vampiregirl BSN, RN

Hospice

CHPN, WCC

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All Content by vampiregirl

  1. vampiregirl

    Applying with Eligibility Issues (criminal history)

    vampiregirl replied to BCSNurse's topic in Licensure: Criminal History

    I would encourage you to be honest about the charges in regards to future applications and interviews. As a hiring manager I am very reluctant to hire someone who indicates no criminal history on the...
  2. vampiregirl

    Holding Antihypertiensives

    vampiregirl replied to jamiejohnson2007's topic in Patient Medications

    Just a thought to add to this discussion... If I call a doc r/t administering/holding an antihypertensive/ betablocker, I always request parameters to add the the order as a clarification regardless...
  3. vampiregirl

    RN in nursing home

    vampiregirl replied to marmbrusterRN's topic in Geriatric, LTC

    RN's truly have a place in LTC. It can be a great place to learn prioritization and hone assessment skills - RN programs focus on development critical thinking skills. Up until recently, the only...
  4. vampiregirl

    Violent/combative residents?

    vampiregirl replied to nursehaley91's topic in Geriatric, LTC

    This must vary by state... in Indiana PRN antipsychotics can be administered, but there must be very clear/ thorough documentation to substantiate its administration (vs. the medication being...
  5. vampiregirl

    Home Health RN Question

    vampiregirl replied to cshelly12's topic in Home Health

    When I admitted a patient to home care, I called the patient's primary provider to notify them that the patient had been admitted to home care. I also reviewed or faxed the discharge orders to them,...
  6. vampiregirl

    Preventing return to hospital transfers

    vampiregirl posted a topic in Geriatric, LTC

    What programs/ strategies is your facility implementing to prevent return to hospital transfers? The facility I work at is currently focusing on early intervention/ thorough assessments, using...
  7. vampiregirl

    LTC rework

    vampiregirl replied to sunshyne17's topic in Geriatric, LTC

    Is your facility new to EHR/ EMAR? I know that when we first transitioned there were a lot of "rework" or "double/ triple documenting" instances. It has greatly diminished over time for us, but many...
  8. vampiregirl

    Stuck in LTC

    vampiregirl replied to Guest757854's topic in Geriatric, LTC

    I stay in LTC because I enjoy
  9. vampiregirl

    Any advice on getting hired at a LTC facility as a new ADN grad?

    vampiregirl replied to Cynnie24's topic in Geriatric, LTC

    I'm the SDC for a 188 bed facility, among my responsibilities is hiring new nursing staff. When I am interviewing recent grads, I am looking for someone who has good critical thinking skills and is...
  10. vampiregirl

    Assisted Living - What EMAR software do YOU use???

    vampiregirl replied to OhioITNurse's topic in Geriatric, LTC

    I work LTC, so my situation is a little different. We use Point, Click, Care. The software is very customizable, I'd directly contact point click care to see if their product would meet your...
  11. vampiregirl

    The Cons of Working in Long Term Care

    vampiregirl replied to TheCommuter's topic in Geriatric, LTC

    I'm somewhat amused - the facility I work at is currently identifying it's most pressing concerns and trying to figure out how to address them. I could have written the OP's list myself, except for...
  12. vampiregirl

    Anybody a SDC or aka jack/jill of all trades?

    vampiregirl replied to Kitty Hawk's topic in Geriatric, LTC

    It really does vary in regards to how often my days are long - depends on resident acuity, admission, staffing, staff illness/ exhaustion, inservices, orientation, etc. I also am in the rotation for...
  13. vampiregirl

    Anybody a SDC or aka jack/jill of all trades?

    vampiregirl replied to Kitty Hawk's topic in Geriatric, LTC

    I'm an SDC for a 180 bed facility. I frequently do admissions assessments. I also help with assessments/ care of residents with a change in condition. I've worked as a floor nurse and a CNA when...
  14. vampiregirl

    Does your DON want you to do skin checks on night shift?

    vampiregirl replied to Blackcat99's topic in Geriatric, LTC

    We also do just monthly weights, unless someone is being monitored for weight gain, weight loss, or CHF. As for vitals, we check monthly unless someone is on an anti-hypertensive or psychotropic med,...
  15. vampiregirl

    Does your DON want you to do skin checks on night shift?

    vampiregirl replied to Blackcat99's topic in Geriatric, LTC

    The facility I work at used to do routine skin checks on noc shift too. Now only post-incident skin checks (q shift x 3 days) are on noc shift, with just a few exceptions. The routine skin checks are...
  16. vampiregirl

    Gerontology vs. Geriatrics

    vampiregirl replied to ICUnurseEst2015's topic in General Students

    Yeah! It's always encouraging when I hear people who want to work with geriatrics. I love the people I serve in the LTC where I work, but also know that the LTC population is getting younger and...
  17. vampiregirl

    HIPAA and Advocate for competent patient

    vampiregirl replied to akn1563's topic in HIPAA Challenges

    I agree that sometimes a 3rd party advocate (especially with a nursing background) can be beneficial, but in the case of a 29 y/o alert/ oriented and competent patient should be initiated by the...
  18. vampiregirl

    Inservice

    vampiregirl replied to LovelyOverload's topic in Geriatric, LTC

    Providing peri care is within the scope of practice of a restorative aide or a CNA. If that aide can effectively communicate the information, I think it's a great idea. I know this topic can be a bit...
  19. vampiregirl

    uncooperative residents

    vampiregirl replied to glucas985's topic in Geriatric, LTC

    I've also encountered an increase in younger patients. I think unfortunately there is still a stigma attached to long term care care, and many misconceptions. I also agree with Viva, many of these...
  20. vampiregirl

    The Clinical Performance in Nursing Exam (CPNE): what the heck is this madness?!

    vampiregirl replied to Lunah's topic in Excelsior College

    Excellent article:) I too took (and passed) my CPNE at Mansfield. I'm sorry to hear that site closed, I had a very good experience there. I agree that some of the biggest factors for success include...
  21. vampiregirl

    Non-rebreather mask with a co2 retainer

    vampiregirl replied to Debra,RN's topic in General Nursing

    Not sure what setting the OP works in, I'm in LTC/SNF. The sats are just one piece to the puzzle. After completing a more complete assessment I would (quickly) consider my options and obtain/implement...
  22. vampiregirl

    Nexium Capsule!

    vampiregirl replied to jordanSt-john lvn's topic in Patient Medications

    There are also instructions to give via g-tube at the bottom of the drug monograph - you add the granules directly to the syringe, add 50 mL water, replace the plunger and shake upside down for 15...
  23. vampiregirl

    Nursing Interventions for dry flaky skin

    vampiregirl replied to slp_vball01's topic in General Nursing

    I know we've used tubigrip/ knit stockingette to extremities with similar orders to protect clothing. As a bonus it seems to improve the action of the lotion (kind of like applying lotion to your...
  24. vampiregirl

    re-testing stool after c-diff tx

    vampiregirl replied to pigletrn2009's topic in General Nursing

    Our policy is to retest 48 hours after last dose of antibiotics. From the research and recommendations I have seen though, there isn't any one clear cut guideline/ recommendation on this
  25. vampiregirl

    How to document

    vampiregirl replied to Dragonstrike's topic in General Nursing

    You can also document observations. For example: facial grimace observed with repositioning, patient protective of right arm with movement. If you document how a patient appears, it is important to...