we don't have a p&p for trach care!:uhoh21: this lady has been at home, and apparently has been using the same catheter for some time - when i first went into her room, it was just flopped there...
Hmm, don't know - sounds like you've been trying. Have you tried 'taking the mail to the right address' and pulling them in one by one and telling them what you've told us? They need to understand...
Capecod - that's great if the nurse is allowed the TIME to supervise! In our facility, the day RN has the largest med passes, the most treatments, plus dealing with doctors, families, and whatever...
Yes, some of them really do get to you!! There are a few of the ladies I interact with on my med rounds that make it all worthwhile - the one I joke with back and forth, telling her I'm glad it's her...
No, we didn't 'write people up' for things like that - but I would go to my supervisor who would say things like "I know, its such a problem." and that would be the end of it. I eventually quit, after...
Yes, call the house supervisor or someone else. Keep in mind, tho, that you'll probably have to keep working with this gal. At the hospital where I worked, the last department I worked in was full of...
banditrn replied to lvs2nrs3535's topic in Geriatric, LTC
When I started LTC, I'd had many years experience as an RN, and it still took me a couple of months to get my routine down!! My mentor is the LPN who works opposite me on nites - we talk a lot, share...
banditrn replied to TheCommuter's topic in Geriatric, LTC
At nite, we have a bucket of pb sandwiches that I won't give to anyone, because they just sit there for days - then we have an assortment of Little Debbie cakes and cheese and pb crackers. We only...
This is assuming, as most people do, that waitresses are somehow inferior. My mother was a waitress her entire working career - and she was a professional!!:) She worked in nice restaurants, made...
We had a 'customer service' meeting recently at our LTCF. It seems that they want anyone that comes into the building to be offered coffee, tea, etc. Well, sounds nice, but who's going to do that?...
banditrn replied to greatshakes's topic in Geriatric, LTC
I made myself a list that I keep on my computer of each res. with the times of their meds, nebulizers, blood sugars, etc. Each nite when I come in, I go thru the Mar and treatment sheets to see if...
Hurrah!!! The DON finally intervened in this situation and told the other shifts that they had to keep the 'girls' up during the day! :) So last nite they all slept very well. And we were able to...
banditrn replied to spiritbeing8992's topic in Geriatric, LTC
At our home we have up to 40 with only 1 nurse per shift, and part of them will be skilled, meaning they must be charted on every shift, and vitals done every 24 hours. Treatments are done on days...
"E", the wanderer, is still able to do some things, altho, when you leave her, she'll follow you into other people's rooms - enough of our people are with it, and just don't want her in
My aide at nite also picks up during the day - she has seen it, as have I. The other nite nurse picks up days, and sees it. I'm not making 'wild' accusations. I was told last nite that they found...
banditrn replied to NeedyourhelpRN's topic in General Nursing
I spent 10 years at our hospitals ICU, and never felt I deserved any special differential. While I had to maintain certain certifications, etc., my working conditions were also much better than on...
Yep, the hospital that I worked for got heavily into the 'customer service' thing, which was based on the Disneyland model. They paid LARGE bucks for each employee to attend multiple classes - they...
Capecod, this worked somewhat when we only had two or three doing it - now we have 5 (no. 6 recently passed away). With only two staff. Plus 33 other residents to care for. We give them a snack when...
banditrn replied to JentheRN05's topic in Geriatric, LTC
Jen - I didn't realize places like that existed. You sound like a very caring person, but put yourself in her place - she's 95 yo - hasn't she earned the right to die in the place she calls home?...
Having worked in a hospital for many years in primary care, I did my own 'aide' work. But the hospital was much better set up for it with adjustable beds, pull sheets, more staff, etc. I still came...
banditrn replied to lvs2nrs3535's topic in Geriatric, LTC
Yep, I'd be outta there!! I got 4 days orientation to LTC, but I'd been a nurse for many years. Even so, there are still things I'm finding out that weren't covered during 'orientation'. Working in...
I worked in the hospital for many years in many settings - telemetry, psych, ICU, post anesthesia. Left the hospital because of the stupid politics, etc. I make $5 an hour less in LTC, but I wouldn't...
Unfortunately, at nite, we don't have the staff that they have on days - it's one thing to not be able to keep them awake, but they just put them in a chair and let them sleep, it seems like. Yes, I...