casi ASN, RN

LTC
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casi has 3 years experience as a ASN, RN and specializes in LTC.

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  1. casi

    Facility refuses to give raises

    This has been the trend in skilled nursing facilities. I think they are expecting nurses to job hop for raises.
  2. casi

    Overhead Paging Banned

    Paging in LTC really should be kept to emergencies only. I really hate to hear paging at my work, we are a person's home.
  3. casi

    Nurses' handoff to EMTs

    I work in LTC so I have a lot of interactions with medics. I give them report, most times I'll stay through their initial assessment or collection of history so I can advocate for my patients, this isn't long at all. Then I'll ask "Is there anything ...
  4. casi

    Brian Short News

    Much love and hugs to the Short Family and the AN staff. I am shocked and saddened by the news. I have been a member of AN for tooooo long and remember when it was small enough to see Brian take a more visible role with posting, such a nice guy.
  5. casi

    What happened to MOM?

    We rarely use MoM, it's not even on our house standing orders. Too many renal patients who you can screw up electrolytes on.
  6. casi

    The Story of Jahi Continues

    Have we seen anything new from this family recently?
  7. casi

    My first dump and run

    We had one recently that when he found out his family was transporting him to LTC grabbed the steering wheel on the car.
  8. casi

    Staff development

    I would find out from the nurses and the nurse managers what education they want and feel like they need. Some of my favorites are UTIs (not blaming every change or behavior on a UTI and getting away from constant UA/UCs), respiratory care (I can't t...
  9. At the beginning of the shift make sure your aides know what you expect. It's nice to have a quick report with the aides. "Mr. Smith had a suppository on nights, please let me know if he has results. I need weights on Mrs. Johnson, Mr. Jones, and Ms...
  10. casi

    Eye drops

    I'd also question how necessary the medications are. What is the patient's plan of care, maybe not giving the medications would increase her quality of life by not having that daily battle with her. Then again, I tend to think that we prescribe too ...
  11. casi

    I work at the worst LTC facility ever.

    Time to start making changes. Take your med cart and own it. Most places nights are responsible for cleaning the carts. Dig in and waste those loose pills. Reorder medications, call pharm and find out why the heck they aren't sending reordered meds. ...
  12. casi

    New roommate on precautions

    Nope wouldn't happen in my facility. If a patient has VRE the only roommate they can be paired with is another patient that has VRE.
  13. casi

    Terminal Agitation

    Lots of hugs in your direction. These types of patients are just heartbreaking. It sounds like you did everything right working with hospice and advocating for your patietn. I'd talk to your DNS about the potential of using IV or sub-q drips on pati...
  14. casi

    My Unit Is Bleeding Staff & Morale...Vent!

    I'd be really tempted to write an anonymous letter to the media about the lack of resources. My LTC has more working defibrillators.
  15. casi

    Do you get sick alot working as a nurse?

    Rarely. I'll normally pick up a URI once a year and maybe once every other year a stomach bug. When I first started out in healthcare I picked these things up much more quickly, but that's chagned.