misstrinad

misstrinad

dementia/LTC

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All Content by misstrinad

  1. 8 or 12 hour shifts

    I have worked in LTC doing 8s for 7yrs, we don't do 12s here. I like doing 8s because my entire day isn't shot, I can still run an errand after work and get home when my daughter does and cook dinner...
  2. Welcome To The Hospital - From Your Nurse

    I'm sorry, but having had an AC IV multiple times I would definitely classify 72 hrs of an AC IV as a 'little discomfort' and not worth even thinking about compared to the issues that brought the...
  3. Job abandonment

    You did the right thing. Honestly I would report the facility for threatening you, although that becomes a he said she said unless others have lodged the same complaint. Other facilities I'm sure will...
  4. Questions for the single parents

    When I was a cna And started at 6am I used to use a before school program that opened at 530 and was able to drop my daughter off And just barely make it to work. Is there any way you can drop them...
  5. At my facility on nocs there is 32-50 pts on each unit and only 1 nurse and 2 CNAs and no supervisor or manager of any sort. The noc nurses Handle it just fine. That said, if you walk into work and...
  6. Mouthcare: glycerin and lemon mouthsticks

    We use them at my ltc facility. I have used them on many pts during end of life care and can't say I've ever seen sores. I do alternate them with plain swabs with mouthwash diluted in water and we...
  7. Problem with current job

    It sounds like no one there is interested in listening to your concerns and there is little you can prove. I would honestly start interviewing at other facilities and feel them out about advancement...
  8. New house supervisor...

    Oh, get to know who the Coumadin patients are so you can make sure new orders on INR day are followed up on. I don't know about other facilities but we do our INRs in house on a portable then fax to...
  9. New house supervisor...

    This is an amazing answer, I don't have much I could add to it. As a nurse in ltc I depend on my house sup for anything that happens that I am not sure how to handle. Get to know your nurses. When I...
  10. LTC 101: What To Expect

    Great post! I loved
  11. LTC / Rehab...as bad as they say?

    There's good and bad aspects of working in ltc. I have worked in ltc w alzheimer's patients for over 5 years now (1.5 as a nurse the rest as a cna) I love it but one day want to make the move to the...
  12. Epic (Nursing) FAILS!

    Too funny! Just remember not to use real
  13. Bedside rounding in-front of patients

    When I was a student The hospital I did all my clinical rotations at did bed side report, however a large portion of report was conducted in the hallway right outside the room in hushed tones. We...
  14. Is it OK to say no to a nurse?

    I am a nurse that used to be a cna in ltc and I never order my aides around. And I help them as much as I can. I can't stand it when other nurses order aides around that are clearly doing their best...
  15. NEW ADON

    I would check into some training seminars either on the web or conference style to assist you. Make sure you get adequate training, including learning the jobs of anyone under you that you have not...
  16. Charting on Dementia/Alzheimer's

    Out of my 30 dementia pts I currently have 1 that could quality to be a&ox3 and several a&ox2. Most only to themselves, and the rest to none. I don't chart it on most of my pts, because like...
  17. What "isn't" on the MAR

    Scheduled meds should all be on their own sheets, then prn meds, then tx. I like all the diabetic orders on their own sheets put in the front but I've found other units prefer to leave their diabetic...
  18. New Grad RN- Being "Charge Nurse" over seasoned LVNs and CNAs

    do my best to include my CNAs under me in my plans.... Like giving supps or mom I ask them "when will be a good time for you before breakfast? I need to make sure you will be available to assist the...
  19. Charting on Dementia/Alzheimer's

    I would mention to the manager just incase other nurses need a reminder on what A&Ox3 means, especially if you are seeing that written for pts you are pretty sure are not. What I started I asked a...
  20. My First Patient Death

    Death of a pt is never easy. You did the right thing did all that you could, some nurses wouldn't have caught such difficulty swallowing right away. I agree that sobbing with the family is not the...
  21. Walkie Talkie

    In northern mn I've never heard the term walkie talkie until I saw it on this site. We just say independent. We do use terms like feeder or
  22. Your Favorite Part

    I also love that I have a set 2 week block schedule 7am-330pm. It just repeats itself. So I know months a head of time exactly what my schedule is so I can plan around my family. They can't change my...
  23. Your Favorite Part

    I work With dementia pts in ltc and I love it. It's always crazy and they drive me nuts but we get a chance to get so close to our residents and their families and I get to be there (most of the...
  24. Patient who continually refuses her meds

    Have you tried pudding? We use snack packs at my ltc and most of my pts will only take it in chocolate. Sometimes I try giving them the whole cup as a 'snack' with the meds crushed in it if they won't...
  25. Proper Medication and Treatment Administering Videos

    This year was my 2nd year having my med administration watched and it's really not as bad as I thought it would be, it was the same lady both years and she was actually quite pleasant during the...