casi ASN, RN

LTC

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All Content by casi

  1. casi

    RN-BSN in MN

    I know about MetroState, Bethel, and St. Kates, but are there any other RN-BSN programs in the MN Twin Cities area that I'm missing? Anyone have any opinions on any of these. I'm thinking about going...
  2. casi

    Facility refuses to give raises

    This has been the trend in skilled nursing facilities. I think they are expecting nurses to job hop for
  3. casi

    Overhead Paging Banned

    Paging in LTC really should be kept to emergencies only. I really hate to hear paging at my work, we are a person's
  4. casi

    Nurses' handoff to EMTs

    I work in LTC so I have a lot of interactions with medics. I give them report, most times I'll stay through their initial assessment or collection of history so I can advocate for my patients, this...
  5. casi

    Brian Short News

    Much love and hugs to the Short Family and the AN staff. I am shocked and saddened by the news. I have been a member of AN for tooooo long and remember when it was small enough to see Brian take a...
  6. casi

    What happened to MOM?

    We rarely use MoM, it's not even on our house standing orders. Too many renal patients who you can screw up electrolytes
  7. casi

    The Story of Jahi Continues

    Have we seen anything new from this family
  8. casi

    My first dump and run

    We had one recently that when he found out his family was transporting him to LTC grabbed the steering wheel on the
  9. At the beginning of the shift make sure your aides know what you expect. It's nice to have a quick report with the aides. "Mr. Smith had a suppository on nights, please let me know if he has results....
  10. casi

    I work at the worst LTC facility ever.

    Time to start making changes. Take your med cart and own it. Most places nights are responsible for cleaning the carts. Dig in and waste those loose pills. Reorder medications, call pharm and find out...
  11. casi

    New roommate on precautions

    Nope wouldn't happen in my facility. If a patient has VRE the only roommate they can be paired with is another patient that has
  12. casi

    Terminal Agitation

    Lots of hugs in your direction. These types of patients are just heartbreaking. It sounds like you did everything right working with hospice and advocating for your patietn. I'd talk to your DNS...
  13. casi

    My Unit Is Bleeding Staff & Morale...Vent!

    I'd be really tempted to write an anonymous letter to the media about the lack of resources. My LTC has more working
  14. casi

    Do you get sick alot working as a nurse?

    Rarely. I'll normally pick up a URI once a year and maybe once every other year a stomach bug. When I first started out in healthcare I picked these things up much more quickly, but that's
  15. casi

    Foot Care

    I honestly wish that lotion was just apart of AM and PM cares, especially in the winter months. I'm seeing a lot of excoriation to backs and legs from
  16. casi

    MVI tablet

    I actually might suggest something like this. I may not say it so bluntly, but I'd point out that the use of MVI and other various vitamins frequently leads to GI upset and nausea. If they are worried...
  17. casi

    MVI tablet

    As long as the pharmacy says it's crushable, crush
  18. casi

    Are nurses able to shower after shift?

    I worked at a facility that had a shower. Only time I know of that it got used was when a nursing assistant ended up with poop in her
  19. casi

    Nursing home phenomenon/ What's this?

    What are you seeing that you consider deplorable? Maybe we can give you a better view of what is going on. I've found that in most placed I've worked we've worked really hard to educate our families...
  20. CapeCodMermaid, I want to come and work with you. I love your management
  21. This actually seems a little scary to me. I'm used to management leaving nurses to their own once they are "trained", but the lack of organization and the four days of training for a new nurse seem...
  22. casi

    Too many ABTs?!

    I am so thankful that my current place of employment really pushes the idea of chronic urinary tract colonization and only treating symptomatic positive UA/UCs. Also not collecting UA/UCs just because...
  23. casi

    When entering orders, please remember....

    I've never seen or even heard natal cleft. I tend to use gluteal
  24. casi

    med cart keys

    How is it safe to not have spare
  25. How much time do you find yourself spending on school work? I've got a toddler and work a 0.8 with 8 hour shifts. I went back to a traditional online school a couple of years ago and the format drove...