Oswin

Oswin

LTC

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All Content by Oswin

  1. New to Restorative. Help?

    So... long story short, I'm taking over my LTC facility's restorative program as of... last week. I'm not certified, my DON is and she's been helping me some but she's really busy. I've been given one day a week for this. I just can't figure out the ...
  2. In Defense of the LTC Nurse

    Warning, rant ahead. I'm upset by a couple of recent experiences. 1. So I was running into the store before work the other day and was wearing scrubs. While I'm putting things in my car this middle-aged man at a nearby car asks if I'm a nurse. I sa...
  3. Dealing with an Unexpected Death

    Your first death, especially unexpected ones, are so hard. Most of all through what you typed, I'm sorry you didn't have the support of another more experienced nurse to reassure you in your actions. I can't imagine what I would have done without tha...
  4. I am worried about one of my fellow nurses. Primarily, I am worried about her ability to care for her residents appropriately. On multiple occasions I've been told of an issue that was reported to her that she didn't investigate (residents with new p...
  5. Dealing with possibly unsafe coworkers?

    Thanks for the responses, everyone. Let me clarify a few details that you've brought up. We alternate being charge nurse when I work with her, per the scheduler. There are only 2 nurses in the facility on 2nd shift, and the scheduler assigns charge...
  6. LTC Nurses please respond

    I'm also in IL. Things vary vastly in the state... how close you are to chicago, etc. I work in a very low acuity religious-based facility. We very occasionally do IVs, have no trachs, no vents, no g-tubes, one colostomy and have discharged a couple ...
  7. New Grad drowning in LTC

    I've been working in LTC for a while and know what you mean. There are some pills that I will give at different times. However, I NEVER recommend a new grad do this, especially at a facility i'm not familiar with. Reasons being: 1. chances are they ...
  8. Most Ridiculous Med Order

    In my experience, the tolerance does go away with time. But it re-develops more quickly in people who've built it up before. Not sure I fully understand that one, but I've seen it in multiple people, including myself.
  9. New Grad drowning in LTC

    ALWAYS read back telephone order to the doctor to make sure you got it down right. This is legally required, and if it irritates them, too bad Maybe you could put it on speaker with another nurse listening. Or when you answer the phone and realize i...
  10. New Grad drowning in LTC

    First off ::hugs:: New jobs can be so stressful. I've been working at my LTC job for 2 years and I still ask questions daily and ask for clarification on things... and I'm one of the trainers! No one knows everything, and usually from school we don't...
  11. Mandated reporter?

    Ok, I'm a bit confused about this whole mandated reporter thing. I understand that as a nurse I'm required to report suspected elder/child abuse. However, is that only the case when if it's encountered while I'm on the clock at work? Or am I legally ...
  12. Mandated reporter?

    Because I want to know what the law is on the matter.
  13. Mandated reporter?

    I'm in Illinois. What state are you in?
  14. I'm not entirely sure what my face looked like when I realized what he was saying, but I really tried!! lol. But I definitely took an extra long shower that night!
  15. Do you clean bedpans or throw them out?

    It happens, yeah. Especially when the bedpan is full. But if it's happening EVERY time you might want to examine your "technique". Try pushing down on the edge closest to you while the pt rolls the other way to keep it level. Also, when you get them ...
  16. Do you clean bedpans or throw them out?

    I always cleaned the plastic ones, except in rare cases where it was just too much effort. At my facility the pt got charged for each bedpan, so we tried to be conscientious of that, and they do cost the facility money. But sometimes... when they get...
  17. So I'm working as a tech in a hospital and we get this pt. He was in his 40's, and one of those patients who came in just... covered in dirt and old clothes and matted hair. and you can just sense something is "off" with them. So I get report that h...
  18. I work in a LTC facility,and like most we have some severe staffing issues. It's my first job as an RN,and I'm not sure what's ok and what isn't.... Normally when a nurse calls off, I volunteer to stay over, at least for part of the shift because I d...
  19. legal mandation length (illinois)?

    Do you have sources for that, newhospicern? If I go in there with what Esme posted, she's just going to say "we're not a hospital, this isn't applicable" and ignore it.
  20. legal mandation length (illinois)?

    Ok, here's where I"m having trouble... I want to make sure all my ducks are in a row before I approach her about this. One of those says hospital, and I'm not working in a hospital. Another that I found seemed to only pertain to state facilities. W...
  21. legal mandation length (illinois)?

    To be clear, she wasn't trying to make me stay for 24 hours, just saying that she legally could, which I can't fathom can be true....?!
  22. Ok, so I graduated from nursing school in December of 2011, and had to take some time off. I'd been applying for nursing jobs since august 2012 with no luck, but I was just offered a job at a nursing home on nights. I know nursing homes tend to have ...
  23. Suggestions please, New grad asking for help

    First, let me say that you're not alone! I've been looking for a job for over a year and just now found one. It sounds like you're doing everything right, just keep at it and don't lose hope. In the meantime, try applying for cna jobs rather than ju...
  24. 3 days! That sounds terrifying. Thanks for the reassurance. What does ATB mean? :-/
  25. Some background... So I have an ADN, and am unable to find a job. I graduated in December of 2011, and took/passed by boards for the first time in August of 2012. I waited because we were going to move to another state but since it wasn't set in ston...