EmpathyInAction

You see a curved tube from a broken shampoo pump on the floor and your first thought is "Why is that trach tube on the floor??" Feel free to add your own.

II don't know about the "resort" part.... generally post acute care facilities you will facilities get 15 o 20 patients with most anything you might see on a Med surg unitunit, if that helps. Its very busy and patients are very needy because of their...

If so, how do you manage your symptoms and work? I am 31 years old, have AS and work 8 hr shifts where I'm on my feet almost all the time. Typically I do feel a little better the next day since I was so active at work, however while I am at work I'm...

I'm assuming that you would still start out working with a preceptor. Typically orientation is a lot of hours of facility policy and procedure, not really job training. If you are not starting with a preceptor then I wouldn't start. You need on the ...

They may not be flammable, but at least one man has killed himself with his own farts, per the Darwin awards.

I started a new job about 10 days ago working in a SNF where my patients still need a lot of acute care. Patients with fresh surgical wounds, feeding tubs, PIC lines, etc. With serious conditions. The nurse that I typically relieve has some really ba...

Although I didn't explicitly say so, I've still been working with a preceptor as Im very new to the facility. I guess I thought it was an obvious inference. My preceptor is one of the other nurses who treated this as normal. So as I said, I felt un...

While I agree with this, it's not appropriate for the Dr to "yell" at the staff in the facility, assuming the OP literally meant yelling. If what was actually meant is "got my butt chewed out" that's a different story. It's well known that some doc...

I haven't read every reply but here are my thought: a well written resume, if completed properly and professionally (sparing the boasting and attitude of deserving better) should speak for itself. I had 2 interviews as an STNA based on my resume alon...

There are tons of options with an nursing degree. Not everyone enjoys being a floor nurse. You have a lot of options though. I'd look into other job possibilities that might suit you better while still making use of your degree.

Started first job at a LTC facility at 22.74 with shift diff. Left after 3 mo. and just started a new job at an SNF at 24.50 with guaranteed raise over the next year if I stay I'll be at 25.75. Live in OH. This it pretty typical for my area.

I will make this short and sweet. Just because you do not wish to be brought back to life does not mean you wish to suffocate and die painfully at home. I did most of my clinical on telemetry floors as well as my role transition where we had several...

The best advice I can give is to report these things to the charge nurse when they happen and document the interaction. I had a patient at my last job that was difficult and argumentative. She'd regularly insist I hadn't given meds, checked her BS lv...

That's exactly it! Something feels off. Either she has a complete lack of concern for procedure or she's intentionally not doing things properly. Either way, it's bad. I went ahead and spoke with the shif nurse manager last night. She apparently had...

Jadelpn I think you really summed up some of my thoughts better than I did. It really sounds like you understand my very real concerns. As for the narcotics count being off, it happens like this: When we do the narc count, she is reading the logs whi...

I work in a SNF that takes acute care patients from hospitals, often fresh from surgery and/or with significant problems. On any given day I can have between 10 and 16 patients. It is tough, tiring and keeps me very busy. The patient population is c...

I had not yet addressed the other RN. This is my first time encountering a situation like this, which is why I was seeking advice.

My first job was in a LTC facility. I was on the skilled unit but the patients didn't require the level of care that the people here do. I understand to an extent setting meds you have pulled and couldn't give right then in with that patients meds. T...

If there is only one RN, no LPN and a couple of aids working a unit, does that automatically mean the RN is also charge? Info: Small 300 bed facility, 7 floors, two units per floor, 2nd shift, one "nurse supervisor" for entire facility on 2nd shift.

At my facility there is always one RN or LPS per ten patients. Occasionally if we are really short handed there will be only one nurse one on the the largest unit that houses twenty patients. I've also found from speaking with the Supervisors and DON...

Let me clarify: if he refuses to eat the modified diet that is his choice, but it should at least be provided.

Ya, why haven't they changed the diet. There is a difference between not wanting interventions and not providing the appropriate type of food. If it were me I would talk to the supervisor.

We have no ID bands. We use pictures, but most all the staff has been here at least 8 yrs and knows everyone by name, so when in doubt, I can ask.

Some patients have days where they just can't be redirected, sadly. You can always try going with the flow and telling her that her stuff is already packed or that someone is doing it for her. Also, I find that if you can distract some just long eno...

NO they are NOT all that way!