dawnb70

dawnb70

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All Content by dawnb70

  1. Rudeness from EMTs and Paramedics

    dawnb70 replied to TheCommuter's topic in Geriatric, LTC

    Too many times to count!!! I thought it was just where I live! Recently we had a78 year old man in respiratory distress. The ambulance arrived to transport him to the ER, received another call and...

  2. Elder Abuse??????

    dawnb70 posted a topic in Geriatric, LTC

    I turned in a family member today to the Ombudsman for suspected elder abuse, and I'm not sure if I've done the right thing. There have been several occurences with this family and their mother. The...

  3. dumb question

    dawnb70 replied to ellie123's topic in Geriatric, LTC

    I was the treatment nurse for a few months in the LTC facility that I work in. I was responsible for the weekly measurements of decubs. I also determined what treatment to use if a wound showed no...

  4. Losing your skills in LTC

    dawnb70 replied to Cubby's topic in Geriatric, LTC

    I haven't been a nurse for that long (going on 4 yrs.), but I feel that I am using so much of what I learned in school. I change catheters, insert IVs, do blood draws, do trach. care, deal with G or...

  5. I need to vent please a little long sorry

    dawnb70 replied to anniev's topic in Geriatric, LTC

    I was so happy to read this post. I thought I was the only one who felt this way. I've been an LPN for 4 years, and in LTC the whole time. I think I'm starting to get "burnout" big time. At least...

  6. Anyone have too much paperwork???

    dawnb70 replied to johnson0424's topic in Geriatric, LTC

    We have a form for everything too. But my favorite (yeah right) is the new order and lab binders. Anytime we take a telephone order we are supposed to write the order in these binders. It's...

  7. Scared, excited, nervous, anxious.....

    dawnb70 replied to jennyga's topic in Geriatric, LTC

    Find a mentor. It really helped me, anyhow. And never be afraid that any question is stupid. I've been in LTC for 4 yrs. and I still ask for help if I'm uncertain of something. And like everyone...

  8. Pet Peeves

    dawnb70 replied to sjb2005's topic in General Nursing

    Nurse who don't restock supplies.....GRRRRRRRRR! I also hate clutter at my portion of the nurse's station, and it seems that people always use my part of the desk (I believe because it's the only...

  9. Umm...I will have 47 residence to care for !!!!!

    dawnb70 replied to BigB's topic in Geriatric, LTC

    I currently have 33 residents to care for. I have been responsible for as many as 72 when I was the only night nurse in the building. It is possible, but you are not able to give the care your...

  10. Question for nurses

    dawnb70 replied to mal1027's topic in Geriatric, LTC

    I'm an LPN in a LTC facility...wasn't sure if you only wanted RNs to respond. The RNs and LPNs have equal responsibility in the facility that I work in. Many of the LPNs are IV certified/trained and...

  11. I think I'm in big trouble

    dawnb70 replied to not now's topic in General Nursing

    I also applaud your bravery. Too many of us who work in LTC facilities are so used to being short-staffed, and overworked that we take it in stride. If more nurses would stand up for this issue...

  12. What can cause the heart rate to drop during exertion?

    dawnb70 posted a topic in Cardiac

    I am an LPN in a LTC facility. I have a resident whose resting heart rate is always >100, but after PT her heart rate is dropping into the 80s. What could be the cause of this? I've reported it...

  13. What can cause the heart rate to drop during exertion?

    dawnb70 replied to dawnb70's topic in Cardiac

    I was mistaken...She's not on Cardizem. It's Dilt X-R (or Diltacor) I think, which I can't find in my drug book. She has no history of A.Fib, and does not normally have an irregular heart rate. I...

  14. What can cause the heart rate to drop during exertion?

    dawnb70 replied to dawnb70's topic in Cardiac

    I'm trying to remember what meds. this pt. is on. She gets Sinemet, Effexor, Mirapex, Requip, Plavix, Diovan, Cardizem, Synthroid, and Lisinopril in the a.m. At lunch she gets the Effexor, Sinemet,...

  15. Is it common for dialysis to be put on hold?

    dawnb70 posted a topic in Dialysis, Renal, Urology

    I work in a LTC facility and recently had a resident who was receiving dialysis three times a week have his treatment put on hold. We had done a 24 hr. urine on him and it had good results. Then he...

  16. What can cause the heart rate to drop during exertion?

    dawnb70 replied to dawnb70's topic in Cardiac

    Thank you for your help! I did a little research online and ran across an article from USA Today that stated that individuals whose heart rate drops during exertion are more likely to drop dead of a...

  17. Is it common for dialysis to be put on hold?

    dawnb70 replied to dawnb70's topic in Dialysis, Renal, Urology

    This resident had been getting dialysis 3x/wk for about 6 mos. He has a shunt in his left arm, and still has a SC central line. He has been on the diuretics for a week now and the edema has not...

  18. How's your pressure ulcer prevention care on your residents like?

    dawnb70 replied to Jubei's topic in Geriatric, LTC

    We use the Norton Scale at our facility. Those at high risk are care planned to address the issue. We also have a program called TAPS (Turn and Position & Sips-offer hydration)that is announced...

  19. How's your pressure ulcer prevention care on your residents like?

    dawnb70 replied to Jubei's topic in Geriatric, LTC

    Just curious...I was wondering how many nurses are being educated about Terminal/Kennedy ulcers. We've had state in the building recently over a wound that was clearly a terminal ulcer, and now the...

  20. resident falls

    dawnb70 replied to panurse101's topic in Geriatric, LTC

    We've had a lot of luck with the seat belt alarms for those known to attempt to transfer themseleves out of the w/c. They're not considered a restraint, and will only sound if the resident undoes the...

  21. Another pet peeve....ER nurses who treat us like idiots

    dawnb70 replied to CapeCodMermaid's topic in Geriatric, LTC

    I also have a problem with ER nurses in my area. Actually the local hospital in general gives us a lot of problems. I would love to find out why the nurses in the hospital seem to look down on...

  22. new to site looking for activity info

    dawnb70 replied to tmeese's topic in Geriatric, LTC

    I'm not an Activity Director, but where I work we have a wonderful person running our activity program. She's had great success with Pet Therapy. The residents love it. Bingo is the most popular....

  23. D.O.N. concerned more with census than NH residents care

    dawnb70 replied to burrt-lpn's topic in Geriatric, LTC

    I have a similar problem where I work. We have to notify the DON and the Administrator before we send someone out. Plus they want us to use the facility van to transport instead of an ambulance...

  24. Name that part. Words patients use for their own anatomy.

    dawnb70 replied to JEHORAPHA's topic in General Nursing

    I had one resident that would say his "boys" needed adjusted. It took me awhile to figure out that he was sitting on "his boys", and that couldn't be very comfortable! Another residen't kept yelling...

  25. Let's talk TRASH! Useless, outdated, OLD equipment or supplies on your unit, that is!

    dawnb70 replied to UM Review RN's topic in General Nursing

    Prefilled syringes? What are those?:rotfl: I work in a LTC facility, and everything is outdated. If we need an ice pack we fill a glove with ice cubes. We are owned by a corporation, and all that...