GrandmaSqueak

GrandmaSqueak

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All Content by GrandmaSqueak

  1. What makes a good DON

    GrandmaSqueak replied to imjstme's topic in Geriatric, LTC

    What makes a good DON depends on who you ask. Staff nurses want someone who supports them and helps out when it gets really hectic. Administrators want someone who looks after the bottom line. Being a...

  2. Roxanol 40mg q30 min

    GrandmaSqueak posted a topic in Hospice, Palliative

    Last night I had an order to give Roxanol 40 mg po/sl q30 min prn. The evening shift had been giving it every hour. When I went to check on my resident at the onset of shift, I told the visitors (not...

  3. Roxanol 40mg q30 min

    GrandmaSqueak replied to GrandmaSqueak's topic in Hospice, Palliative

    Thank you. Yes, it was titrated up to that level and she has end-stage cancer. I'm more at ease with it now, thanks

  4. Geriatric Simulators

    GrandmaSqueak replied to mlaz87's topic in Geriatric, LTC

    I'm not sure the expense would be worth it. Looking at the article, I was thinking he put her in the front seat so he could use the carpool

  5. Bad messed up

    GrandmaSqueak replied to pcbeachbum's topic in Nurses Recovery

    The BON will probably not want you working with controlled substances while on probation. I worked with a nurse who was busted for diverting and using Demerol. She had to go to rehab and 2 years of...

  6. If not nursing what other career would you have done?

    GrandmaSqueak replied to nurse2bnoob101's topic in General Nursing

    If I had it all to do over again, I'd a Funeral

  7. Are the elderly just happy to see a white guy?

    GrandmaSqueak replied to kfostercma's topic in Geriatric, LTC

    As llg stated, resident hearing loss may have something to do with it. High frequencies are among the first to go, so it is easier to hear lower (male) voices. My experience has been that the elderly...

  8. License at Risk? Put up or shut up,,,

    GrandmaSqueak replied to Jedrnurse's topic in General Nursing

    Two -- One for narcotic diversion with intent to sell, the other for diverting and using IM Demerol while on

  9. Opinions on new "rule"

    GrandmaSqueak replied to sillylil's topic in Geriatric, LTC

    The LTC unit I work on has 2 day shift nurses and 1 night shift nurse. I'm night shift and I give report to both at the same time. They are each assigned their own hall, so if one is late I can start...

  10. Leaving my comfy throne to go into LTC, comfort vs skills

    GrandmaSqueak replied to MzLopez4real's topic in Geriatric, LTC

    You say it's in a better location and suits your needs. If you can live with the pay cut, I say go for it. 30 residents on over-nights is pretty good, depending on how many CNA's you have. It will be...

  11. New Nurse Seeking Knowledge and Wisdom

    GrandmaSqueak replied to Newgurl17's topic in Geriatric, LTC

    I agree with LTC_LPN. I usually advise people to give it 6 months, unless the place is a complete nightmare. It sounds like you are getting your bearings. Each shift gets a little

  12. CNA's not completing assignment. Vent.

    GrandmaSqueak replied to Forever Sunshine's topic in Geriatric, LTC

    My initial response to your post is: Did the on-coming shift do touch walk-through? I always encourage my CNA's to do touch walk-through instead of just receiving a verbal report. If they had...

  13. California endorsement

    GrandmaSqueak replied to risyd's topic in Nurse Registration

    My advice is to contact the Calif BON. They will send you the information you need. California is not on any of the interstate contracts as far as I know. But, since you tested there, I don't see a...

  14. New facility no med cart allowed

    GrandmaSqueak replied to Mqnurse13's topic in Geriatric, LTC

    I feel your pain. I once worked 2 weeks at a brand new facility. It was beautiful, but the call bells for the hall I worked rang at the front nurses' station. There was no nurses' station on my...

  15. Membership Package Survey

    GrandmaSqueak replied to tnbutterfly - Mary's topic in News, Announcements

    I enjoy the information I get from reading the posts, but I see no particular reason to purchase a membership. Thanks to the above comments, I tried the survey and agree with /username, BSN,

  16. What does your username mean?

    GrandmaSqueak replied to LifesAJourney's topic in Nursing Humor

    My life-long nickname is Squeak, and I'm a

  17. Rumors and who's in charge??

    GrandmaSqueak replied to CapeCodMermaid's topic in Geriatric, LTC

    A CNA once accused me of yelling at her. I calmly told her that I did not yell. She told me that I yelled even when I was whispering. I think she was commenting on my assertive

  18. Really? Really

    GrandmaSqueak replied to Dawnkeibals's topic in Geriatric, LTC

    Being "long in the tooth" I learned a long time ago to do my own VS before meds. That way, I know what they are and when they were

  19. Why night shift may not always be best for new nurses.

    GrandmaSqueak replied to downsouthlaff's topic in Geriatric, LTC

    All I can say is: I totally agree. I work night shift in a Continuing Care Retirement Community. I am the only nurse in the building from 10p-6a. I am responsible for my 38 bed LTC/SNF unit, but...

  20. So long, farewell, adieu

    GrandmaSqueak replied to CapeCodMermaid's topic in Geriatric, LTC

    I worked at a "non-profit" facility for 7 years. We had little tags on everything for the charges. We were constantly told to be sure we posted the tags because the facility was losing money. Now I...

  21. Potential night LTC/ subacute needs advice!

    GrandmaSqueak replied to RNnextstopDNP's topic in Geriatric, LTC

    Though night shift sounds great for a new grad, it might be just the opposite. If you are the only nurse in the building, you are in charge of everything. I would recommend getting at least a year...

  22. Potential night LTC/ subacute needs advice!

    GrandmaSqueak replied to RNnextstopDNP's topic in Geriatric, LTC

    If you can do some task early, do it then, EARLY!!! You'll be amazed when time gets scrunched because of some other priority and you still have some routine-y task (that you COULD HAVE DONE EARLY) is...