psychgeribuff

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 pharmacy is the same way and they have not notified th...

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 let go or you are able to remove there hand gently w...

♥♥♥♥♥♥-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 unit!!!!

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

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 facility is different. Also last resort you could c...

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 help!!!

I think my head just exploded with all the abbreviations.

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 state, have won many awards, and have had a good repu...

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 about it in the paper it blames the ltc facility fo...

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 made so difficult with the time constraint put on ...

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 person that stocks the unit. And I always try to ...

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 the first hour and every 30 mins the second hour ec...

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 including IV fluids. Now if I have difficulty ga...

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 significant.

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 diagnosed yet and you had the post form with limit...

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 abandonment.

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 ever worked psychiatric intensive care? With psychot...

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 come. You now have the oppportunity and time to mak...

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 excretion. 2nd is saftey: security of body, morality. 3...

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 poo!!

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. Your patient needs to use the bathroom and there is...

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

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 husband has a wonderful job. But go to work about...

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 not to be snippy but what do you mean "Loosing yo...

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). This is what boggles my mind an elderly women with s...