abooker

abooker

LTC

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All Content by abooker

  1. Why is the fact that we CAN'T DO IT not relevant?

    abooker posted a topic in LTC: Directors, Assistant

    I am a charge nurse in LTC, doing the medication pass, treatments, physician's orders, etc. We have an eMAR. So I'm in the middle of my med pass, and I discover that one of our nurse managers has...

  2. Dear Pysch Nurses

    abooker replied to Crazed's topic in Psychiatric

    I tell them that the Airway, Breathing, Circulation hierarchy we are taught to focus on seems completely irrelevant to a patient who lacks the capacity to enjoy it. The traditional disciplines help...

  3. Why am I now the enemy?

    abooker replied to FancypantsRN's topic in General Nursing

    They're "flicking" you. I think flicking might be appropriate or even necessary if someone needed their egos deflated just a bit to keep the team functioning well and keep things safe. But some...

  4. I feel calm, but pts and coworkers say I look frazzled

    abooker replied to marisatheresa's topic in Medical-Surgical

    Hi. I'm an ADN -RN, and I'm only three months into my first job, so take my advice with a grain of salt. I wasn't going to post, but I don't want you to feel like your concern is being ignored....

  5. Tested Sept 1,8:00 am.When can i do Quick Results?

    abooker replied to emille's topic in NCLEX Exam, Programs

    Took mine September 1, 8:00am and found out I passed at 8:00am central time this morning. I checked at 7:52 central time, and it wasn't up

  6. So, I have to be a bad nurse to be a good nurse?

    abooker replied to Angeljho's topic in Geriatric, LTC

    I feel your pain. Could there be such a thing as a "good enough" nurse? Winnicott from developmental psych class theorized the "good enough" mother. Good nurse, bad nurse is all-or-nothing...

  7. Why is the fact that we CAN'T DO IT not relevant?

    abooker replied to abooker's topic in LTC: Directors, Assistant

    Just record it. The data does not flow anywhere, as far as I was able to determine. But the DON had about six inches of printouts so it goes somewhere. Maybe to the MDS? I think our entire eMAR...

  8. Can I still work?

    abooker replied to Sl1011's topic in NCLEX Exam, Programs

    In Missouri, our school gave us a letter stating we were GNs so HR departments would let us work while awaiting the licensure exam. I take mine September 1st!

  9. confused...legal to not feed patients?

    abooker replied to IHeartPeds87's topic in General Nursing

    You're correct - DNR means we will not intervene if this patient arrests / codes. That is one type of advance directive. There are others, that include non-treatment. Not putting a tube in this man...

  10. We Can't Use Tap Water for G-tube Meds? Only Sterile Water?

    abooker replied to Plagueis's topic in General Nursing

    Maybe it is one of those culture change initiatives, where offering the client anything but the cleanest, purest substances indicates a lack of client-centered

  11. Cost of electronic charting

    abooker posted a topic in Nursing Informatics

    All of my residents are dehydrated. They're eating and drinking normally, their skin turgor feels good, and their urine looks straw-colored, but they're all dehydrated. I would never have known...

  12. Flu Vaccine for pandemic

    abooker posted a topic in General Nursing

    Flu vaccine time, for the seasonal flu. My nursing home offered it to staff first, then the residents, and in a couple of weeks, we'll be offering it to the general public. I've been thinking...

  13. Nursing Equivalent of Bloom's Taxonomy?

    abooker posted a topic in Nursing Educators, Faculty

    My nursing school advisor last year was excited about a nursing taxonomy that wasn't Bloom's Taxonomy that she saw cited in the nursing education literature. If "taxonomy" doesn't ring a bell, let me...

  14. fake CPR cert.

    abooker replied to QTQN2NV's topic in General Nursing

    Here's a different point of view, blaming the hospital: http://www.sgvtribune.com/ci_10563882?source=rss_emailed About 50 out of 3,200 workers were caught. This post contains a comment by someone...

  15. Do you use the Nursing Process when answering HESI

    abooker replied to 2btmanrn's topic in General Nursing

    I managed to find three free flashcards claiming to help prepare for the HESI http://www.flashcardsecrets.com/hesi/samples.htm I couldn't find any public domain questions. There might be something...

  16. LTC Resident w/ OCD

    abooker posted a topic in LPN, LVN Corner

    :trout: I'm the nurse for a resident with *severe* symptoms of Obsessive Compulsive Disorder. Her hospice social worker and I were discussing the resident's concerns, and I looked at the social...

  17. Psych pt. in long term care

    abooker posted a topic in Psychiatric

    I have new nursing home resident with a looooooong history of unstable interpersonal relationships. She has the usual physical problems you'd expect in LTC - mobility, ADL's, multiple meds, some...

  18. Psych pt. in long term care

    abooker replied to abooker's topic in Psychiatric

    There don't appear to be any acute problems. She's been evaluated for lots of things, as she has been to the ER three times since Mother's Day. Good to know there are LTC behavior units out there....

  19. Poor Management (Nurse Leaders)

    abooker replied to fairness's topic in General Nursing

    What does a good nurse manager look like? I imagine low performer nurses on the hall leads to low patient satisfaction and low nurse morale, which leads to low manager morale and low performing...

  20. EEK! There's a woman in my room!

    abooker replied to 58flyer's topic in General Nursing

    Thanks for the video. Always helpful to share different perspectives. People laugh at what makes them uncomfortable, and the whole topic of male modesty is uncomfortable. I'm not surprised that many...

  21. Floor nurse seeking guidance

    abooker posted a topic in LTC: Directors, Assistant

    I'm having trouble communicating with management. One of the 27 residents on my hall had been having what all of us assumed was a psych issue all night. She was agitated and hallucinating and had a...

  22. Floor nurse seeking guidance

    abooker replied to abooker's topic in LTC: Directors, Assistant

    Ghaaaa! I don't want to believe the hoarding might be a cost-cutting issue. I've heard there are facilities like that, but thankfully mine isn't one of them. From my standpoint, it looks like a...

  23. Cost of electronic charting

    abooker replied to abooker's topic in Nursing Informatics

    Quality care seems to involve ignoring the information being compiled by the electronic chart. I don't know ... should I ask CNAs to avoid charting inputs and outputs, or should I continue to ignore...

  24. Racism in Nursing

    abooker replied to lpnnursingstudent33's topic in General Nursing

    Mark Twain! Why does this garbage still happen? Maybe some small people just want to feel special. You know ... the ones who walked four miles in seven feet of snow every day just to get to...

  25. LPN to RN ???/

    abooker replied to JENN1FER's topic in LPN to RN

    Check out the NY LPN to RN articulation program here: http://www.lpntorn.info/programs.html These community colleges should know how to help you. There is a New York State Nursing Forum, and they...