dinkymouse

dinkymouse

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All Content by dinkymouse

  1. Fear Factor, Nurse Style, Five Stunts... lol

    0000000000000000000000000:barf2:
  2. Am I being a baby?????

    Apparently they didn't give her time to quit, she is getting a lawyer and filing a
  3. Doctors telephone orders???

    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...
  4. Am I being a baby?????

    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...
  5. Does it matter what school you go to?

    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...
  6. 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...
  7. Losing my mind in LTC!!

    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...
  8. Ill prepared managers...

    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...
  9. pain management for bone ca

    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.
  10. Palliative Care and Euthanasia

    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...
  11. pain management for bone ca

    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...
  12. Am I alone in liking being a nurse?

    :) 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...
  13. What is reasonable staffing?

    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...
  14. MARS missed signing

    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....
  15. The Experience of Dementia as a Journey

    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
  16. Culture Shock! Hospital to 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...
  17. How do I get reports on LTC facilities

    Try your states dept. of health or regulations that is where I found it in
  18. Unsafe staffing

    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...
  19. Shift change/report problems (long)

    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...
  20. Am I whiny or is this too much?

    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...
  21. Opening an Alzheimers unit

    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...
  22. Bizarre, Odd or just plain Gross Patient Habits.

    We have a patient that will take the bandages of his sores and lick the pus off and also licks the crotch part of his underwear.
  23. 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....
  24. Unsafe staffing

    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...
  25. Opening an Alzheimers unit

    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...