night owl

night owl

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All Content by night owl

  1. medication

    We still have our narcotics locked up in the med room med cabinent where we still sign them out
  2. How many CNA's work

    On our 60 bed unit, we have: 3-4 RN's, +1-LPN, +4-5 CNA's on days 2 RN's, +1-2 LPN's, +3-4 CNA's on evenings 1 RN, (2 RN's one night a week), +1 LPN, +3-4 CNA's on midnights (one CNA is for 1:1 for...
  3. Depending on CNA's in LTC setting

    Vicki, You may work with me any time! One word from the wise...If you're allowed to do documentation, by all means document your findings, and just the facts and whom you reported this to. ALWAYS...
  4. Managing your friends/co-workers

    I can understand everyone's point. I'm not a manager by no means, but what do you do when the HN and AHN caters to only one shift? It's always the day shift. I imagine it's because they are there for...
  5. who fills out the incident report?

    Stay calm! You did NOTHING wrong. You simply made out the incident report on "what you found." No names mentioned, just the facts...it is considered a med error if the patch is left on the pt when it...
  6. intestinal virus...

    if i see anymore vomit or diarrhea, i don't know what i'll do:eek: ever have an intestinal virus come to your unit and attack everyone it meets except a few who are left to clean up??? well last...
  7. intestinal virus...

    Six days later, not one sign or symptom....yet. But, two people who already had it got it again!!! My hands look like chopped meat because I've scrubed them so often! I wash them when I just washed...
  8. Nursing Pharmacology Tests

    I can see giving these tests to someone who has been out of nursing for a while or who in his/her last employment experience had a problems with medication errors, but to use as a hiring tool based...
  9. body removal...

    How is a body removed from your unit? Is it removed on a special gurney designed to conceal the body from other pt/residents?, or is the body placed on the gurney with a sheet over it? On my unit,...
  10. Itching...

    Does anyone have this problem besides me? The inner part of my ears (canals) itch like cRaZy! I use cortisone cream which seems to help for awhile, but then it starts up again. I was wondering why...
  11. Itching...

    Well thank you for all your replys. I guess it could be anyone of these things or all of them! JennyP, Thank you for the article. It's strange, but I never have any wax in my ears. When I clean them...
  12. Tardiness...

    I'm not one to come here and b***h, but I just need some feedback on this one, please. I don't know if any of you have had this problem where you're employed, but I would like to know if a person...
  13. What is a real nurse?????

    One who touches people in a way that benefits them and makes a positive difference in their lives. It's what's in your heart and what you give to your patients that truely makes you a "real nurse." I...
  14. Pre-setting meds....

    when you have two people to give 259 pills to 60 residents there's no other way but to preset/prepour your meds. i couldn't imagine trying to open those little packets at each residents bedside and it...
  15. Anyone allowed to nap on their breaks?

    Hey traumaRUs, You worked VA and had no one sleep??? Now I know it wasn't at the one I work at! They're much better than what they used to be, but we have a few on 12-8 that like their "nap time" and...
  16. Nursing Summaries

    Tim, Is this what you mean? I'll use an example...The narrative would include any changes in behavior and what those changes are. (ie)Resident has become increasingly combative and assaultive toward...
  17. Late Meds.

    ohbet, You took the words right out of my fingers! Sh** does happen and there's nothing you can do about it. At my facility, it seems that we can go all night with it being nice and quiet...The...
  18. I find it amazing that a pt would even be placed in a hospital, on a med /sug unit to be checked q15 min. for attempting suicide...What are you checking for? That he is ok? Is he alive or is he dead?...
  19. Nursing Summaries

    At our facility, where we have 60 pt's /unit, each nurse on all shifts is responsible for 5-6 residents for a computerized monthly nursing summary. Half of the summary is on a template where you...
  20. spooky spooky spooky

    I've got a story that isn't work related either... My sister-in-law was up stairs in her house one evening changing the beds. Her little 18 mo old son was running around in the hallway. As she came...
  21. Giving an emema on the right side?

    I guess that about sums it up Sheryl...I was always taught and give enemas on the left side except for this one resident we have. He insists that we give it to him on the right no matter what we tell...
  22. How does your hospital/unit handle call ins?

    Working for the government ...That just about explains it all. We have people who, if they come to work two days a week, is just about short of a miracle! Our policy is anything three days and over,...
  23. Pros & Cons of LTC physician standing orders

    At our LTC facility we do not have standing orders for anything. It sure would be nice to get an order for tylenol at least for a headache. There's nothing like waking the on call Dr. for something...
  24. Bowel Protocol

    I think the BM list should be the responsibility of the nurse. I hope I don't get beat up on this one, but many times I find that the cna's forget to mark the bm sheets therefore causing problems...
  25. Welcome to the Burn ICU forum

    Thank you for the reply. I am a LPN in LTC and have 0 experience with burn victims. May I ask you a few questions? Please let me know if I'm being a pain... Do burn victims have PTSD afterwards? Do...