ocean.baby

ocean.baby

corrections and LTC

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All Content by ocean.baby

  1. I work in a facility that has several group homes that house the developmentally disabled. We have two participants who have been prescribed Boost for a nutritional supplement due to difficulty maintaining their weight. Medicaid used to pay for thi...
  2. New Grad in CA with an ADN

    Every unit has its ups and downs. You will learn time management skills that will benefit you in any job you do in the future. You will learn basics and have them out of the way and that will be a benefit to you when you move to a different unit. ...
  3. Will start working...exciting but nervous..Help!!

    Each person has their own preference for shifts. I do not like days as they are more hectic and I hate the telephones. However, when I was younger I did not mind days. I am not a morning person so prefer evenings/nights. The bad thing about night...
  4. How can I make Rocephin I'm hurt less???

    Rocephin I'm just flat out hurts, it hurts the patient and it hurts the heart of the nurse giving the injection.
  5. CNA's always on their cell phones

    OMG I hate cell phones and am glad they weren't around when I was young or I may be one of the people being complained about. Where I live all facilities are so short that they would not terminate anyone over anything but abuse/neglect, and that is ...
  6. DON on cart

    Unfortunately it is not working the cart occasionally. The less you complain about it the easier it is to say, 'oh the DON will do it' instead of truly trying to find coverage. A DON has far too much to do to also work the cart, even in an emergenc...
  7. Trying to understand Director of Nursing turn over rate

    I have been a DON and an administrator. There is not enough money in the world to be a DON again. That is a position that nobody appreciates, who gets all the dirty work that nobody else wants to do and way too much of it. All you hear all day lon...
  8. Corrections NP: questions

    I am answering as a prior prison health administrator. You would have a period of orientation with a correctional provider, your orientation may be longer due to not having worked as an NP. You have a patient list to see each day plus respond to em...
  9. Corrections Nurse for a New Grad

    Corrections is a great field to work. You can advance in so many areas and the opportunities are great, especially if you can travel or move with the company. If you work for the state, there are always open positions that involve a raise. As a st...
  10. Ethical Dilemmas of Correctional Nursing

    You have been watching too many prison movies. I have worked in corrections 25 years, and have never seen physical abuse from staff towards the inmates. I am not saying it hasn't happened, but I have not seen it. Verbal abuse - yes, but rarely, and...
  11. Ageism in Corrections?

    I have worked with many petite nurses in corrections that were great. It is dependent upon your attitude, setting and maintaining boundaries, and professionalism. Do NOT discuss your personal life under any circumstances. It is not their business...
  12. Where do patients go?

    They go to the rehab unit at nursing homes, or to the rehab hospital, neither which is a good choice in the area where I live. Having worked at the nursing homes, I can tell you that the nurse has 20-25 patients regardless of the care that they need....
  13. A friend bought her degree from the Philippines.

    It's a requirement for the RN programs; however, not all nursing schools require it prior to admission. No. It is not required for all ADN programs. They are still RNs.
  14. New job and asking for time off

    As a health administrator, I have interviewed and hired a lot of staff. I always appreciated when the person being interviewed brought up planned time off during the interview. I like that up front honesty, and never one time held that against them...
  15. Management-initiated fraud?

    I worked with a new nurse for four hours - first time I had worked with her, who had not charted that the blood sugars were done before dinner. I asked her if she had done them, and if not I would be happy to help her get them. She said that she go...
  16. misappropriation of prescription medications

    I have worked corrections for 24 years. I can tell you that often medications are hard to come by. There should always be a provider on call who can order the needed meds. However, if there is not a 24 hour onsite pharmacy where are you going to g...
  17. Needlestick Injury

    A doctor visit without labs is totally worthless. OSHA requires the facility to follow the CDC guidelines for post exposure testing. Every place where I have worked, which is many, it is paid for by worker's compensation. I do not know how many em...
  18. Nursing shortage is BS

    Awwww, I can hardly wait to let the med surg nurses know how easy their job is. Semi pass meds, clickety click, then paint your nails, read a book, play on facebook.
  19. Why do RNs choose to work in nursing homes?

    I absolutely love long-term care, that is where my passion is. There is not a day that goes by that I don't laugh. There is not a day that goes by that I don't feel loved and appreciated. Even on the worst days, there are always bright lights. Unf...
  20. What kind of LPN job should I get while in the RN program?

    Long term care, facilities for the developmentally disabled, psych hospital, medication clinic (i.e. methadone). They all seem to have a lot of openings and are more flexible with scheduled.
  21. New to assisted living is this normal

    I worked assisted living with 80 patients. There were always 2 nurses for med pass, plus 3-4 CNAs. I am an experienced nurse who graduated in 1993 and have worked many long term care facilities. I never seemed to have a free moment, but then I vis...
  22. My favorite schedule was when I worked two 12 hr shifts and two 8 hour shifts per week. That gave me three days off and I enjoyed the two 8 hour shifts as I had time to do other things. I wonder how many nurses that insist on 12 hour shifts actually...
  23. Fired for saying i might file safe harbor

    How many patients were the 3 nurses and 2 CNAs caring for? Not that this has any bearing on safe harbor, it is just my curiosity.
  24. Chemistry Class

    I took a few classes during the summer and at night. Most of those instructors are picking up extra money. They seem to understand that many of the students taking the evening/summer classes are taking chemistry as a required class, not as a career...
  25. What should I do?

    Every job has good and bad. You are getting great experience giving total care on a med/surg unit. No matter what hospital you transfer to, there will be things that stress you out and make you think you will lose your license. I would hang in the...