txnurse01

Latest Activity

1. burn out

   txnurse01 posted a topic in Geriatric

   Does anyone know the most effective way to deal with career burn out. I've been am lvn/lpn in ltc for 12 yrs now. I can't afford to go back to school. I basically do the same things as a RN and am smarter than a lot of RNs that I come across who seek...

2. combative residents and family. (kinda long)

   txnurse01 replied to fairyluv's topic in Geriatric

   Being a threat to himself or others should get him an auto at least 24 Hr psych evaluation in a hospital. Once he becomes violent he has given up his rights. The rights of one ends where another's begins. Poorly handled

3. Orders.

   txnurse01 replied to lauriepat's topic in Geriatric

   Gotta have a telephone order for everything. Lazy nursing on part of the weekend nurse for not having investigated but correct in that no order was written.

4. OMG! *I* cannot pronounce death but a paramedic can????

   txnurse01 replied to nervousnurse's topic in Geriatric

   Paramedic doesn't technically the physician they are getting orders does after the set numbers of drugs and compressions are done with no affect.

5. Sleeping on night shift in LTC

   txnurse01 replied to Blackcat99's topic in Geriatric

   I do. I believe in CYA but also if its not affecting me then why bother. As long as pt care is done. I just learned that the hard way

6. Bringing in Ostomy nurses for problems & a Hospice question....

   txnurse01 replied to nervousnurse's topic in Geriatric

   Oh and on the pain Med issue. If her defers to his wife's judgement then u have to. However if he is of sound mind then u have to follow what he wants. If he wants pain meds then he facility must follow his wishes. Sounds like she just doesn't unders...

7. Bringing in Ostomy nurses for problems & a Hospice question....

   txnurse01 replied to nervousnurse's topic in Geriatric

   Cut the wafer for the ostomy as small as possible to try to keep off he dressing, if hats an issue. Try putting skin prep on the skin prior to placing he wafer on the skin.

8. Are you a RN or LPN???

   txnurse01 replied to LH...RN's topic in Geriatric

   Lvn. 12 yrs, but I'll get my RN soon. Lol

9. Med Passes

   txnurse01 replied to kcdunlap's topic in Geriatric

   Yes they do. Yes it does. I like to sort thru the draw reading the card and read it and u can get an idea if its due he. Once all suspected meds are out then go by the Mar putting them back in as u go. Im happy if my Med pass takes less than 1.5 hrs,...

10. OVERWHELMED!!!! Need advise desperately!!

    txnurse01 replied to LH...RN's topic in Geriatric

    Been in LTC 12 yrs now. Sadly it is a lot of sink or swim. See if u can find a mentor nurse there. Someone that can show u the ropes. Tell them you need just a little guidance on paper work. Doubtful you'd get any more days of orientation. Just ask ...

11. HELP! LTC RN VS LPN!

    txnurse01 replied to ricksy's topic in Geriatric

    The lvn should be held accountable as h was he one that stated he took care of the orders. As an lvn I do not consider an RN I work with as my supervisor unless they hold the title. If the person came from home a home list would probably be all the h...

12. What is the proper way to address a resident who was a titled health professional?

    txnurse01 replied to michiganstudent's topic in Geriatric

    You call the person whatever it is they prefer and are comfortable with. For instance if a Dr Smith wants to be called by his first name David, then call him David.

13. Are most LTC's always low on supplies?

    txnurse01 replied to Blackcat99's topic in Geriatric

    The situation dictates that n order to be compliance with regulations that a nurse manager would need to b notified and Tj medication be picked up at a local pharmacy using petty cash. Many contracts with the pharmacy used by the facility do not incl...