casi ASN, RN

LTC

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All Content by casi

  1. PN what are you interested in? Both are very different specialties. Head over to the psych board and the LTAC boards and read up on them a
  2. casi

    Drowning in LTC

    Honestly it kind of sounds like you are at a poopy place. I've worked three places and none of them have expected a nurse to pass medications to 35 patients. Where I work now a TMA can pass...
  3. It actually it sounds like you are in an awesome situation where you are going to learn a ton as a new grad. You've got a team that sounds very experienced with very good staffing levels. I know that...
  4. casi

    Abdominal binder question

    Not an OB nurse, but I am a c-section patient. I honestly felt no irritation from the abd. binder, although I've got a lot of fat that may have protected the incision some. The abd. binder was one of...
  5. casi

    Unbearable heat

    Any chance that this is reportable to state for elder
  6. casi

    Abuse swept under the rug

    A lot of things are reported to state, but floor staff aren't aware of it. Management reports what they have to and then it goes from there. If they told you about everything they had to report, you'd...
  7. casi

    Meds

    Creak Freak you really need to brush up on your BP medications. Being an LPN isn't an excuse to not understand what you are giving. BP medications can be very dangerous and if you don't understand how...
  8. casi

    New ICU Nurse- Preceptor Problems

    It really sounds like you need to take some responsibility and find a way to work with this chaotic training. I see a lot of blame being thrown around but no owning of your preceptorshiip. If they...
  9. casi

    Do you need a doctors order for this?

    Everywhere I've worked we needed orders. Normally when someone admits with foley or gets one put in we get orders, "Change monthly and
  10. casi

    Liberia: Nurses Abandoned Redemption Hospital

    With the proper PPE and training I definitely would care for an individual with Ebola. I would care for those coming to the US and being put in specialty units with nurses who have training to deal...
  11. Since dementia is really starting to play a role in the relationship. If she is voicing that she doesn't want him in her room and he refuses to leave this could fall under laws of keeping a vulnerable...
  12. casi

    L&D not for me :(

    Home care or public health nursing doing mom/baby visits and
  13. casi

    Giving Report

    I'm wondering if Baho and Gabby work the same kind of LTC that I do. When you have 20-50 patients you can't give a detailed report on each one. You also don't need a detailed report/assessment sheet...
  14. One of the things that drove me crazy and I argued several times is the practice of needing to have a full care plan with nursing diagnosis put together BEFORE I even touched the patient with just the...
  15. For many people nursing isn't a calling or a life long dream. For many it's just a job. Here's the thing though, for nursing you really need to like your job. Showing up day after day doing what we do...
  16. casi

    Coude

    I have! The angle helps when you have a urethra hidden in a lady parts. Put patient on and upside down bedpan betadine everything, slide in coude bend pointing upwards and cath slides right
  17. casi

    Dizzy during circumcision

    The circumcision I saw in nursing school got to me too. I didn't do the dizzy pass out thing, but it took a lot for me to keep the professional face on. For some people it's a hard procedure to watch,...
  18. casi

    Non-evidence based practices on OB unit

    Are there any committees in the hospital that look at evidenced based nursing? Can you bring ideas to them? Can you join
  19. casi

    Burned Bridges

    It sounds like you have a really hard time with criticism. One of the biggest things you need to do is learn to step back and not take offense to others comments and actions. You can't control what...
  20. casi

    Is this risking my license?

    Are you sure they aren't TCU rather than LTAC? The LTAC's in my area have a max of 5 patients at night, because those patients are still really freaking sick. I'd nope right out of there if I were...
  21. casi

    I think my nurses are on the verge of mutiny!

    My workplace is starting a new preceptor/mentor program. They are pairing up new grads with nurses who've been at the facility for awhile. Then again at my facility a large amount of the nurses have...
  22. casi

    Am I crazy for this?

    I say look into LPN-RN programs and see what transfers. I also say put on your big girl panties get a job and strike out on your own, but that's your decision to make. It's none of your SIL's...
  23. casi

    help with accuchecks

    For those that you know are stingy with giving blood, massage the hand some before you poke, it helps increase blood
  24. casi

    Who looks out for them?!

    This is crazy. That is more than the LPNs I work with make. It's about what a new grad RN starts at in
  25. casi

    Fat nurses

    They wouldn't make 5xl scrubs if there weren't nurses to wear them. As long as you are able to do the job, no one cares about