littlespitfire

littlespitfire

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All Content by littlespitfire

  1. My first dump and run

    The heartbreaking things I see are countless. Young woman, cerebral palsy... Admitted with full body cellulitis, stage 3's one t shirt and a box of markers. Lady nearing 100, terminal bladder cancer, both hips affected... No family visited in the yea...
  2. LTC's are a joke

    Our state team gets put with the floor nurses and they have full access to carts, charts, and can demand to have any task demonstrated. And they do.. And we get dinged any time something's not exactly textbook. It's incredibly stressful. We are a 4 d...
  3. LTC's are a joke

    Re kimwarren72 ...You are an amazing leader. We have very few office dwellers that emerge to help no matter how bad the floor staff is drowning. They will however answer a call light and tell the pt let me find your nurse/aide and come tell us that 1...
  4. Questions for an acute care nurse.

    I feel fortunate we have nurse liaisons that go to our local hospitals to review if patients are rehab material and to go over their admission packets... Some of our admissions from other states are scary. Missing orders, no dictations, no surgical o...
  5. What is a typical day working in a nursing home?

    SNF rehab nurse on midnight shift here... It really depends on how your staffing looks. Our day shift rehab unit by itself has 4 nurses, 6 CNAs, a treatment nurse, 1 or 2 admission and discharge nurse(s), 3 MDS nurses, clinical coordinator, assistant...
  6. How Do You Sign Your Narcotic Book?

    We have 2 nurses count at report.. Incoming reads the cards off and outgoing reads the sheets off, then both sign the shift change sheet. Our narc sheets are the standard name date time dose given doses remaining sheets... My whole report takes about...
  7. Excessive use of Omeprazole or Protonix

    Yup. All our new admits from the hospital have omeprazole. It's their standing order... Most of the time they don't even know they were taking it. There was an article another nurse posted at work discussing effects in elderly patients of ppi and oth...
  8. What kind of jobs do y'all have as LPN/LVN?

    I work in a rehab wing in a skilled nursing facility... I have friends who are nurses in med surg units and when we chat about our days, my days and theirs are pretty similar. I don't like calling it "long term care" since we do more than that- sub a...