Cruella de ville

Cruella de ville

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All Content by Cruella de ville

  1. Lazy patient

    Sitting in soiled bedding can cause skin breakdown and increase infection risk, so I wouldn't allow a patient to sit in their own mess in a hospital or other care setting. I would be trying lots of...
  2. Is 6 weeks too long to give resignation notice?

    Give only the minimum notice. I have had jobs that terminated immediately upon receiving a notice stating they didn't want anyone working there who didn't want to be working. 6 weeks would be a long...
  3. Transition from LTC to hospital

    I made the transition a few years ago. A few things that were big changes for me was the idea that we are actively trying to save everyone vs LTC where most are DNR and waiting for end of life. It was...
  4. Smoking cessation-to lecture or not to lecture?

    I usually just ask them what they want. I just tell them I am happy to offer smoking cessation information if they feel like listening but add they are adults and are free to make their own decisions...
  5. Are all agencies this messed up?

    Just a bit of advice. You don't ever need to give an explanation of why you can't cover a shift and you are not painting yourself a very good picture if you are telling them you are too drunk to work....
  6. Report or not when administrators have favorites

    Quote ""I texted the previous charge, L, and apologized for bugging her during her family emergency but just wanted to know who she gave report to since charge report is vague without the fine...
  7. Getting to know the residents

    When I worked LTC our social workers asked a series of personal questions as part of their admission process. Marital status, kids, (names and where they lived), occupation, hobbies, food likes and...
  8. Nurse to patient ratio for LTC.

    I work for a LTC and we are struggling with staffing. First it was CNAs and now it is all positions. After they started mandating LPNs and RNs to Nursing aid shifts, they started scheduling the LPNs...
  9. Trouble with A&P I

    When I took A & P I found that almost half the class was retaking it because they didn't do well the first time around. I quickly realized I had to spend way more time studying than I ever thought...
  10. Can you refuse to give care to a resident in LTC?

    Are the social workers, supervisors and DON available to be the buddy? I would recommend asking the charge nurse every time to assist you with this challenging patient. Can you work with the social...
  11. Keeping textbooks for reference?

    As a new nurse 10 yes ago, I kept them and read them almost every night during my first few months of working. Now the only ones I ever read are my pharmacology book to review new meds and study up on...
  12. Please help, this is complicated.

    Hello nurses, I am.looking for some advice. I am in a complicated situation and would like some feedback. Here is my situation. I have been at my current job for almost a year, last month my husband...
  13. CNA's not completing assignment. Vent.

    Do the residents want to get up that early? Is it a reasonable assignment to get all the residents up that early in the morning? What time do they have to start waking up residents to complete this...
  14. Rumors and who's in charge??

    CapeCodMermaid, I only know you through your posts here on all nurses and I have always felt like you were the kind of manager or DON that I would like to work for. That being said, the last statement...
  15. What makes your job meaningful?

    Every day we have the chance to make a difference. We see patients at their worst of circumstances and we do have the opportunity to make that a little better for them Whether that is helping an...
  16. My path to nursing was a little long, I started nursing g school out of high school, but it wasn't meant to be. I got married and had 2 children and wasn't until they were older that I realized that I...
  17. Please help, this is complicated.

    ^this^ Somehow you managed to sum up part of how I am feeling. Thank
  18. Patient Fell and Got up?

    If her care plan had her independent for mobility and you were following the care plan, then there should be no reason anyone should get in
  19. Please help, this is complicated.

    Thank you all for your words of encouragement. This is by far the hardest thing I have ever had to go through, and no end in sight. I do have an awesome group of coworkers who have been just amazing...
  20. Futile ressusitation

    After having been through this situation on a personal level I can say that I would hope that you would try to change your attitude just a bit. A month ago my husband walked into an ER with chest pain...
  21. Nursery RN

    We just went through a somewhat similar situation and had one person lose their job. Our ER calls up to our floor to secure a bed for an upcoming patient. Our HUC would then go into the e-chart to get...
  22. EC holds from other facilities

    We will not enforce any hold orders from another facility, only legal holds like a legal commitment. If someone is in police custody they send an officer. Our doctors will review and occasionally...
  23. Change in condition documentation

    What was her BG? Any s/s stroke? Neuros? Vasovagal? How much sleep did she get the night before? Any chance of overdose? To answer your question, just chart your observations and what your...
  24. New BSN vs veteran LPN

    I will always remember my first RN job I was terrified and had lots to learn and I really felt like the "more experienced" LPNs were being mean to me. What I found out later was the DON had told them...
  25. Orders from hell...

    The machines are only calibrated to be accurate up to a certain number so a 599 could be 601 or 899. Even the low numbers are only accurate down to a certain number and so anything under or above the...