casi ASN, RN

LTC

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All Content by casi

  1. casi

    Do we serve a tray

    casi replied to CapeCodMermaid's topic in Geriatric, LTC

    If he wanted me to feed him, I'd feed
  2. casi

    Do we serve a tray

    casi replied to CapeCodMermaid's topic in Geriatric, LTC

    In this case I think an order stating 'okay to eat for comfort' and maybe a waiver signed saying he's going against STs recommendations, but then I'd feed the
  3. casi

    Ebola here in Dallas USA

    casi replied to HappyWife77's topic in Disaster Preparation

    I'm curious if there is any information being release about what the plans are for his
  4. casi

    I hate my new CNA job

    casi replied to Alexandra_C23's topic in Medical Assistant, CNA/MA

    4-5 CNAs for 25 resident's is better than most nursing homes. I think it would really depend on the amount of care and tasks you are expected to give. You can always look else where. As a CNA there...
  5. casi

    Do you have to call your nurse manager before you call the doctor?

    casi replied to Blackcat99's topic in Geriatric, LTC

    I totally get keeping the pt. in the facility rather then shipping them out. Shipping someone out is very hard on the patient. Instead of making nurses call her before calling an MD and/or 911 maybe...
  6. casi

    Novolog

    casi posted a topic in Patient Medications

    How long before meals are you giving Novolog? I try to give it about 15mins before (right before the patient leaves their room for the dining room if I can), but one of our doctors has this idea that...
  7. casi

    Med techs and continuous feeding

    casi replied to GLORIAmunchkin72's topic in Geriatric, LTC

    Every place I've worked med techs don't touch tube
  8. casi

    GT continuous feeding with malfunctioning pump

    casi replied to manda691's topic in Geriatric, LTC

    Also that g-tube should have been checked WELL before 3:30pm. Especially if his tube feeding was to start at 12noon. What was that patient's nurses doing all shift and how was the patient getting...
  9. casi

    Why does this man's personality change instantly

    casi replied to Butterfly92xo's topic in Patient, Colleague Relations

    I think you answered your own question. This person's personality is being ruled by their TBI and dementia. Due to the disease process of dementia some of the nicest people can become down right...
  10. casi

    Down time

    casi replied to garciadiego's topic in Geriatric, LTC

    When I have the rare down time my med cart gets organized and when that is done I zero in on the med
  11. casi

    You know you're tired when...

    casi replied to ICURN3020's topic in General Nursing

    I sat at a stop sign waiting for it to turn green after a night shift. I also found a 3L bottle of olive oil (costco buy) in my freezer once (night shifts and pregnancy brain combined for that
  12. casi

    Should high absenteeism be cause to be fired?

    casi replied to Emergent's topic in Nursing Professionalism

    What bothers me most about these policies is you still get in trouble for illnesses picked up at work. Also when you are really sick a doctor's note, hospital discharge paperwork means NOTHING. I had...
  13. casi

    Has being a nurse changed your outlook on...

    casi replied to richardgecko's topic in General Nursing

    Very much so. People are led to believe that everyone can be saved. If your heart stops you just need a quick shock and you'll be immediately sitting up in bed talking to everyone, because that's what...
  14. casi

    The imposition of chemical restraints...

    casi replied to Nola009's topic in Geriatric, LTC

    I've found that in a lot of geriatric patient's pain can manifest as agitation. A lot of these patient's don't need hard hitting medications for pain control 650mg of tylenol or 25mg or tramadol can...
  15. casi

    If you accept a job, stay at least a year

    casi replied to Emergent's topic in Nursing Professionalism

    Emergent those rose-colored glasses look really nice on you. I think the problem right now is you see a lot of nurses being pushed into crappy jobs in order to get "experience." These jobs don't...
  16. casi

    Losing patience with residents.

    casi replied to Sbrewster's topic in Geriatric, LTC

    What you are describing above really isn't what needs mental health hospitalization. Every place I've worked only sends the really violent patients out for adjustments and then tries to keep everyone...
  17. casi

    Other shifts telling us which PRNs to give...

    casi replied to Nola009's topic in Geriatric, LTC

    I can see medications like Norco. When I worked nights I've asked that 2nd shift ask/evaluate/offer pain medication before bedtime in patients I find aren't sleeping due to pain or are having a lot of...
  18. casi

    Losing patience with residents.

    casi replied to Sbrewster's topic in Geriatric, LTC

    You really can't send them out for eval. Basically the hospital will see it as a dump and send them right back. Push to have them evaluated by in-house psych maybe. Honestly LTC is full of these kind...
  19. casi

    Advice for a new grad on sending patients out to ER?

    casi replied to Cynnie24's topic in Geriatric, LTC

    I second the SBAR tool. I've been a nurse for over three years adn will still pull out this tool to organize
  20. casi

    White Coat Ceremony for Nurses

    casi replied to OCNRN63's topic in General Nursing

    This just seems bizarre to me. I thought my pinning ceremony was
  21. casi

    Advice for a new grad on sending patients out to ER?

    casi replied to Cynnie24's topic in Geriatric, LTC

    LTC is a juggle of keeping them in their "home" and sending them out. In LTC you can do a darn lot to manage acute concerns. When you are looking at hypotension you need to look at the big picture....
  22. casi

    Telling "STATE" you don't have supplies....

    casi replied to nervousnurse's topic in Geriatric, LTC

    I work in a facility that I feel is really well stocked. We have a very active TCU so things change a lot and PARs need to change frequently so we do run out of items. Our ADON who does that stocking...
  23. casi

    No fleets! The sky is falling!

    casi replied to garciadiego's topic in Geriatric, LTC

    Tell her to stick it where the sun don't shine and give it a good hard squeeze. Nursing is a 24/7 job. Sometimes poop happens and sometimes things just have to be passed on. Don't let her get to her....
  24. casi

    What do YOU do with your old scrubs?

    casi replied to Brian's topic in Nurses Rock

    They get listed on
  25. casi

    Where Are the Nurses????

    casi replied to tnbutterfly - Mary's topic in General Nursing

    In nursing homes LPNs and RNs many times perform the same roles. I see no problem with a nursing home having LPN in house over night coverage with DON on-call. So far every facility I've worked has...