dinkymouse

What type of treatment would you use on an insertion site of a g-tube that has become infected? Our wound nurse is using 4X4's cut with a space to fit around the site. The 4x4 strings are getting caught on the plastic thing the tube fits through an...

I figure this is a frequent problem but I need to rant! When I accepted the job at my nursing home I told them I had not worked in 11 years and said I wanted a thourough orientation. "No problem you can have as long as you need." Well apparently 3...

xxxHow do you deal with an oncall doctor who doesn't want to do anything? It has been a while since I have dealt with this. Our facilities physician was on vacation and we had to deal with a md that doesn't listen to nurses. Never mind we spend so...

Everywhere I have worked there is a place in the room where it states DNR. This facility posts a heart if they are a code. I would much prefer knowing a patient is a dnr without having to look for where ever the heart might be. Maybe if the hearts...

Our facility just hired a new dermal nurse. She is not certified and doesn't seem to know what she is doing. We admitted a woman with a Stage IV on her buttocks. It is gross, smelly and causes her pain. The treatment is tid and consists of removi...

An RN in our facility had 2 days of orientation and was then put on the floor as a charge 3-11. A patient died and she did not start CPR. An aide had accidently told her the patient was a dnr. The RN quit and the family called the State agency, wh...

The people who were questioned didn't bad mouth the facility, they just answered the questions truthfully that they were asked. One was how long of an orientation did you receive? 2 days was about the norm for everyone. How often do you work with ...

Our Cna's are required to attend report and before they leave I make sure they know what to watch for and what I need to know asap.

Not excusing her actions, but during orientation we were told to send someone to check the chart for code status. That has changed to have someone bring you the chart. The investigators were both state and federal and all those interviewed were tol...

I have been writing up by 2 different nurses, once for not checking that what the previous nurse told me was true and once for not passing something on in report. The last one I refused to sign because I had witnesses that I had passed it on and the...

LTC-Iowa 70-80 residents-days 2 nurse managers, 1-2 nurses and 7 aides plus 2 rehab aides evenings-1 nurse, 2 med techs ( on a good day) 5-6 aides nights-1 nurse, 1 med tech, 3-4 aides I am usually the evening nurse and it can be overwhelming at time...

I am generally charge, 3-11, of 70 residents. We do have 6 aides most of the time and I have at least med tech to pass 1/2 the pills. On a good day I have 2 so I only have to do the tube feedings, insulins, orders, charting, assessments etc. This ...

When I started this post it was just a hypothetical question but in the past few weeks it has become a reality. I was the only nurse on one night when a patient went into cardiac arrest in the dining room. His chart was clear down on the other end ...

:angryfire I have never been a hospice nurse but have worked with them when a supervisor for homecare. They have always worked hard at keeping the pts pain at a low level. I work ltc now and we have a sweet little lady that has had cancer in her lu...

I agree that a good assessment is necessary and charting must be detailed. What I find so awful is that many of our forms have the same redundent questions. On a typical 3-11 shift as the only nurse I estimated that I signed my name or initials ove...

I am a 3-11 RN charge at my ltc facility. Generally I have one med tech and we each take a wing to pass meds. We have 21 diabetics, many of whom get insulin twice during this shift. Of course I have to do that. I have to supervise the dining room...

Our facility has the 2 hour before shift policy and if you are gone 3 days or more you have to have a doctor's excuse before you can come back. No one has to make up the shift but we are "highlighted" and have to stay until they find someone else or...

Update-the first cna is still too slow and the other aides are starting to stop helping her. If it didn't affect patient care I wouldn't mind it. Luckily most of the CNA's I work with know that if I ask them to do something it is the resident who w...

I have 2 different CNA problems. The first is that there is a CNA who tries very hard but is very slow in her routines. She is open to suggestions and so I watched her do a get up this weekend. I noticed a few things such as getting all her suppli...

I have to say that when I am about to lose it and can take no more I sneak away outside to have a cigarette (yes a nurse who smokes) and if I had a pc I would probably I written a short note to a friend and posted it because I needed to vent to someo...

Unless it is a specially ordered tx that we don't have stock supplies for the price of tx's are billed to medicare. What medicare won't pay for the corporation eats. Some of our residents are private pay and they are billed separately with the cost...

"I sympathize with you... when *any* part of your team is not doing their job, it disrupts the whole unit. I am the type of person who will go out of my way to make my people happy...because I feel like a positive work environment is important. But...

Most of u know I mostly work weekends. Sat. I went in and listened to report, went to start meds and was called to res. room. On her bottom was a bedpan shaped area. It matched our bedpans to a tee. Some of the top layer of the skin was beginning...

:angryfire It happened again. Different resident. A 3-11 aide that I had to write up twice last night, left a pt on a bedpan, went home at the end of her shift and never told anyone that she was on the bedpan. A 11-7 aide discovered it on first ro...

I agree that there are many issues that would disqualify you as a candidate. The board issue is one of the biggest. Someone talked about the liability to the company and the heavy fines. My facility has had this happen. Nurses in LTC facilities m...