vaLPN757
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Maybe I am misunderstanding, but do the med techs not count their own carts???
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Eastern virginia 22.75/hr with 2.75 shift diff SNF/LTC/assisted living Resource Float Pool 2 years experience
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State just showed up for annual survey today and everything was GREAT. By great, I mean that there were 5 CNA's on the schedule (I haven't seen that many in all the time I've worked there), everyone was coming out of the woodwork (department heads, extra maintenance people, etc) to help with things such as answering call bells or helping a confused dementia patient, and there was no "mess" to clean up when I arrived at 3pm from the previous shift. Craziness!! My biggest gripe is the scheduling. If we need to have 5 CNAs to do our job at state's standards, then we need that ALL THE TIME not just when a suit walks though. Management keeps harping good customer service and gets upset when complaints are made, but yet we don't have enough staffing to adequately avoid these problems. It really helped the bigger picture too. I finished my med pass sooner cuz I wasn't getting so many interruptions to help "spot" on a hoyer, toilet a resident because the aide was tied up, answering call bells, helping aides change combative residents, etc. I could focus on NURSING. I don't know, maybe I help my CNAs too much. (Is there such a thing?) But for the first time in who knows how long I got out relatively on time, without having to scramble and rush to chart at the end of my shift. Im sure this happens elsewhere, but it just blew my mind.
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Insulins, pain Meds, Alzheimer's drugs
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I work in a LTC/skilled rehab and as I was coming in for shift change, one of my patients (who had a DNR in place) was being sent out via 911 to the ER. Apparently during an activity, she became unresponsive, BP 70/50, lethargic, facial droop, etc. Normally we do not send DNR patients out to the ER, but I am almost glad we did because I got a call two hours later saying that she had a massive heart attack and passed away. So if we hasn't sent her out, she would have passed away in the facility under my care, which is something I have yet to experience in my nursing career. It makes me nervous to think about the first time someone is actively dying and me not being able to resuscitate them or help them. My question to you all is, has anyone had such experiences?? Has a person who has a DNR ever asked you to help save them at the last moment? What did you do? How do you handle their final moments? If you knew a person was a DNR and they were in distress, what did you do until they passed?? I understand why DNR orders are placed and i do not disagree with them. However, I am not a very good "bystander", I like to jump in and help. It's hard to imagine any other way. Any advice/insight/stories would be helpful.
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Became an LPN at 18, will have my BSN at 23!!
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I have similar issues. I work evenings as an LPN at a Skilled/Rehab/LTC facility. I have been a nurse for two years but I am extremely young, younger than any other nurse I have met. I feel as though my age is a large factor is not receiving respect from my aides. Well let me rephrase that... SOME aides, one in particular. I have a few CNAs that I work with who are worth their weight in gold and I love them to pieces!! We get along great as a team and everything goes smoothly I count my lucky stars for them every shift and I know my patients are well taken care of. A little more background... I am never above helping or being a team player. I NEVER hunt down an aide for anything I can't do myself and I toilet residents if I'm not in the middle of a med pass/crisis. I keep my lines of communication open and I always take change of status comments from my aides very seriously. I will help with a difficult resident and I even put people to bed if we are short! There is one aide in particular who I cannot get any respect from. She sits on her bum half the shift, is unfriendly with the residents when she does take the time to work, won't answer lights, and is always telling a&o x3 residents she will "get to them when she gets to them" when they ask for assistance or toileting. Everything has to be on her time and she cannot handle being asked to do anything. Even when I say, "I know you told Mr. Z you are busy and I know he can be hard to toilet but he really needs to go. I don't mind helping you if you get up now and we do it together...." I'm at a total loss!!!! I could go on for days about it all. Any advice????I work in skilled nursing facility, 3-11 shift. 16.52 with 2.71 shift diff. Come in 30 minutes early (the only way I can leave at a decent time later that night) and make shift assignment/vitals list. Review 24 hour report and wait patiently to count my narcs/receive report. Notice the stack of orders to input or admissions conviently scheduled to come in at 3:15 and sigh inwardly. Finally get a half-assed report from day shift, count, stock cart. Begin preparing for my 12 blood sugars. Gather their Meds to pass as I give coverage, then begin everyone else's Meds. (30 pts to 1 nurse, everyone gets 5 pm Meds, half get HS Meds) This doesn't even begin to cover all the interruptions (phone calls, family members, needy patients). Barely finish 5pm pass before the next one starts, maybe shovel something into my stomach and get one chart done. Repeat med pass. Chart chart chart. Go home.We send the whole card but do a two person count before giving the card to the RP. Then we go over the count with the family and have them sign.When I used ATI in nursing school, there were no Ebooks. Not sure if that has changed though... Yes ATI is AWFULLLLL.Same here!!! Or we rip off labels and put labels in the shred box on things like bottles.Hahah!!! This could be possible...At my facility, we are supposed to answer lights within 10 minutes. On a 60 bed unit with 2 nurses and 4 aides this can be difficult. Especially when we have "frequent ringers" who turn on their light AGAIN when you have literally just walked out of their room. I try to strive within 5 minutes but it can be hard, especially in the middle of a med pass....