psychgeribuff

psychgeribuff

Geriatric Psychiatry

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All Content by psychgeribuff

  1. Frustrated With New Narcotic Rules

    psychgeribuff replied to Donnagg123's topic in Geriatric, LTC

    At my facility the doctor can speak directly to the pharmacisit to gain the order for weekend/nights. Then they can give you the code to get into the e box or send the medication. I assume your...

  2. Dealing with dementia residents

    psychgeribuff replied to hayley87breanne's topic in Geriatric, LTC

    I have worked with many dementia patients in ltc and psych. Another way to handle the situation in the future is to look at the patient state there name and say "please do not hurt me" once they...

  3. How do you deal with dementia residents?

    psychgeribuff replied to godlycreations's topic in Geriatric, LTC

    ♥♥♥♥♥♥-love this post, I believe we are on the same wave length Kevin. I think you would be the perfect Nurse for a geri-psych

  4. Statements post fall

    psychgeribuff replied to CapeCodMermaid's topic in Geriatric, LTC

    Check devices to be in working order. Walker, bed,

  5. Nurse Manager Head Explosion

    psychgeribuff replied to garciadiego's topic in Geriatric, LTC

    I am not sure what is running through the tubing and where it is going- iv, gastric tube,?? If you look in our policy manual at work it will give you a set limit of time to change tubing. Every...

  6. Nurse Manager Head Explosion

    psychgeribuff replied to garciadiego's topic in Geriatric, LTC

    Awe I am sorry, I was trying to be cute not mean. I did not understand the post because of all the abbreviations. If you clarified some of them I would love to try and

  7. Nurse Manager Head Explosion

    psychgeribuff replied to garciadiego's topic in Geriatric, LTC

    I think my head just exploded with all the

  8. ltc and a lawsuit.

    psychgeribuff posted a topic in Geriatric, LTC

    The ltc facility that I am employed with has a lawsuit filed agianst them. I have worked for them for 3 years and this is the first lawsuit since I have been there. We have always done well with...

  9. ltc and a lawsuit.

    psychgeribuff replied to psychgeribuff's topic in Geriatric, LTC

    I have liability insurance and have had it since I passed my exam 4 years ago. I appreciate all your input and I will take everything into account. The lawsuit has been made very public and I read...

  10. Losing patience with residents.

    psychgeribuff replied to Sbrewster's topic in Geriatric, LTC

    First off hugs because it is difficult to deal with patient that are combative/confused/ and med seeking behavior. What you are in need of is empathy, the ability to be in their shoes. And this is...

  11. I'm blind!

    psychgeribuff replied to garciadiego's topic in Geriatric, LTC

    I have the same issue, and I have been at the same place for 2 1/2 years. I think it is how my brain works. The way I get what I need is ask another nurse to help me find it or the medical supply...

  12. Resident Fall/Upset Nurse

    psychgeribuff replied to arodgz's topic in Geriatric, LTC

    Awe first off hugs to you, what a mean nurse!! I fill out the incident and ask for a statment after a fall if the cna saw the fall. I am also doing neuro exams (which include vitals) every 15 mins...

  13. Critical lab

    psychgeribuff replied to shorescharlotte's topic in Geriatric, LTC

    I believe that the MD ordered the fluids for the time it was wrote. So if I were the nurse the IV fluid would be running by 1215 all medications must be given within an hour of the order in my state...

  14. Parkinsons or pain?

    psychgeribuff replied to anashenwrath's topic in Geriatric, LTC

    Is the patient on sinemet or another antiparkinson medication? Mabe he is in pain bc his medication needs adjustment and at dinner/toward the evening his muscle ridgitiy is more

  15. Going from Med/Surg to LTC thinking is hard

    psychgeribuff replied to dorselm's topic in Geriatric, LTC

    The only thing I would have done differently would be to speak to the health care surrogate. Did they want him sent to the hospital? I personally think you did the right thing. His cancer wasnt...

  16. I Hope No One Hires You

    psychgeribuff replied to CapeCodMermaid's topic in Geriatric, LTC

    We are professionals and held to a different standard because our patients depend on us. In my opinion leaving without two weeks notice boarders on

  17. Important development

    psychgeribuff replied to BeOne77's topic in Psychiatric

    Yes I do explain the side effects of psychoactive drugs to my paitients and there health care sureogates. They then have the chance to choose thier route of care. I am curious beOne77. Have you...

  18. Completely Overwhelmed!!

    psychgeribuff replied to JSummers2014's topic in Geriatric, LTC

    I work both positions as a prn RN. I love the wound care/restorative position!! It gives you the chance to critically think and your not a slave to that pill cart. As to the routine part it will...

  19. Maslow's hierarchy of Needs.

    psychgeribuff posted a topic in Geriatric, LTC

    I am curious to know how my fellow nurses prioritize patient care and needs. Does anyone ever think about Maslow's Hierarchy of needs? First tier is physiological: like breathing, eating, and...

  20. What's With the "Poop"?

    psychgeribuff replied to bluegeegoo2's topic in Geriatric, LTC

    Well I believe the correct diagnosis is BOB. Bowl on the Brain. I am attempting to get this diagnosis into the next DSM. Lol. Goodluck with the

  21. Maslow's hierarchy of Needs.

    psychgeribuff replied to psychgeribuff's topic in Geriatric, LTC

    Thank you all for sharing!! This theory is how I try and practice. I also try and stress this to the new nurses I am able to orient. I use the example of passing medication and being in a hurry....

  22. Do you tell?

    psychgeribuff replied to CapeCodMermaid's topic in Geriatric, LTC

    I tell them. Makes them more aware of the care they give. I dont want them taking short cuts with me or my

  23. Where are all the nurses?

    psychgeribuff replied to CapeCodMermaid's topic in Geriatric, LTC

    I have to agree you sound like a wonderful DON and I would love to work for one such as you. My facility is the same were are the nurses? I can tell you I am staying home with my young children my...

  24. career path after LTC as first job

    psychgeribuff replied to wannabemurse's topic in Geriatric, LTC

    I had two friends that worked LTC out of nursing school for one year and then both recieved full time positions in one of the best ICU's in our area. Experience is what managers are looking for. And...

  25. Polypharmacy-When is it too much??

    psychgeribuff posted a topic in Geriatric, LTC

    I scratch my head every time I work the cart at a 60 bed ltc facility (Which isn't often, because I stay at home with the kiddos or I work as the wound care nurse or doing admissions/assessments)....