casi ASN, RN

LTC

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All Content by casi

  1. casi

    Putting a mask on a spitter

    Can there be an order written to place a "restraint" ie face mask on a patient when necessary? If not the facility needs to start investing in gowns, facemasks w/ eye shields, and hair coverage. Why...
  2. Could you imagine being a patient or visitor in that hospital? Most if not all hospitals in my area have eliminated overhead pages for everything but codes and the occassional overhead doctor or RT...
  3. casi

    Seriously...

    Can you pre-print out information on commonly medications, tests, and conditions for your floor and stick them in a file so nurses can just grab and hand out? I've found that since my floor switched...
  4. IF it gets you into the hospital it might be worth it. Once you prove yourself as a good employee they maybe willing to hire you onto a position as a CNA if you'd
  5. Thank you so much for reading my strengths and pushing me further than I ever thought I could go. I've learned so much from you. If I can be half as good of a nurse as you are, I'll be
  6. The patient still needs to be turned. Turning from back to side away from the window is okay, but they still need more rotation. Why not place a wash cloth dry or moist over the patients eyes to...
  7. casi

    Distrust of Dr's-Paxil Withdrawl

    Always do your research before starting a new medication. You can't blame your Doctor because he gave you a very common medication and most people don't have issues with and your body reacted...
  8. I've told patients "Well you need to do what you feel is necissary." There's no reasoning with this guy and maybe if people complain enough about us not having supplies on the floor management will...
  9. Smile sweetly at her and tell her "That's the
  10. casi

    A Major reason for Hiring freeze

    The hiring freeze around here started before Obama was even elected to office. It's only been in the last year (since the announcement of his healthcare plan) that the freeze has let up to hire...
  11. casi

    Arghhhh! Please help! Desperate!!

    Rumor has it that healtheast is going to start opening up positions for new grads now that the contract has been settled. I know there are a lot of job openings for RNs posted, I just haven't heard...
  12. casi

    CPR in LTC

    I have no comments on CPR in LTC. When I worked assisted living occassionally we wouldn't be able to find paperwork for the medics right away and they'd be stuck coding the resident until we could...
  13. casi

    Pnemonia- precautions or not??

    Depends on the type of pneumonia and if they've been on antibiotics for awhile. The rule of thumb where I work is if pneumonia is suspected, throw the patient on droplet precautions until the patient...
  14. My small toe is swollen too big to fit into a shoe. One of my late call-ins was I walked out to get in my car and noted the neighborhood was flooded and there was no way to get to
  15. casi

    Toileting Bariatric Patients

    One of the biggest difficulties I've found is innapropriate equiptment. You can't put a 400lb person on a comode that is only 3ft wide. They just aren't comfortable. Our hospital also has special...
  16. casi

    Frustrated over a code

    I think the problem wasn't that the U/S &MRI techs didn't recognize signs of a crashing patient it's that the family told them they had concerns about the patients condition and they didn't bring...
  17. casi

    Arghhhh! Please help! Desperate!!

    Print out a crap ton of resumes and start going from nursing home to nursing home in your area filling out applications and handing out resumes. I think that's where people are having the most
  18. casi

    Frustrated over a code

    Honestly if the family voiced concerns to the ultrasound techs a simple "Let me hit the call light for you so you can alert your nurse" would have been appropriate. Hunting down the nurse would have...
  19. casi

    Coding visitors?

    We are supposed to call code blues on visitors. We also have a "code 9" for visitors which are medical emergencies inside the building that isn't a code blue or pink(baby) and any medical emergency on...
  20. casi

    Long Term Care Inservices

    My current facility does inservices at 730am, 230pm, and 330pm to get all shifts in. I do like the idea of
  21. casi

    HELP! News might want to interview me!!!!

    I take it you are like me and sitting on a job as an aide in hopes that your employer or anyone might offer you a job as an RN. If you are uncomfortable giving an interview suggest they go to local...
  22. casi

    Young and jaded.

    As I told a nurse last night "You can educate the patients until you are in blue in the face, but if you get to the point your turning blue it's time to give up." I was the bad nursing student who...
  23. casi

    Cheap titers in St. Paul?

    I don't know about titers, but if you have paperwork showing that you've had your vaccinations you should be fine. Places such as the minute clinic offer school physicals for $35 (reg $62). If...
  24. Leyla I would love to come work with you since your staffing levels are so wonderful. I've seen a very different world in some of the MN hospitals that are striking. I've seen ICU patient's sit on...
  25. If they still aren't willing to budge is there a way to trade shifts with someone else who works day/night? This way they end up on all days or nights and you end up on the oposite