Gotoahappyplace

At the facility I used to work at we had a med room only nurses could go in. One person was delegated with the task of making a list of all inj. Due that month with pt. first name posted on our board. The nurse who administered said inj that day would check it off. You'd have to be careful with HIPAA and who sees the list but it worked for us...we had paper everything also.

I don't ever think it's polite to ask someone's religion unless its pertinent to some aspect of their care.If someone is going to come out and ask me what my religion is I usually just say I'm not religious. Some people tend to have negative feelings about the "A" word (atheist). I've had families and a co-worker ask me if I'm Christian because of the care I provide for my patients. No, I'm a caring compassionate nurse because that's who I am.

I understand your frustration completely, I've worked in a similar situation on nights and I was responsible for 20-30 patients with 1 CNA. It's not fair to work under these conditions and that's why turnover is so high in transitional care/rehab settings. Staying at a job you hate can and will make you a bitter, jaded burned out nurse. Look for another job in another area of nursing. Your happiness is the most important thing.

I freaking knew it!!! I thought the same thing my husband looked at me like I was cray cray.

Whoops:whistling: I misread gj tube my apologies.

I wanted to hear if anyone else has worked private duty for a family that is racially insensitive. I have heard some comments from the other family members that have made me cringe of course not directed at me. I've wanted to walk out the door a couple of times! The nerve is that they say things to me like I'm supposed to agree. This includes comments about the LGBTQ community also. How do you respond?

In CA mic key changes and care are within scope. What do you mean by loose because even with low profile short mic keys there can be some space between port and stoma. If it's coming out all the way then the balloon isn't patent and it needs to be changed. Get order if there isn't one to change Prn. We change ours Q3mos or PRN.

I think it's totally normal to feel dread and anxiety when you're new and saddled with 20-30 patients and an enormous amount of responsibility as many Lvns are. As you become more confident in your skills and time management abilities that will ease but nursing is never a stress free profession. Working night shift private duty was a lot less stressful for me however very hard on my body and pay can be dismal.

For the first month or so working in a similar facility I kept a large legal pad of paper to write down all the important stuff like who needs finger sticks, tube feedings etc. Hopefully your facility has a treatment binder for wound care and creams/ointments. Know what you are responsible for in a shift and plan your duties around that. So a shift from 3-11 would look like this: get report, count narcs, check mar for new orders, make rounds give prns if needed/give scheduled meds, dinner time finger sticks, treatments, charting, MD calls if needed, restock supplies, give report to night nurse. This is really just off the top of my head but that's what it looked like for me.

LVN 4 years exp. Most I've made is $28/hr at a sub acute care rehab, $21 doing Psych and $18 doing peds home health which is a lot less stressful.

Hi! Congrats on being a new nurse. Adjusting to working nights in easier for some than others. I've been working three tens for two years now and I still struggle some weeks with fatigue and losing time with family on days off when i just need to catch up on sleep. That being said there are some things you can do to make is easier on your body, here are my tips: Have blackout curtains in your bedroom. Have a fan or other source of white noise. You want to drown out all the noises and activity outside. Go to the bathroom right before bedtime. Turn off cell phone if possible. Eat a light breakfast before bedtime. (No caffeine after 9pm for me.) Wear sunglasses on your drive home in the am. This helps the body prepare for sleep. Let friends and family know your schedule, and don't be surprised if they don't understand why you can't just go out whenever they want. Stick up for yourself...you need sleep to function. On days off I take a quick nap when I get home then go do stuff with my husband. Hopefully that night I can get to sleep on a normal schedule but if I can't I just get up and go do my own thing in the living room. Hope that helps...it's really not ideal but it's doable for a period of time. If all else fails and you just can't fall asleep..I take 1/2 tab of Unisom and that helps sometimes.