dinkymouse

dinkymouse

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All Content by dinkymouse

  1. My 1st Mistake

    Mistakes are made by even experienced nurses. Just learn from this and move forward. Many pts. with dementia make statements like this and while you must question their accusations check and see if...
  2. How do they post DNR in the patients rooms at your LTC

    I think I will make a list of codes and dnr's for myself. We get new pts a lot and if it is the first time you work with them it is hard to know. We don't have stickers on the front of the charts,...
  3. What Is Your Biggest Weakness?

    I hate filling out 6 different forms for one patient where you could get it all on one if you did it right. I spend more time on paperwork than on patient care some days. I also have that...
  4. Chronic Tardiness

    In my facility we have 4 aides that are always late. They were pets of the administrator who just left and we're all hoping they get their just deserts when the new one starts. They never call and...
  5. Problem patient and family

    The patient who directed traffic fell the other day and broke her hip. She caused a lot of problems but I hate it when that
  6. Problem patient and family

    We have a patient in our facility who's family are a pain. The patient is heavy care, behavior problems and needs constant attention. The family is worse. There have been 2 "anonymous" reports to...
  7. Problem patient and family

    I have been a very nice person and am flexible with things. When I am old and in a nursing home I want to be one of the ones that tell everybody off! The patient I first posted about threw a fit...
  8. End of Shift Report

    I get so frustrated by report in our LTC. It is on a written board with some verbal thrown in. Unfortunately some doesn't get written down or passed to the next shift. In the past week I found 4...
  9. How many Pt do you take care of?

    I'm in a LTC and on a good 7-3 shift we have 3 nurses, 1 cmt, and 7 aides for 80+ patients. On bad days it is 1 nurse, 1 omt and 5 aides. Second is 1-2 nurses, 5 aides and maybe 1 cmt. Third is 1...
  10. 4 hours between shifts

    I have to work 3-11 and then come back in at 3am and do 12 hours. Have you ever had to do this? What do you do during those 4 hours. It takes me a while to fall asleep and then I have to get up and...
  11. Hints for med passes and documentation?

    Hot charts are pts that need daily documentation, such as things like infection, g-tubes, edema, skin problems, behaviors etc. We have separate forms to fill out daily for those people. Weekly we...
  12. Problem patient and family

    I wish we did have unit. Our dementia patients are scattered throughout the building. We have one who will walk down the hall with her shirt off. She is at the front station where visitors come in....
  13. Skin Tears........

    Our dermal nurse uses telfa over skin tears and I hate it! :angryfire Even with soaking it always reopens the tear. I talked to her and she is still going to use the telfa. These elderly people have...
  14. Problem patient and family

    The patient I described in the beginning of the thread told a STATE INSPECTOR to "f" off yesterday! :roll The patient was on one of her rolls and had taken her pants off. When the nurse took the...
  15. Nurses struggling with mental illness

    I think being a Nurse Educator would be good for you. One of my favorite jobs is patient education and there is very little stress to it. I don't know how you would feel about doing inservices and...
  16. Nurses struggling with mental illness

    I had been a nurse for 4 years when I fell apart. It took me 11 years but I am back now better than before. I had severe depression, panic disorder, DID, PTSD. Borderline personality disorder is...
  17. Forced to be charge nurse. Help!

    I think that you should try charge but only with someone with you the first few times. As for the age discrimination-be one of the first to change that. Show them what you are made of. If you...
  18. :imbar A patient in the LTC I work has a habit of takin the dressings off his amp wounds and licking the pus off. That was bad but one morning he started having a bm before the aides could get him to...
  19. Dealing with on call Doctors

    :kiss Thank you guys. You all gave me great advice. The medical director is the doctor who was on vacation. Dalzac you were great! I had to do about the same thing with a nursing supervisor at the...
  20. Oh what a night!

    Just a little midnight story for you all. Okay it's 3am and I just got home from work. Supposed to have gotten off at 11 but.... 1. Lady with a leaky colostomy and watery stools. 2. Lady with...
  21. Oh what a night!

    There are 5 on the other end. I like a challenge and this certainly provides that. Last noc was better only had to send 1 pt in and only 1 had
  22. Ever get called in and mandated?

    At my work nurses and aides get highlighted and that means if someone calls in they are supposed to come early or stay late. Yesterday there were 2 aide call ins on days, a lpn and aide on 2nd and...
  23. New Nurses

    See my post *orientation not enough*. LTC's are notorious for starting their nurses without much orientation. Because you are a new grad you will get more but tell them if you feel you aren't ready...
  24. Care plans...what is and isn't necessary

    We have a care plan nurse. She does all the care plans but it bothers us that she doesn't discuss the needs of the patients with us. We deal with them day to day and she assesses them weekly or...
  25. LTC - How "selective" is your charting?

    I still don't know everyone in my facility. I hate it when I need to see if something is normal for a patient and its not documented if it has happened before. I want to know if someone has a low...