Bird2

Bird2

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All Content by Bird2

  1. State Survey...Advice Please

    Bird2 replied to annabrooke93's topic in Geriatric, LTC

    I have to diagree with the last statement. I think that how the facility fairs during survey time or any time for that matter reflects on all staff not just management. We are all responsible for...

  2. State Survey...Advice Please

    Bird2 replied to annabrooke93's topic in Geriatric, LTC

    Try not to be nervous. Pass meds like you were in school. Never leave the med cart unlocked unless you are in front of it. Was you hands when ever you have any pt contact or use hand sanitizer....

  3. seems like a problem with flu shot distribution again this year

    Bird2 replied to oramar's topic in Infectious Disease

    I have been assured by our pharmacy that we will receive enough flu vac this year. I only have 1/4 of the supply in at this time so I am trying not to panic. I work in LTC and our residents and...

  4. HELP should I step down???

    Bird2 replied to johnson0424's topic in Geriatric, LTC

    Goodness sake your job does sound challenging and from the sound of your post you will probably make great improvements in time. My concern for you is your desire to continue your education and...

  5. Will LTC nurse go to jail?

    Bird2 replied to Blackcat99's topic in Geriatric, LTC

    Jeepers! Then someone should have been paging the MD over and over until they got her relief, got the family involved, and called the Medical Director. I read recently that LTC's can get an IJ for...

  6. Will LTC nurse go to jail?

    Bird2 replied to Blackcat99's topic in Geriatric, LTC

    If this is the case then shame on the State for not stepping in forcing them to improve or shut down. Places like this give all LTC's a bad rep and it infuriates

  7. Will LTC nurse go to jail?

    Bird2 replied to Blackcat99's topic in Geriatric, LTC

    The State will investigate. If it was poor care there will be huge fines and they will have to pull together a plan of correction. One nurse would not have been in this alone. If they are following...

  8. Sorry To Upset You, But....

    Bird2 replied to lisa41rn's topic in Geriatric, LTC

    Thanks for recognizing that at times we don't have a choice but to send a resident to ER when we know that we should not have to. I can not count the times that I have called for an antibiotic order...

  9. Question about the MAR

    Bird2 replied to nurseangel78's topic in General Nursing

    Any glucoscans, B/P's, and pulse go on the MAR if they will affect the amount of medication given such as holding a med or giving a sliding scale. LTC nurses are giving so many medications they need...

  10. My first job

    Bird2 replied to Chicklet2's topic in First Year After Licensure

    No one will expect you to know it all. Listen carefully and be attentive during your training. Also, make sure that you let you preceptor and DON know if you need more training. Good

  11. Skilled Nursing (LTC)

    Bird2 replied to nurseangel78's topic in General Nursing

    I would approach the resident and ask why they are refusing a shower and try to coax them into taking one. If they still refuse I would document the reason. For example they may have gone out with...

  12. Constipation Remedy

    Bird2 replied to obeyacts2's topic in Hospice, Palliative

    It has been years since I have given this. Yes it worked but we didn't call it power pudding we called it bowel paste. Doesn't that name sound repulsive! I do remember the pt liking

  13. Will quiting on a short notice go on my nursing license?

    Bird2 replied to raindrop's topic in General Nursing

    I just interviewed a nurse that had worked for our organization 10 years prior. I thought she was a great interview and her skill set appeared to be great but she was on our do not hire list. She...

  14. Most common wound care creams

    Bird2 replied to April_LPN's topic in Geriatric, LTC

    We also use these. We use protective barrier with zinc to raw, denuded skin and a dimetihicone based for routine barrier

  15. Whattabout MRSA and C.Diff?

    Bird2 replied to Danianne's topic in General Nursing

    BTW what does ORSA stand for?? I have taken care of MRSa, VRE, C diff, and ESBL but not this

  16. Whattabout MRSA and C.Diff?

    Bird2 replied to Danianne's topic in General Nursing

    This is why we use standard precautions. You will be fine as long as you wear gloves, wash hands etc...The type of precautions that is maintained depends on where the infection is located. For...

  17. Most common LTC meds - help with a list please:)

    Bird2 replied to MamaCheese's topic in Geriatric, LTC

    We give them all unless it is a specialty drug specific to CCU, ICU etc. You will certainly leave the LTC rotation knowing your drugs. Good

  18. what kind of jobs does a RN do

    Bird2 replied to pritampaulsingh's topic in General Nursing

    I work as a nurse manager and I still toliet, reposition, clean residents, and answer call lights. Of course half of the staff will swear that management does not do this but I've become thick skin...

  19. Demoted from GN to TECH

    Bird2 replied to skwirlygirl's topic in NCLEX Exam, Programs

    Your school should have educated you on the Nurse Practice Act. I'm sorry that you did not pass the NCLEX but believe me many nurses fail the first time around. I'm surprised that they let you do...

  20. Low beds, falls and incident reports...

    Bird2 replied to night owl's topic in Geriatric, LTC

    Are the lip mattresses pressure reducing? Do you find them helpful in decreasing the roll outs onto the

  21. Low beds, falls and incident reports...

    Bird2 replied to night owl's topic in Geriatric, LTC

    I do not have a MDS in front of me but if you read the definition I believe it will clarify the definition of a fall for you. We always count a roll out of a low bed to a mat as a fall. One time I...

  22. Shingles

    Bird2 replied to tukeyflats's topic in General Nursing

    We use contact precautions but if the area is small enough to be covered with a dressing then they can be out and about. So you did the right thing. It's the drainage that is

  23. MARS missed signing

    Bird2 replied to mar326's topic in Geriatric, LTC

    It should not be considered common practice. Every hole can be considered a med error. Since it is easy to forget on occasion even after double checking it might be a good idea for the next nurse to...

  24. Surviving a state inspection survey

    Bird2 replied to MDSlady's topic in Geriatric, LTC

    I would also worry about reporting a Surveyor. We usually have the same ones come in year to year and I would not want to start a war. It may not be right but they can cost facilities a lot of money...

  25. Med error,I'm suspended,I need advice,please!

    Bird2 replied to Mama2-3's topic in Patient Safety Issues

    I am not trying to be critical because all nurses including myself make mistakes. But I have to ask why the RN preset 5 narcotics? They have to be signed out so she had to be in the narc drawer,...