misstrinad

misstrinad

dementia/LTC

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All Content by misstrinad

  1. G - tube

    misstrinad replied to jessicaRN32's topic in Patient Medications

    I have a pt I've taken care of several times now and his morphine order states to be given through the g tube. If the Mar doesn't say which route I always run and check the

  2. Graduating High School with ASN

    misstrinad replied to KCW98's topic in Diploma, ADN, BSN

    In my area in the Midwest you generally just need a 2yr degree to be a floor nurse, if you want to go into management or to be an np you need a bsn. If money is an issue get your 2yr degree (mine is...

  3. Graduating High School with ASN

    misstrinad replied to KCW98's topic in Diploma, ADN, BSN

    I very highly doubt you can perform clinical rotations as a minor. And clinicals have to be done when the program dictates, which is often concurrently with other program courses. You would be...

  4. How does your facility prevent falls?

    misstrinad replied to GoldiesMom's topic in Patient Safety Issues

    Working with dementia pts we tend to have lots of falls. We use quite a few alarms in wc and bed but we have a process to go through to determine if the alarms are appropriate and we have to do trial...

  5. Patient with Dementia's Right to Refusal

    misstrinad replied to oblivionenigma's topic in Patient Safety Issues

    There's a fine line of providing necessary care and right to refuse with dementia pts. I have worked with moderate to severe dementia pts in a lock down unit for 5+ yrs. About 12 out of 30 are...

  6. Can someone explain?

    misstrinad replied to Khalesi25's topic in Geriatric, LTC

    I have heard there are specific certificates for nurses in geriatrics as well for future education. I haven't done the research to see what they entail, our education/infection control nurse told me I...

  7. Why do people don't like it when we send resident out?

    misstrinad replied to ChampRN's topic in Geriatric, LTC

    I see a few things I would Want to clarify before I can give an accurate idea of what I would have done. What she in distress as in uncomfortable or as in respiratory distress and when you saw the pt...

  8. So, as a nurse it's my #1 priority to serve your narcs on a platter...

    misstrinad replied to Nola009's topic in Patient Medications

    I have the same problem when I get floated to the rehab unit in my ltc. When I go through the Mar to make up my shift sheet on med times I keep an eye on prn meds that seem to be given very frequently...

  9. caught a med error. ...stress. ..

    misstrinad replied to thatnurse17's topic in Patient Medications

    If these issues are constantly happening in this facility and no corrective action Is being taken I would sit down and talk to the Don and gently explain your concern and see if they are aware of it...

  10. Is this common with nurses and doctors?

    misstrinad replied to usetimewisely's topic in Patient Medications

    When I call a Dr I always think ahead and along with my notes of what I plan to tell them I jot down what I might want from the Dr. I had a Dr ask once "what do you want me to do" and I was new and...

  11. June 2014 Caption Contest: Win $100!

    misstrinad replied to Joe V's topic in News, Announcements

    "Ya know Mindy....I'm thinking one of us should switch shifts...I'm not really interested in having to file another harassment

  12. June 2014 Caption Contest: Win $100!

    misstrinad replied to Joe V's topic in News, Announcements

    "great...another male nurse...We certainly know what he'll be thinking about

  13. Administer insulin when glucose is 53?

    misstrinad replied to Trixyp's topic in Geriatric, LTC

    Our orders for rechecking bg for either a high or low readings (after treating) are to wait 1 hour for recheck. Can anyone weigh in if 1 hour is appropriate or should it really be checked at 15 min?...

  14. Had a patient fall

    misstrinad replied to ArrrrEnnn's topic in Geriatric, LTC

    You will become more confident as time goes on. Every day you will learn something new or get a chance to put a skill into practice. Keep asking questions

  15. Any tips for a 17-year-old CNA?

    misstrinad replied to cailey.hutson's topic in Geriatric, LTC

    I am 5'1 & about 105 lbs and worked as a cna for 4+ yrs before I passed rn boards. Sometimes it is a bit harder for me to boost and transfer pts but I made do just fine. Make sure to grab help...

  16. Had a patient fall

    misstrinad replied to ArrrrEnnn's topic in Geriatric, LTC

    I've had lots of patients fall in Ltd (alzheimer's unit) as long as care plan was followed you will be okay. Falls happen, sometimes they sustain injuries, just make sure you are doing what you are...

  17. I just cried.. In a staff meeting

    misstrinad replied to 002rn05's topic in Patient, Colleague Relations

    Oh and to answer your question on how to deal with these emotions at work.... Best way I find is to find ways to get those emotions out when you are at home. Have someone you can vent to that you...

  18. I just cried.. In a staff meeting

    misstrinad replied to 002rn05's topic in Patient, Colleague Relations

    I can definitely feel for your embarrassment. I won't lie, I would feel the same. You did not do anything wrong though and shame on the rest of your team for not being more supportive. When a staff...

  19. Addressing patients by their first name...

    misstrinad replied to tytkhat's topic in Patient, Colleague Relations

    In the Midwest in ltc we call pts by first name unless they indicate a preference otherwise on admission. I see the same in the hospitals here. I still use yes ma'am no sir as well out of respect. I...

  20. Most shocking thing you've seen another nurse do?

    misstrinad replied to SuzieVN's topic in Patient, Colleague Relations

    Wow. I always get super nervous with diabetic pts I don't know well. If they exhibit the slightest symptom I think might be related to bs I check them just to be sure. It only takes a couple minutes....

  21. Most shocking thing you've seen another nurse do?

    misstrinad replied to SuzieVN's topic in Patient, Colleague Relations

    Oh

  22. Most shocking thing you've seen another nurse do?

    misstrinad replied to SuzieVN's topic in Patient, Colleague Relations

    "Have seen a PA use a staple gun on a young man, who tried to slice his wrists. PA was ****** the pt would not talk to him or let him see the inflicted damage. No lidocaine was given. I think PA used...

  23. Administer insulin when glucose is 53?

    misstrinad replied to Trixyp's topic in Geriatric, LTC

    Oh my. Low bs can cause a multitude of issues, as someone listed above. Was this supposed to be her first insulin dose of the day and another dose was expected to be given in a few hours? If so I...

  24. Do any nursing homes use "agency staffing" anymore?

    misstrinad replied to Blackcat99's topic in Geriatric, LTC

    We used to use 2 different companies for agency nurses and CNAs but about 3 years ago they stopped bc the agency folks were repeatedly no call no shows. now they won't do it bc of the expense. When...

  25. Base pay of RN BSN in LTC

    misstrinad replied to RNinject's topic in Geriatric, LTC

    I am in the Midwest in a decent size city with 2 majoir hospitals and tons of nrsg hms. In Ltd rn with a 2 yr degree I get pd 21.35 an he w one yr experience for a non management position...it's floor...