NurseQT

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All Content by NurseQT

  1. NurseQT

    Prescribing Narcotics for Pt with Drug Abuse Hx

    NurseQT posted a topic in Pain Management

    I work in a SNF where we recently admitted someone S/P ORIF of the femur for a short term rehab stay. This patient is in their mid 40s and among their very lengthy list of diagnoses there is a history...
  2. NurseQT

    Computer Systems

    NurseQT replied to Glycerine82's topic in Geriatric, LTC

    I’m used ECS, Matrix, and PCC. I’d have to say Matrix is my favorite out of the three. PCC is the system my employer uses and I don’t really like
  3. NurseQT

    New to assisted living is this normal

    NurseQT replied to Sam59808's topic in LPN, LVN Corner

    Are you the only licensed nurse for the entire community? If so, that is insane. I work in assisted living. There is the RN (Health and Wellness Director) and me for 32 assisted living residents (our...
  4. NurseQT

    Reasonable Wage in the ALF World

    NurseQT posted a topic in General Nursing

    Little bit of background.. I’ve been a LPN for 17+ years, 15 of those years was working in LTC and Rehab fields. Two years ago I made a big switch to the ALF/CBRF field. I am no longer doing any...
  5. NurseQT

    End of shift narc count

    NurseQT posted a topic in Geriatric, LTC

    I know this has been asked before but I've never really seen a clear answer on this... Are nurse techs and med techs allowed to count narcs at shift change? I was always told that the shift to shift...
  6. NurseQT

    "You can't call off!"

    NurseQT replied to snow22's topic in Geriatric, LTC

    I'm with the OP on this... years ago I was hit head on by a semi on the highway during a snowstorm. I wasn't speeding or driving carelessly, was actually driving 30 mph below the speed limit. My...
  7. NurseQT

    Typical Staffing for a SNF/Rehab Wing

    NurseQT posted a topic in Rehabilitation

    I work for a SNF that has three wings, two are LTC and the third is Medicare/Short stay/rehab. The short stay wing has 32 beds. We typically have 3-4 CNAs and either 2 nurses or a nurse and a med tech...
  8. NurseQT

    "Nurse" arrested for using stolen license

    NurseQT posted a topic in Nursing News

    Nurse at Reedsburg medical center used fake RN credentials, officials say |
  9. NurseQT

    Admission Skin Assessments

    NurseQT posted a topic in Geriatric, LTC

    Wondering when other facilities do an admission skin assessment. At my facility the majority of our admissions are short term rehab patients and are admitted to our rehab wing. Most of our admissions...
  10. NurseQT

    Admission Skin Assessments

    NurseQT replied to NurseQT's topic in Geriatric, LTC

    Besides the 10-12 step process on the shift of admission there are additional assessments and tasks that are done over a 6 day period. For example, a 3 day toileting assessment is started on the...
  11. NurseQT

    "Nurse" arrested for using stolen license

    NurseQT replied to NurseQT's topic in Nursing News

    She never went to nursing school. She claimed she graduated from the Madison tech college with an associates and then completed her bachelors at UW-Madison. Neither school has any record of her...
  12. NurseQT

    "Nurse" arrested for using stolen license

    NurseQT replied to NurseQT's topic in Nursing News

    No, she wasn't a LPN, never even took the CNA course. The extent of her schooling was one medical term.
  13. NurseQT

    "Nurse" arrested for using stolen license

    NurseQT replied to NurseQT's topic in Nursing News

    I guess she worked as a unit clerk at various hospitals, all the while telling her family and friends that she was working as a nurse. She was still on orientation when she was found out. The other...
  14. NurseQT

    Typical Staffing for a SNF/Rehab Wing

    NurseQT replied to NurseQT's topic in Rehabilitation

    Sassafrass- you describe pretty much how I feel as well. I have been a nurse for 14 years and have never seen it as bad as it has been these past few months.. It's so
  15. NurseQT

    Prescribing Narcotics for Pt with Drug Abuse Hx

    NurseQT replied to NurseQT's topic in Pain Management

    Patient has now gone back and forth between doctors demanding more pain medication... The physician following them at our facility has now said he will not sign any further orders for more narcotics,...
  16. NurseQT

    What are these wounds??!

    NurseQT posted a topic in Wound, Ostomy, Continence

    Hoping someone can help figure out the wounds I'm seeing on a LTC patient of mine because my co-workers and I are completely stumped. A little bit of background: The patient is a kind of a younger...
  17. NurseQT

    My AL facility admin have lost their minds.

    NurseQT replied to xoemmylouox's topic in Geriatric, LTC

    So the noc nurse is on her own? That can't be legal, what about residents who are assist of 2 for transfers and bed mobility?! Care plans have to be followed, a facility can be cited for failure to...
  18. NurseQT

    Catheter Policy

    NurseQT replied to punkdmm's topic in Geriatric, LTC

    Our orders to change indwelling caths always come from the ordering MD. We have some that are every month and some that are every other month, and some that go out to urology for their routine...
  19. NurseQT

    Prescribing Narcotics for Pt with Drug Abuse Hx

    NurseQT replied to NurseQT's topic in Pain Management

    Concerns were brought up to the discharging facility as well as the PA who ordered the narcotics in the hospital and works with the MD who signed the discharge orders... The patient will be seen by...
  20. NurseQT

    Prescribing Narcotics for Pt with Drug Abuse Hx

    NurseQT replied to NurseQT's topic in Pain Management

    I'm not saying they should suffer in pain at all, but there are other non-narcotic options out there. When a physician orders Morphine, Oxycodone, and Lortab but not Tramadol, ES Tylenol or even a...
  21. NurseQT

    What are these wounds??!

    NurseQT replied to NurseQT's topic in Wound, Ostomy, Continence

    His primary physician saw him this past week. He said the ulcers are due to a vitamin D or zinc definciancy or a combo of both. Basically because of his extremely poor nutritional health his skin is...
  22. NurseQT

    Incentives to orient new hires?

    NurseQT replied to Lola Lou's topic in General Nursing

    My facility had talked about designating specific nurses to become trainers (I was one of the nurses that they asked), sending us to a "train your trainers" workshop to become certified trainers, and...
  23. NurseQT

    What are these wounds??!

    NurseQT replied to NurseQT's topic in Wound, Ostomy, Continence

    Well we're a little bit closer to finding out what is going on with this man's skin! We had one of other providers take a look today, she took one look and said "that is definitely NOT dermatitis!"...
  24. NurseQT

    What are these wounds??!

    NurseQT replied to NurseQT's topic in Wound, Ostomy, Continence

    I really wish I could find a picture online of what these ulcers look like so I could post it but no matter how much I've searched online I can't find anything like
  25. NurseQT

    The wait is driving me insane!!

    NurseQT posted a topic in Job Search, Interview, Resume

    I interviewed for a job I want more then anything two weeks ago tomorrow... The unit director said they were still interviewing candidates and it would be a week or two before I would hear anything....