HehLPN

I have tried several different brands and types of shoes. The shoes I have found most comfortable are K-Swiss Tubes. Though, of course, it is whatever you are going to be comfortable in.

We have a few families like this...just on my unit alone. We have worked with our social services department to refer them to local grief counselors. Maybe they are stuck in the grief process and using the facility as a punching bag because they don't know what else to do. Not always the case, but worth a try.

In our facility, after hours we have an on call manager, which is not always a nurse. We call or text them for anything we absolutely have to have and cannot do ourselves. If they need to contact our DNS or ED, then they will and will get back to us. If we have a call off, we, as charge nurses, deal with it and try to find someone to come in or rearrange staff to make it work. We have a list of phone numbers for nurses and CNAs in our schedule book. There really is no need to wake someone up in the middle of the night just to handle something that we can take care of. We also have a mandation policy. We have 1 nurse and 1 CNA mandated to stay in the event of a call off for each shift. It works well. We work on a point system and No Call No Shows are never ok For any reason unless you're unconscious, then you better bring a Dr note to return. We have an NP, as well as our medical director, that comes in a couple times a week each. There is no reason we would need to call the on call NP for narcs or other meds if we are keeping up with how many refills our current narcs have. We request hard scripts at the time they are there. If we get labs back late, as long as they are unremarkable, we wait until the day shift to have our regular NP look at them. If our computers go out, we have 3 ring binders for back up paper charting on each unit for nurses and CNAs. If an employee is whining like a child, they are free to go home. They will receive full points for the missed shift, and double the points if it is their weekend to work, on top of having to make that weekend shift up on their off weekend. We will then work on calling another staff member in to help cover the shift. As nurses, we also collaborate. If I can't figure something out, I will call a nurse on another unit for help, etc. The only thing we call/text our DNS for directly are choking incidents, falls, or 911 emergencies and that's just to notify him in case he needs to report it and so he is not blind sided in morning meeting. He never works the floor if we can help it. He has his own pile of work to do. I have only had one incident I had to call our DNS for. I had argued with a CNA who was refusing to work the floor our DNS scheduled her on. I had been telling her for 30 minutes that she needed to report to her scheduled unit, get report, and relieve the CNA on her hall. She kept telling me that if she had to work that unit then she was going home. I told her that was her decision but I couldn't guarantee she would have a job the next day. Unfortunately, I eventually had to call our DNS and tell him she was acting like a child and refusing to work where he scheduled her. He talked to her and told her to go where she was scheduled or go home. If she chose to go home, she didn't need to come back the next day because she would not have a job. Of course he was not happy about being woke up, and I wasn't happy I had to wake hime up. That CNA received a written warning write up when our DNS came in early just to speak with her the next morning. Hope some of this helps you and I hope you're getting enough sleep! (All of our floor nurses are titled "Charge Nurse" to take "charge" of the little things.)

My 15 year old daughter has these depressions under her skin. They look like light purple or lavender colored bruises. When you touch one, it feels like an air pocket underneath the skin, or upside down blister if that makes sense. Very hard to explain. I've never seen anything like it as a nurse. Some of them hurt a little when pushed on. She keeps developing more of them all over her body. She saw a pediatric dermatologist, infectious disease, her pediatrician and her neurosurgeon. None of them know what they are or what could cause them. I can't find anything online about them either. Anyone have any ideas?

I am a nurse on the dementia unit. We have a resident who currently has a behavior of giving you a mean look, crossing his legs, and sitting on the floor when he doesn't get his way. If he is purposefully sitting on the floor to avoid care, why is that a fall? That, in turn, counts against the nurse and aides, as well as, the entire buildings fall count. Doesn't make sense to me.