txbornnurse

txbornnurse

QA, ID/DD, Correctional, Education

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All Content by txbornnurse

  1. reporting unsafe patient ratios?

    txbornnurse replied to wtpsych's topic in Correctional

    Try 1 to 2300 inmates. I don't think I have ever worked any prison or jail where the ratio of nurses to inmates ever exceeded 4 to a 1000. And that 4 to 1000 was only on the days the docs were there...

  2. Life as a CNA vs LPN

    txbornnurse replied to LPNuser's topic in General Nursing

    43 years as a LVN in a variety of fields and my joints look like I was a pro athlete. Every major joint has repeated injuries, osteoarthritis as a result of the constant stress and trauma plus the...

  3. New facility no med cart allowed

    txbornnurse replied to Mqnurse13's topic in Geriatric, LTC

    How you are supposed to handle giving meds if the resident is not in their room? And I echo a previous poster about where oh where is your state licensing/regulatory agency to do that initial...

  4. Software for RN Oversight

    txbornnurse replied to KyleC's topic in Developmental Disabilities

    Check out Taskmaster Pro. It was designed specifically for HCS and related DD

  5. Is it legal..

    txbornnurse replied to L&DRN93's topic in General Nursing

    This sort of policy decision is why removing dedicated float pools was a bad idea. I can visualize the bean counters rubbing their hands in glee at the idea of removing all of those "overpaid" float...

  6. Should I have volunteered to stay overnight?

    txbornnurse replied to purplegal's topic in General Nursing

    OP correct me if I am wrong but from the way you worded your original post it sounds as if you had worked a swing shift, the facility wanted you to also work the over night shift and you have a day...

  7. Union gave away random drug testing

    txbornnurse replied to Emergent's topic in General Nursing

    Here is my opinion about random UDS. Back in the dark days of yesteryear when I was active duty my husband at the time was over the age of 25 and I was under the age of 25. In its' infinite wisdom...

  8. Only Crusty Old Bats will remember..

    txbornnurse replied to Pepper The Cat's topic in General Nursing

    Disposable bedpans for the most

  9. Only Crusty Old Bats will remember..

    txbornnurse replied to Pepper The Cat's topic in General Nursing

    Metal bedpans, urinals and emesis basins which were gathered up by the night shift and put in the bed pan hopper in the dirty utility room every day. I also remember burning my fingers more than once...

  10. Unfair Shift Rotation

    txbornnurse replied to KHVILLE's topic in General Nursing

    OP you probably won't like this but be grateful it is not worse. Back when I was active duty nursing I literally worked all three shifts every week as did all the other military nurses. It sucked....

  11. Lowest stress (still great pay) nursing specialties?

    txbornnurse replied to Aliens05's topic in General Nursing

    For the record OP I have a fair number of years in the I/DD field and it is not in any fashion stress free for a nurse. There is the on call aspects which can be exhausting, there are productivity...

  12. What Kind of Threads Do You ENJOY Reading?

    txbornnurse replied to VivaLasViejas's topic in General Nursing

    Any threads by Viva. You are a shining example of keep on trucking no matter

  13. With a criminal record should I even try to get into nursing school?

    txbornnurse replied to missjackiep3's topic in Licensure: Criminal History

    Have you considered becoming a licensed chemical dependency counselor? This is one area where you can make a decent living and having the experience of an active addiction plus being in recovery...

  14. I'm quitting today! Finally had enough!

    txbornnurse replied to SoontoBNP's topic in General Nursing

    I have spent a good chunk of my career in this field and unfortunately this attitude is too prevalent. It is especially pronounced when the supervisor/director is not a nurse. I have been told...

  15. If you could speak your mind...

    txbornnurse replied to GSDlvrRN's topic in Patient, Colleague Relations

    So many things at so many times :). When I was working the intake unit at the county jail one of the screening questions was how much alcohol did you drink tonight. The inevitable answer was "just...

  16. Help me understand an Ampule

    txbornnurse replied to Femine91's topic in Patient Medications

    I cannot for the life of me remember this one medication that came in an ampule that had a teeny-tiny file in the package to file the ampule tip off. Using that puppy was the only time I ever cut...

  17. How Do You Sign Your Narcotic Book?

    txbornnurse replied to flashpoint's topic in Geriatric, LTC

    I do not know what state you are in OP but in my state there is NO pharmacy or SNF/Medicare reg regarding anything about each shift signing each individual sign out sheet in place of a separate shift...

  18. How Do You Sign Your Narcotic Book?

    txbornnurse replied to flashpoint's topic in Geriatric, LTC

    When I was doing nurse consulting for LTC pharmacy services we never recommended that each shift sign off on each individual count sheet plus a shift change count sheet. Double documentation is...

  19. Battery: Defending yourself against a combative patient

    txbornnurse replied to rhkenji's topic in General Nursing

    Sounds all nice and neat with security but most of my work sites did NOT have security available so we used a combination of verbal interventions, blocks to include how to safely push someone more...

  20. A Nurse's Hands

    txbornnurse replied to VivaLasViejas's topic in General Nursing

    As always you express via writing what lies deep in the hearts of many of us. Wrinkles, scars, swollen knuckles are all physical testament to countless hours of dedicated hands on healing, comforting...

  21. 2/27 What I learned this week: crying on the job feels so much better when they're happy t

    txbornnurse replied to ixchel's topic in General Nursing

    Update on my job status. At the end of the day on March 1 I was told my job had been eliminated and that the supposedly revised full time gig I was told was being worked into the budget was not...

  22. 2/27 What I learned this week: crying on the job feels so much better when they're happy t

    txbornnurse replied to ixchel's topic in General Nursing

    My mother the accountant always said when a business is focused on saving literally pennies they are either 1) incredibly greedy or 2) already so in the weeds financially that nothing short of a...

  23. 9 rights of medications

    txbornnurse replied to Jonesskky RN's topic in Patient Medications

    I know this is a very old post but I have to point out a major pet peeve of mine in this sentence fragment.."dispensing medications ". Nurses do not dispense medications; we administer medications....

  24. Help! My Employer is Committing Medicaid Fraud!!

    txbornnurse replied to oreocookie123's topic in General Nursing

    I do not know what state you live in or what the details were that you reported but I know personally that reporting inappropriate billing and neglect issues in my state does result in investigations....

  25. Foley cath as g tube?

    txbornnurse replied to organicnurse24's topic in General Nursing

    We used foleys long term for our g tube folks, years at a time without any issues. In fact the pediatric GI surgeon who did most of our clients initial g tube placements recommended using foleys as a...