We have a form in patients charts that we write on. We have to put the facility name, patient name, doctors name, our name and sign it, note that you changed the mar, notified pharmacy, family and...
dinkymouse replied to nursejennie76's topic in Emergency
One of our LPN's got fired today. She had worked there 19 years but the problem was that someone else wants her hours. That person is willing to make nice with our don. Deb was not that type of...
dinkymouse replied to floridanurse2b's topic in Nursing Career
Here in Iowa, and I think in some other states, there is Hamilton Business College. They don't have the regular length of classes and have just started an LPN program. They also aren't accredidated...
Passing meds in this facility is a nightmare. The only ones who get it done on time are those who are sloppy or set them up before. I won't set them up before because; what if i pick up the wrong...
dinkymouse replied to SouthernLPN2RN's topic in General Nursing
I wish I just had med passes! I also have to do assessments, tx's, orders, fifteen billion sheets on pain, g tubes, intake, output, uti's etc........ I like LTC but yes there are days that I feel...
Our LTC recently started the nurse manager positions. Both nurses were from in house. 1 is excellent at the organization, helping and the rest. If there is a problem with your work she explains how...
Thank you for reafirming my thoughts on this case. I can't believe the attitudes of some of our nurses and cna's. Today was a bad day but I will live through the Wedensdays I work.
In a discussion with a doctor in my first year as a nurse he said, "It is better to put the cart before the horse, In other words it is better to prevent the pain before it gets there" I have...
We do have hospice come in to our LTC. The family, since it has the DPOA, has to agree and they won't. I agree that morphine and and NSAID would be more helpful. I try and get things ordered but I...
:) I am lovin almost all the moments of nursing. This site is good because we can share the best, the worst and all the inbetween. It is great to be able to ask questions and have so many people who...
dinkymouse replied to CapeCodMermaid's topic in Geriatric, LTC
I would love that staffing. We have 70+ patients, 2 nurses and 6 aides on days, occasionally we have a med tech. Evenings are much worse. Had she ever worked LTC before? I think it does overwhelm...
We sign out each med with our initials. They come in blister packs so you know if it's been given. You also know if someone on the prior shift or day didn't sign out because there is a blank spot....
dinkymouse replied to mandykal's topic in Geriatric, LTC
I would like to use that to give it too my nurses and cna's who get so frustrated and short with our dementia patients. I cannot imagine how scary it is for those just starting to go through
dinkymouse replied to Michigan_Rose_RN's topic in Geriatric, LTC
Not knowing who is who is a problem in my LTC also. They have pictures of some but they are from when they came in and can look totally different now. We do skilled nursing and have GTubes. We do...
dinkymouse replied to dinkymouse's topic in Geriatric, LTC
I assertively said I wasn't going to work 2nd's anymore. I think Nicole though really emphasized the point. After doing it for a week she went into the DON's office and told her she was quitting cuz...
I work in LTC but have done med/surg. Where I work now has about the same problem. Stuff left for the next shift, not getting told important things about pt., Like they have vomited everyday for...
dinkymouse replied to goodywhyte's topic in Home Health
I was in the same job as you. It is totally overwhelming and you never get the paperwork caught up during business hours. I wondered why there hadn't been anyone in that position for 9 months, (so I...
Our facility is planning to open a locked unit for dementia patients. They do not plan on having a nurses station inside this unit. The station will be down the hall on a regular unit. I feel this...
dinkymouse replied to estrogen's topic in Geriatric, LTC
You should check out my thread, unsafe staffing, I know how you feel. I don't work 11-7 except once but for our 100+ patients there is one RN or LPN and one med aide. The same as on the 3-11 shift....
dinkymouse replied to dinkymouse's topic in Geriatric, LTC
I researched this alot with the BON, OSHA and the iowa health department. There is only one state that has a required staff/patient ratio. Iowa is not one of them. The rule here is that a nursing...
dinkymouse replied to dinkymouse's topic in Geriatric, LTC
That is a good suggestion. I am also taking some classes on dvd from them to become a certified Alzheimers care specialist so when I finish with that I think I will be more creditable with this...