casi ASN, RN

LTC

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All Content by casi

  1. I think you guys have me sold on this program. I just have to figure out when the best time will be for me to
  2. Where the @#$% is PM
  3. That is sick. What happens when that patient crashes and that's the only hospitalist on? Is he going to give substandard care then? He's a doctor. When he signed up for this he knew that he'd run...
  4. casi

    Cross matching of blood

    Yes. There are a lot of different antigens in blood that go past ABO and Rh factors that can cause reactions. Although in an emergency a cross and match goes out the
  5. I think that the biggest problem at the facilities that I work with state coming in is that management gets in such an anxiety fill tizzy that it drips down to all of the other staff. Every year when...
  6. casi

    How can I get a job in LTC/SNF as a new nurse

    Go into the facilities with a resume and cover letter. Chances are they are hiring nurses. I have never heard of a LTC who is fully staffed.
  7. casi

    Resident's names in a text message

    With the text messages and voicemails, most facilities have to have a HIPPA compliance officer. I know ours is completely unrelated to nursing. Hunt yours down and show them the text
  8. casi

    LTC job and schoolwork

    I'm guessing what a LTC equates to a med-surg floor is their transitional care unit. 25 patients in transitional care is heavy. Hospitals really like to d/c some real train wrecks to TCU because they...
  9. casi

    Snow stories

    I live in MN so weather really isn't considered a valid excuse to call in. Our department of transportation is really good about keeping roads clear enough that people can get where they need to be,...
  10. casi

    Shoe or not for diabetic with small wound

    Is the patient currently seeing a podiatrist? Podiatry is awesome for assessing for properly fitting shoes and how they best work with
  11. casi

    Work in pajamas!

    I wouldn't, but that's me. I got into nursing because I'm not someone who could do a desk
  12. casi

    Ranting on the New Grads

    Me again it sounds like you are in an area of the country that isn't over saturated with nurses. In some places HR departments won't even look at your resume until you have a
  13. Night shifters are a whole different breed. I think one of the big things day shift doesn't realize is we don't have the resources that they do. We've got minimal
  14. casi

    I signed up for what???

    Sounds like burn out and time for a change of pace. There is so much more to nursing than the hospital. Try dipping your feet into something
  15. I'll preface this by saying I'm not a hospice nurse, but I'm a LTC nurse who tends to have A LOT of patients on outside hospice services. Most hospices I work with once a patient is enrolled they get...
  16. casi

    Are men not as neat as women nurses?

    Your teacher has a bug up her butt. There are messy nurses of all genders. You should see my workspace at night. Charts, MARs, and paperwork thrown
  17. It really depends on the patient. I have some little old ladies who refuse personal care from males, but this isn't a whole lot of people. Honestly where I work most of the time it's the families that...
  18. I don't think that the demand is super different. Although some people treat male staff as a lift team. In LTC one of the reasons I love having male staff around is older residents sometimes react...
  19. casi

    Fired for med error

    I've self reported myself several times. I take it as a chance to learn and grow. In the my facility the kind of drug error. If it is an error made with a high risk medication (narcs, insulin, etc)...
  20. casi

    Do you calculate drip rates anymore?

    I work in LTC for basic fluids we use the dial flow tubing. We are expected to double check drip rates to make sure they are running at the rate they are supposed to. Height of the bag effects the...
  21. casi

    POLL: nurse-to-patient ratio

    LTC night shift I am
  22. I work in LTC and it's our policy if no residual/gastric content aspirated to instill 5-10ml of air into tube and auscultate for
  23. casi

    POLL: nurse-to-patient ratio

    LTC night shift
  24. Don't let a small handful of nurses stomp on your dreams. I know that right now you probably feel very vulnerable making the decision to transition is terrifying for most people that make it. If you...
  25. casi

    No opinions please just facts

    As long as you come up positive you can't prove that you're not currently under the influence. Health care employers can't risk having staff under the influence. This includes legal drugs with the...