caffeinatednurse BSN, RN

Med-surg, telemetry, oncology

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All Content by caffeinatednurse

  1. caffeinatednurse

    How many patients you guys take on your duty?

    It depends. Short term rehab unit - anywhere from 6-15 patients LTC skilled nursing - 15-18 residents Assisted living - 24-27
  2. caffeinatednurse

    Is nursing REALLY that difficult?

    Yes, it can really be that bad, depending on where a nurse is in their experience level, place of employment, area of the country, etc. There are many factors that play a part, but nursing is...
  3. caffeinatednurse

    New Grad RN's in nursing homes

    Good so far! I am in the process of accepting a promotion offered to me at work (at the same place I mentioned in my last post). I have been there about 8 months. LTC has been good to me so
  4. caffeinatednurse

    NC nurses- license question

    No copies in the mail. Once you've passed and actually have a license, you can print out a certificate which will suffice for most employers. Or they'll look you up on the
  5. I currently work LTC/short term rehab. Time management skills are not be underestimated in this environment. I worked med surg prior to coming to LTC/short term rehab and I just thought I knew what...
  6. caffeinatednurse

    Nurse to patient ratio

    I work primarily on a short term rehab unit in a LTC facility. I have anywhere from 6 to 15 on the rehab side, with one to two CNAs. Lately I have been lucky & found myself with a second nurse for...
  7. caffeinatednurse

    Leaving Meds at the Bedside?

    I had a pt once who took her meds crushed in yogurt. Literally about 20 pills crushed in yogurt. She took probably 1 hr to eat her small 30 ounce cup of yogurt. Needless to say, I did not stand there...
  8. caffeinatednurse

    Nursing Student From Hell

    I would fail her. I had a similar preceptorship/capstone in my last semester. By the last week, I was getting/giving report, participating in grand rounds, giving all of the meds, providing all of pt...
  9. caffeinatednurse

    What was the REAL reason you called off

    Well, it seems that I called it. Type A influenza and bacterial pneumonia to boot. Just called work and let them know that I will be out a bit whee longer than I originally expected. Back on subject,...
  10. caffeinatednurse

    What was the REAL reason you called off

    The real reason I'm getting ready to call in: I have had a temp >101 for the past 3 days. Coughing, EVERYTHING hurts including my skin to touch. I worked sick on Monday (my charge nurse refused to...
  11. caffeinatednurse

    Slow nursing jobs? So I can go back to school.

    With that kind of question, would you really expect any other type of answer on here? No worries though. My short term rehab floor is anything but "slow." Those who try to do homework on the clock...
  12. caffeinatednurse

    Disclosing mental health information to employr

    It's none of their business, and you're not obligated to tell them anything. Thanks to HIPAA, your old files aren't accessible to your coworkers. I wouldn't say anything. It's in the past!
  13. caffeinatednurse

    Preventing call-ins

    At our facility, when they start to abuse the call-ins (no doctor's note or evidence for their reason, etc.)...our DON assists them with finding the
  14. caffeinatednurse

    Slow nursing jobs? So I can go back to school.

    I personally do not want a private duty nurse taking care of me who wants to do their homework on the clock, instead of tending to my needs. I have seen way too many LTC 11-7 nurses scoff and roll...
  15. caffeinatednurse

    RN being pulled to work as aide?

    Our facility pulls LPNs first, but when I happen to be the "extra" nurse that day (or if it's an LPN who has been there forever and will absolutely not work as an aide), I've been pulled to work as an...
  16. caffeinatednurse

    Verge of nervous breakdown

    I am not bipolar (or at least, I don't have that dx yet), but I have struggled w/anxiety & depression for some time now. My anxiety levels reached their peak during my 4th month of Med-Surg...
  17. caffeinatednurse

    Slow nursing jobs? So I can go back to school.

    There are none. A lot of my coworkers who are also students make the mistake of believing that the facility I work in (which is LTC but a short term rehab unit) is one of those places where the pace...
  18. caffeinatednurse

    Night shift alterative hours poll

    2pm-2am or 3pm-3am would be wonderful. Even 4pm-4am would still allow me to get home before the sun comes up & fall asleep a little more easily. I currently work 2nd shift (3-11) 5 days/week. I am...
  19. caffeinatednurse

    Hourly charting

    "Resident is resting w/eyes open (or closed). No s/s of distress, discomfort or
  20. caffeinatednurse

    Being Ordered to Give Whiskey

    I work in LTC. Our residents have standing orders. They can have 4 oz of whiskey, beer or wine with dinner. We keep the alcohol locked up in the med room fridge. Family supplies their choice of...
  21. caffeinatednurse

    Being Ordered to Give Whiskey

    I spread it out. I try to put at least 2-3 hrs between the alcohol and med pass. There's nothing in our facility policy that spells it out, just that alcohol shouldn't be given within 4 hrs of...
  22. caffeinatednurse

    Alternative Job Options for New RN?

    I work on a short term rehab unit that is part of a larger retirement community. It's a good mix of a little bit of everything: I have residents on isolation, IVs, residents with nephrostomy tubes,...
  23. caffeinatednurse

    Update: no longer questioning my career choice

    I've recently came to the same conclusion. I tell myself when I leave work everyday that I did everything that I could during my 8 hour shift. I reassure myself that 2 more nurses will be following...
  24. caffeinatednurse

    Would you report this error?

    I recently started a new job. Recently, during narc count, I caught 2 mistakes made by the off going nurse. One mistake involved a narc given at the wrong time - the medication was due to be given on...
  25. caffeinatednurse

    Would you report this error?

    What concerns me about this situation is that the nurse promised to follow up on the situation & then never did. Then they changed the time to reflect giving it on my shift. If they had self...