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Does your DON want you to do skin checks on night shift?
We do them on night shift. The resident's get upset and have attempted to hit us because of it.
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Conflict with preceptor over re-checking blood glucose
I always retest with an unusually abnormal value
- Do you ever hold Lantus?
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Studying?
I'm pretty much always studying on my days off or listening to podcasts
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What should new LTC nurse know??
Getting along with the CNAs is HUGE. You have to work together as a team. My facility has a print out with each resident's name & code status. When I was new I would write down how they took their meds (whole/thin liquids, crushed/honey liquids etc..) & also any information I received during report. Getting my time management down in the beginning was really difficult but you will get there. Make sure you know before you start your shift what will be happening that day (which treatments need to be done, who is going out for an appointment, are you getting any admissions etc..)
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Fentanyl patches
If opsite is allowed by most pharmacies would tegaderm be the same? We have a resident who frequently removes her nitroglycerin patch. I will ask pharmacy if we can cover it but I don't think we carry opsite in our facility
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Nurse "tools" for LTC
Stethoscope, alcohol wipes, bandage scissors (I prefer the bigger trauma sheers), multiple pen lights (at least two, I have had one die when I needed to use it immediately after a fall & that was a nightmare trying to find another one), I get the small sharpies & highlighters that I hang on my badge directly, at least 4 pens, a fanny pack type deal & a good attitude.
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Bringing kids to work?
This would not be allowed where I work. Occasionally people bring their kids to meetings but never to scheduled shifts.
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Fentanyl patches
We are not allowed to cover them in our facility
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OTC meds in LTC New Nurse
I wouldn't be willing to give ANYTHING that was not ordered by the MD. In that situation the resident may have needed something stronger and a call should be placed to the MD. In my facility each time the TUMS were given without an order & the bengay patch given at the wrong time would be med errors.
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What are the chances of me passing the nclex PN with 85 questions?
When I got licensed as an LPN my NCLEX shut off at 85 & I passed :)
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New Rn and LTC charting
Can you ask what their expectations are? Doing a full head to toe assessment on each patient isn't realistic in LTC where you have 30 patients.
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New Grad BSN RN...offered position into LTC post hospital unit as charge nurse
I'm a new grad and I have a "charge nurse position" in a LTC care as well but in my facility it just means that I am the nurse in charge of my unit and the CNAs. I also have my own med cart, give all the treatments, call the docs etc.. It's different from the traditional "charge nurse" mentality.
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New Grad Interview gone weird...advice/comments please
I didn't know how much I was going to be getting paid until I accepted a job offer. Does anywhere actually have unpaid training? I'm in orientation right now but i'm getting paid my regular hourly rate
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Thank you note question
I did a handwritten card & got the job :)