BackInTheGame

We d/c unused pain meds too and our DON is the only person who has the authority to destroy d/c'd meds with the facility supervisor as witness. What gets me fired up is a doc who d/c's pain meds that ARE being used on a regular basis. Had a pt once w...

I personally would wonder why the aide is so adamant about you not asking the RN about it. I agree with so much that has been said here and one can never overemphasize the need to DOCUMENT DOCUMENT DOCUMENT!! Maybe you could say something to the RN ...

You said it happened to two others. Any times where she said that and it turned out not to be true? The way I see it, if she's 100% accurate, then cross your fingers and get ready for a lot of congratulations. Yes, I think that sometimes people, and ...

The woman to whom I was referring demanded to get up out of bed. She wasn't forced, nor is any patient in the facility forced to get up or sit up all day. According to her, she wasn't raised to lay around in bed all day and as long as she had her say...

We have floor mats for fall prone residents when they're in bed. They're like larger versions of kindergarten mats so they fold up in thirds to make getting to the bed a lot easier... some times.

Ok this is going to sound horrible but there are times where I miss restraints. Not for my convenience but sometimes, they are needed for patient safety. We have a ZERO restraint policy and we get yelled at just for putting both siderails up on a bed...

Yeah, it's the same here. Multiple med passes even though we try to standardize times, there's always those who need meds at "odd times". On my unit a full house is 35 patients. On my 3-11 shift, I'm the only licensed staff so med orders aren't an is...

I agree. When a person is admitted for "comfort measures", then give them COMFORT, whether it be narcs or not. We have families not wanting us to put family members on oxygen because they consider it "life support", but when we explain that it's a co...

NOT counting narcs??? Never heard that one before. We have a doc that refuses to believe that her patients have pain. We fight tooth and nail and toe to toe with her over this issue. She won't even let us give Ultram without a fight and actually went...

Last time State showed up on our doorstep, it was because of a family complaint... later proved to be totally unfounded. One of the RN's was getting a census sheet for shift change and someone came up and asked if we had daily census and staffing she...

Oh and one more VERY important thing.... DOCUMENT, DOCUMENT, DOCUMENT!!! If the person is verbally abusive to staff or others, quote every word... even the four letter ones.

Oh God love the sundowner's because sometimes it's hard for the rest of us to. As far as #1 "problem child" goes, I agree with a lot of these suggestions. Had one like this, major league blow ups around 8pm. Luckily his doctor happened to be on the ...

I agree with you on "report books". Ours simply contains the census sheets with our notations that are passed along in report. We use the census sheets rather than a kardex. As a matter of fact, we don't even use a kardex. On our Rehab and Recovery u...

oh yeah i definitely agree. give me a floor with good aides and i am one happy camper. luckily i'm on a unit like that now. the two "regulars" are top notch and when they're there i know that it will be a good evening. that's why i know tonight will ...

i just realized that it sounded as if i was unconcerned with the death.. i wasn't. the supervisor was handling the details and making the calls and the room was filled with family and staff who were close to the woman. i'd leave the room occasionally...

just had to add my two cents worth here. the nursing school i attended was run in cooperation with our local hospital which is a small rural facility with a 111 bed ltc facility attached. as you can imagine, our course work was geared towards geriatr...

i think that laws encouraging leaving newborns at firehouses, police stations and hospitals should be in place in more states. it sure beats the alternatives. several years ago a baby was found lying on a curb under a row of hedges. she probably woul...

yeah thanks. just found a reference to iv administration in an article about meds and vent patients. guess you really can learn something new every day.. lol. yeah i know that's true, especially in this profession but just had to actually say it anyw...

im and po here. i've never seen an iv haldol solution and when i just looked it up, im and po are the only routes mentioned.

we have one smoking area designated for employees, and like i said earlier, it's way out in bfe near the helicopter pad. we aren't allowed to wear name badges there... like no one knows we work in the hospital because we're not wearing a badge lol. t...

in our facility we're not even allowed to use haldol. face it though, sometimes it's necessary and thank goodness we've got one doctor who says "if someone has a problem with my order, tell them to come to me." i agree though, if it says im only i do...

when i first got into the business of health care, i had few illusions as to what it would entail. i knew that the hours were long, the rewards were few and that what i did would mostly go unappreciated. what i was unprepared for is the amount of pol...

well now, for me, nursing as a career started out as my grandfather's dream. well, he wanted my mother to become a nurse and when she didn't, it fell to me. i began nursing school while a senior in high school. i graduated high school at age 17, nurs...

i have a co-worker exactly like this. she'll get urine specimins and then say that we need an order to send it to the lab. ok so what's stopping her from getting the order for a u/a when she's the one who obtained it? usually by the time i get on the...

thanks. wrote this after having "one of those days". tonight though i got pulled from my normal duties to patient care and let me tell you, it was fun. we have one fella who has end stage colon cancer with mets everywhere imaginable. usually he's our...