casi ASN, RN

LTC

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All Content by casi

  1. casi

    writing telephone orders

    I don't write a TO unless I took a TO. Add to that the whole admit to ICU with a specific dx is bizarre. The only TO pertaining to the hospital you'd get in this situation is to send to ER for...
  2. I recently had a baby and have spent way too much time on parenting message boards. When the topic of pediatrician shopping comes up one of the questions I see being asked my parents is, "do you take...
  3. casi

    Nursing Salary Survey 2014

    MN $26.50/hr LTC RN ASN 3 full-time noc $0.75/hr Are you a manager or supervisor? Nope!
  4. casi

    Violent/combative residents?

    This bothers me. It seems like they think that once there is a dx of dementia it immediately erases all possibilities of any old/new psych diagnosis. I have very few patients who don't have a...
  5. I wasn't expecting to see a nurse I work with named in that article... Wow. I honestly didn't know that Minnesota had such lax
  6. The idea of pumping in the staff bathroom icks me out. I can't imagine I would be comfortable enough for my body to have a proper let
  7. casi

    Why is Night Shift always picked on?

    I've always thought it would be awesome to make nurse managers work a night shift here and there. I work in LTC so one week out of the month we have to turn over med sheets which is VERY time...
  8. casi

    Dangerous patients

    A 80 year old man walks into a Target and puts an employee in a choke hold. Police bring him to the ER because its obvious to them there is something medical (dementia) going on. Is that an ER dump?...
  9. A desire to continue learning! The knowledge that you don't know everything nursing related. There is nothing scarier than a nurse who knows everything. Especially when that nurse is a new
  10. casi

    Is Nursing as Stressful as Nursing School?

    I think that nursing vs nursing student stress is a very different kind of stress. I found actual nursing a kind of relief after nursing school. I no longer had to pull looooong nights at home...
  11. I would chart it as: Resident stated that evening shift nurse "didn't give me meds all day and told the aides not to come into my room." I was taught not to use names in charting, unless you are...
  12. casi

    When residents rights overlap...

    This is why there are curtains and bathroom
  13. casi

    Describe a shift in LTC? Please??

    I'm not sure sure what shift you'll be working, so I'll go over a night shift. I work 10:30pm-7am with 43 residents (I think). 10:30-11pm Get report, count narcs. If you aren't familiar with the floor...
  14. casi

    Do you have to always call for abnormal labs?

    Unless the lab needs intervention I don't wake up doctors at night. I'll normally fax normals and normal abnormals to the doc or leave the NP a voice
  15. Ugh my neighbor used to do this to me all the time. I think she finally got the hint after hearing, "That is a really good question for your doctor" a few too many
  16. I thought Benadryl with Dilaudid was just to increase the
  17. casi

    Dead bodies?

    One thing that really helps me with postmortem care is talking to the patient. It feels really unnatural and disrespectful to me to just be flopping someone over and cleaning them without saying...
  18. casi

    Dead bodies?

    That would really creep me
  19. casi

    freaking out about taking the nclex

    You still have over a week to study. Go through your NCLEX study books. The best thing for me was just doing NCLEX questions and reading the reasoning behind the right
  20. I have a sneaky suspicion that there isn't any real hard
  21. Snacks, quick meals like canned soup or ramen, PENS!, Resource books, scrub jacket for when you get
  22. When you don't see or hear anyone and the crash cart is
  23. Look into FMLA to protect your
  24. Handwritting, assessing non-verbal or non-english speaking
  25. casi

    Problems with prefilled NS syringes?

    I have had a patient who has c/o of a bad taste in their mouth when the PICC lines has been flushed. Never really looked into why it happened. I just thought it was because she was a little high...