Mn nurse 22

Mn nurse 22

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All Content by Mn nurse 22

  1. My guess is your position about refusing all mandates is a lot of the problem. Why would she want to keep a nurse who is creating more work for her AND I can only imagine what the rest of the nurses...
  2. Here's a new one: chart assessments before midnight.....

    Could you pick one night to do 2 assessments? One before midnight and one after midnight? Then the next night would already have charting on that day and you could have the rest of the shift to get...
  3. Patient on patient abuse?

    If there is a sentinel event and you have documented a history of problems without interventions the facility may be held
  4. Baby Friendly- getting a tad over the top

    I had my babies almost 20 years ago and was sent home with packages of formula and not a lot of good information about breastfeeding. I had done my research and had decided to breastfeed but as a new...
  5. Do health shakes need MD order?

    Is your facility providing the health shakes? Do the assisted living residents have orders for medication administration? How independent are they? i would think that an independent resident who took...
  6. Chemical restraint and lazy nurses

    We had a pt who was on Ativan qid and PRN and had been for several years, we sent her to the hospital because of change in condition, and altered mental status and they sent her back with a diagnosis...
  7. It is the best way to stay out of most of the
  8. Nexium Capsule!

    I have a system which I call the snowglobe system which I used until we switched to liquid suspension. I would open the capsule, and carefully pour into syringe without any water with syringe , I used...
  9. LPN and Advance Directives? What if?

    If I walk into a patient's room and find them unresponsive I start my assessment, and ask any staff member to grab their chart do I can read their Advanced Directive, also gives me their diagnosis and...
  10. Nurses with tattoos and piercings

    We spend a lot of time in school to become professionals. Like it or not, people do judge all of us by our looks, so I have always tried to look and act professional. To me, a tattoo puts the focus on...
  11. New Nurse Multiple med errors

    Glad they are giving you one more chance, take some time to really think about why you made your previous errors, were you too busy, did you get interrupted, and try to slow down and focus on your med...
  12. New Nurse Multiple med errors

    How do the other nurses organize their med pass? I have worked with paper MARs and electronic ones, and there are advantages to both systems. Are you always on the same unit? Could you come in early...
  13. Double padding, what's the nurse to do

    Do a thorough skin assessment immediately and chart your results, and ask your management team, some places will want an incident report and a VA report, other places might want to sweep it under the...
  14. It takes all kinds, I have been a patient and I am a nurse. As a patient I am looking for efficiency, knowledge and expertise, not necessarily someone to hold my hand or give me a hug. As a nurse I...
  15. showering residents on third shift??

    I work NOC shift and we only give a shower if a resident requests. Does your state/facility has a resident bill of rights? I would not be happy if someone had to wake my grandma to give her a bath at...
  16. MSN capstone research-Aspiration Pneumonia in the Elderly

    I tried the survey, I was using my iPhone, which may be part of the problem, but several questions did not allow any answers and even more were very confusing as to what kind of answer you were...
  17. Flexible med times

    We have started changing synthroid to 1600. Before supper so on empty stomach, but then we don't have to wake them at 0600 for one pill. Would welcome some feedback if anyone thinks we shouldn't be...
  18. Flexible med times

    Our Am pass is 8-10 (7-11 really) and HS med pass is also 8-10. Since they are 12 hrs apart it isn't a problem for bid meds. We also have noon and supper meds/insulin. Our computer EMAR will also...
  19. thinking about quitting night shift in LTC

    I started strait nights last April and it has been rough. Am always tired, still in my PJs at 5pm and am going back to sleep at 6:30. A few things that work for me: I take an approved nap every night...
  20. Morphine and End Of Life

    What a great thread and very interesting to hear so many professional perspectives. I agree the hospice nurse was wrong in her explanation of why we give morphine but appreciate how hard they have to...
  21. Old nurse verse New nurse

    I wouldn't have given Ativan but would have tried some Tylenol and a warm
  22. How much is too much morphine?

    Good point. We aren't allowed/equipped to do a port so it would be either separate injections or liquid Roxanol. No IVs or ports for
  23. How much is too much morphine?

    Roxanol or liquid morphine is administered buccaly, between the cheek and gum. It is absorbed so the patient doesn't need to be able to swallow. Sub q requires a injection why would any nurse prefer...
  24. Would you accept this call out excuse?

    I agree with the posters who say if you want a vacation then schedule one, we are professionals and if you are on the schedule, we expect you to plan your life so you can make it to work on time....
  25. Sleeping on night shift in LTC

    We are mandated reporters and this is a vulnerable adult issue. If you don't report it you can get in trouble too, though you should start by gently waking up the nurse and ask if she wants a cup of...