents are laid out for our residents to open Christmas AM. Not one resident...