ChampRN

I've been working on a long term care facility for a month now, on the 3rd shift. Recently, a diabetic resident had a rapid decline in condition. Moments earlier, I happened to pass by her room when she was about to go to the bathroom, had a small talk and assisted her. About 10 minutes after, when I was about to give her meds, CNA rushed to the station and reported her vital signs (BP 200/140, Temp 103, Pulse 90, RR 22) and that the resident looked like she was in distress. So I went to her room, did a quick assessment and she told me he felt cold. I checked his blood sugar, it was 300+. I called two of her doctors but did not get a call back, one went straight to voicemail and one had to be paged. After 5 minutes, I called again and still got no call back. All the while, my resident's vitals just kept getting worse, she was dazed and started vomiting small amount of blood. One of the old nurse told me to wait for the doctor and keep her here but my gut told me otherwise and call 911, and so I did. I was worried she might go into a CVA. So she was sent out, I informed the family and finally got a call back from the MD like 45 minutes after. I called the hospital and asked what admitting diagnosis was and was told it's fever but they're still evaluating her. When the day nurse knew about this, she was like "you called 911 for fever?" and got a "pfft" face. ***** What am I supposed to do? Wait for an eternity for a doctor's order? They also always check if someone was sent out first thing in the morning. What I don't get is why ltc people seem to not like it when a resident is sent out? and when am I supposed to call 911 without doctor's order? I used to love coming to work but now that I get to see how politics, bureaucracy and "business" plays out, I can't wait to pack up and leave.

Giving meds way too early. I'm the only night shift nurse with 30+ patients and a medpass scheduled towards the end of my shift, with administration not wanting to go overtime, what else can you do.

I've obviously missed some of the stuff that I had to chart but nobody seems to notice. It's hard to try to do everything you're supposed to do when no one is pointing out what you're missing out, so I'm grateful for all the help! Thanks everyone!

Hello everyone! I'm newly hired on a SNF and care for about 25 residents for the night shift. I know I have to with those who were unstable during the night, but what about the rest? Do I need to make charting/progress notes on all 25 residents at the end of the shift? If not, whom exactly should I chart? Thank you!

That's awesome, congratulations! It looks like things are going well so far. I'm a new grad too and have recently submitted applications to nearby rehab/SNFs. I hope I'll get a call for an interview soon. If you don't mind, how long did it take before you got a call back from them?

Experience: The one where your strengths are. Salary: With the current tough job market, anywhere would do.

Personally, as long as my license doesn't look like it's going to be in jeopardy, I'd take it.

"Look at all the plenty time we've got!" - said no nursing student ever

Thank you! I checked Quick Results today and I passed! The trick worked for me! I feel so blessed! Good luck everyone!

I took my NCLEX-RN today and went through to all 265 Questions! I panicked when I got to #76 for a good 5 minutes but survival drive kicked in and I was like, "It's not over until it's over." I felt inexplicably calm afterwards. I knew it was hard but I went completely numb emotionally, like it totally shut off. Anyways, I tried the PVT as soon as I got home and got the "Good Pop-up". I've tried it thrice now and got same results every time. I really do hope it works. I don't wanna be the first false positive! So, I'm keeping my fingers crossed.