misstrinad

misstrinad

dementia/LTC

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All Content by misstrinad

  1. Post fall root cause analysis report...

    misstrinad replied to NurseQT's topic in Geriatric, LTC

    On my dementia unit we look at the basics...hunger, thirst, toileting, pain, noise, lighting level, med refusals, uti, bed height, etc. Perhaps the wear glasses and waking in the middle of the night...

  2. To Treat or Not to Treat Unrelated Dx Hospice Pt.

    misstrinad replied to bluegeegoo2's topic in Geriatric, LTC

    I apologize, I dont know why half of that posted

  3. To Treat or Not to Treat Unrelated Dx Hospice Pt.

    misstrinad replied to bluegeegoo2's topic in Geriatric, LTC

    It really depends, if treating the infection will still leave them alive with a poor quality of life then many times we don't treat and let the infection take them, while keeping them on...

  4. To Treat or Not to Treat Unrelated Dx Hospice Pt.

    misstrinad replied to bluegeegoo2's topic in Geriatric, LTC

    It really depends, if treating the infection will still leave them alive with a poor quality of life then many times we don't treat and let the infection take them, while keeping them on...

  5. Quit my first nursing home after 1 day!

    misstrinad replied to Trixyp's topic in Geriatric, LTC

    No not all nurses homes are like that. That sounds like it was poorly organized and continuing to work there would have put your license at risk. I got floated to another unit when I was a brand new...

  6. Speed Freaks and Serene Souls

    misstrinad replied to garciadiego's topic in Geriatric, LTC

    I stopped feeling so stressed when I finally realized all I can do is my best and that every single thing will not get done every day. I still move like there's fire at my heels bc it's the only way...

  7. New Grad Needing Advice

    misstrinad replied to iaejd's topic in Geriatric, LTC

    Run. Honestly my facility has issues and so do most others. But in my opinion it sounds Like your are being set up to fail. The work load is normal for ltc, however the combination of everything else...

  8. I'm so worried.

    misstrinad replied to Rnhm13's topic in Geriatric, LTC

    Yes it Is perfectly normal to feel that way. The first day is the worst & most overwhelming. It gets better with time. Even though you feel like there isn't enough time you will do yourself and...

  9. So yea...this wound isn't getting any better...

    misstrinad replied to ceebeeRN's topic in Geriatric, LTC

    Regular skin prep can only go on intact skin or it does hurt. Use it for the edges of intact skin. Any chance they having an allergic reaction to the ostomy products that are exasperating the skin...

  10. Night shift in LTC/Skilled Nursing

    misstrinad replied to kRN0512's topic in Geriatric, LTC

    Ltc is a great place to start to get some experience under your belt. While nights probably isn't your first choice I've seen lots of nurses start on nights for 6-8 months and then a more desirable...

  11. Charge nurses

    misstrinad replied to Nightowl_lpn's topic in Geriatric, LTC

    Even after over a year of being a nurse on the same unit I still get a flutter of anxiety when I have to confront a staff about the care they provided. I suck it up and remember the pts are priority...

  12. Need expert advice on how to pass 39 patients' medication in a 2-hour time frame.

    misstrinad replied to OneMurse's topic in Geriatric, LTC

    Like others have said show your math to your manager and Don. Ask the other nurses how they do it. With time you will be able to move faster but in my opinion their expectations are unrealistic. I...

  13. Why is LTC so hated

    misstrinad replied to MadameFreckles's topic in Geriatric, LTC

    If not answering questions to folks who are new to the field/not even actually in it yet I supposed I would have phrased it more like 'technical skills my schooling trained me to perform' and 'variety...

  14. Why is LTC so hated

    misstrinad replied to MadameFreckles's topic in Geriatric, LTC

    I deal with the same problem in Ltc, I have been doing it for just over a year now. You just do the best you can. Everything that could/should be done is impossible to all get done. Lean on your...

  15. Why is LTC so hated

    misstrinad replied to MadameFreckles's topic in Geriatric, LTC

    I am an rn and I work in ltc. I get paid about $10 less an hour than I would at the hospitals here, which is standard for my area. Idk if the pay difference is the same everywhere. I am mostly a pill...

  16. New grad in LTC nursing- need advice please!!

    misstrinad replied to Allsmiles11's topic in Geriatric, LTC

    In my facility we can save our cheat sheet as long as it doesn't leave the building. If you can do that make a good one and save it. On my assignment sheet when ppl don't have scheduled meds I color...

  17. Therapeutic Lying, Ethical? Or not?

    misstrinad replied to vregino36's topic in Patient, Colleague Relations

    I have worked on an Alzheimer's unit for 5+ yrs and for 95% of the pts in that situation you jump into their reality with them. Mother went to the store she will be back I'm an hour...then...

  18. Given a warning

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

    I wrk in ltc and there are always tons of requests. I simply state: I have 5 things I absolutely have to get done first, if no emergency comes up I will go try to find that item for you. I'm sorry I...

  19. CNA 'tudes

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

    I have a lot of older CNAs on my unit too. When I switched from Cna to rn on the same unit I made sure to talk to the CNAs and clue them in. I had heard so much complaining before about nurses not...

  20. Clock watching for the 7 minute clock in window

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

    One of our afternoon nurses is always 30-45 min early. She comes to the unit, gets her self ready, makes a pot of coffee, checks on a few residents, checks in with me, the supervisor, and manager and...

  21. Clock watching for the 7 minute clock in window

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

    My facility does the same thing. I can't say I'm sure why, but others seem to have answered

  22. Lazy CNAs, New Nurse

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

    I worked a ltc unit for 4+ yrs as a Cna then passed boards and took the day nurse position on that unit. My transition went well tho bc my unit really works as a team, which other units in my facility...

  23. Walked in on a pt rolling a joint

    misstrinad replied to Anonymous666's topic in Patient, Colleague Relations

    Wow some folks sure were feeling nitpicky. I think you handled it great. I would have done about the same thing. You didn't actually see anything and have no proof he was doing anything wrong. I would...

  24. Would you hold Metformin fot a BS level of 149

    misstrinad replied to Nola009's topic in Patient Safety Issues

    I would not hold the metformin. Perhaps if the pt typically runs in the 200-300 range AND was recently put on it or if they were very brittle. In other words if 149 was considered very low for them I...

  25. I was written up and put back on orientation

    misstrinad replied to Kalicokats's topic in Patient Safety Issues

    NPO is NPO as the others said. Don't let it get you down. Every new nurse is scared. I had an instructor say once if a student or new nurse isn't scared at least somewhat that it scared THEM. Fear in...