NurseQT

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 of drug abuse. It's actually listed multiple time...

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 it.

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 acuity is pretty high right now) and we just took ...

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 skilled nursing tasks and work M-F. My official title i...

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 count had to be done and signed by two licensed nur...

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 vehicle, which was a 4x4 did a 180 and I was hit. The o...

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 for the AM and PM shifts and 1 CNA and 1 nurse fo...

Nurse at Reedsburg medical center used fake RN credentials, officials say | Channel3

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 usually arrive on the day shift. Our current admis...

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 morning after admission and then a bowel and bladder as...

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 attending EXCEPT for the med. term. class at the tech co...

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

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 nurses working with her began to get suspicious whe...

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 disheartening..

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, his colleague saw patient at his request and this ...

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 man, in his 60s. TBI that has had some really signifi...

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 follow a care plan. I doubt these changes are comin...

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 changes. We have it in our standing orders to change PRN ...

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 the provider following them at our facility on Frida...

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 cryo-cuff I think the physician has done this person ...

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 unable to regenerate, as dead skin cells are slough...

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 then offering a training differential for the shif...

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!" She really thinks it's something systemic. Her first...

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 it.

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. Since then I've been slowly driving myself insane b...