ltcnurse4u CNA, LPN

ltcnurse4u has 25 years experience as a CNA, LPN and specializes in LTC.

Latest Activity

1. HELP! I need a new report/brain sheet.

   ltcnurse4u replied to svicente0520's topic in Geriatric, LTC

   Here is a cheat sheet I created for myself to use. Feel free to tweak it to fit your needs. Don't be too hard on yourself, getting a routine takes time. Talk with your supervisors and come up with a...

2. Non-diapering nursing home patients

   ltcnurse4u replied to ASSEDO's topic in Geriatric, LTC

   I am not sure where you work or where you saw someone walking around in a "diaper" with a half a days worth of urine, but that is not normal and is very neglectful. At my facility, we have a toileting...

3. Time management

   ltcnurse4u replied to LPNSWEETHEART's topic in LPN, LVN Corner

   I also work the PM shift. I created a cheat sheet and it has been a huge time saver for me. I stick to my routine and I am very OCD about it. I keep my folder and by nurse bag handy. I have room for...

4. patient identifiers

   ltcnurse4u replied to newtelenurse's topic in Geriatric, LTC

   I have created a cheat sheet to help keep me on track. List of what vitals I need, labs to be f/u on, wound care, who needs blood sugars I need to monitor, I/O's, what staff is working and what...

5. What I Wish I Could Say to My Residents and Their Families

   ltcnurse4u replied to bluegeegoo2's topic in Geriatric, LTC

   We had a male resident that had PRN orders to straight cath. At night, he would use his call light and wave at his groin and say "my bladder is full, can you pee for me?" I am not kidding! I told him...

6. Crushing Oral Medications...New Regulation

   ltcnurse4u replied to ltcnurse4u's topic in Geriatric, LTC

   I believe there was a post stating the regs were updated to allow meds to be crushed and combined together if it is in the best interest of the resident. On another side note, when our facility had...

7. First nursing job, need help!

   ltcnurse4u replied to bigmamabear's topic in LPN, LVN Corner

   The above poster gave some really good tips. I have a cheat sheet that I use for my shift. I work on a TCU and the residents are very much like med-surg patients. My cheat sheet has a space for...

8. Phasing out alarms?!?

   ltcnurse4u replied to al586's topic in Geriatric, LTC

   We have been alarm free for years. I havent missed it one bit. I recently picked up a side job and they still have alarms but they did not prevent any falls. You will get used to it...anticipate what...

9. Lpn to rn bridge

   ltcnurse4u replied to stephanie.monaco's topic in Excelsior College

   I am currently enrolled...taking my 2nd class. I really like it. I am working on my pre-regs at the moment. It is a alot of work...lots of papers and you must be really focused. My instructor posts...

10. New RN Charge nurse

    ltcnurse4u replied to ltcnurse4u's topic in Geriatric, LTC

    She hasnt made many friends with the staff...and she has been talked to several times by the DON and the administrator. The unit managers have spoken with her because she is doing the RN assessments...

11. New RN Charge nurse

    ltcnurse4u posted a topic in Geriatric, LTC

    I have been an LPN for a while..over 10yrs...all in LTC. I have worked at the same place for several years... I can say I know a few things about my job. That being said..how do I approach an RN...

12. Crushing Oral Medications...New Regulation

    ltcnurse4u replied to ltcnurse4u's topic in Geriatric, LTC

    Agreed...

13. Crushing Oral Medications...New Regulation

    ltcnurse4u replied to ltcnurse4u's topic in Geriatric, LTC

    So I spoke with DON and our pharmacy rep about this issue today. ( I am so happy I picked up this shift!!) So here is the skinny: MDs will NOT be able to writer an order to crush meds and combine. If...

14. Crushing Oral Medications...New Regulation

    ltcnurse4u replied to ltcnurse4u's topic in Geriatric, LTC

    Someone at work had stated it was because when a resident spits out a medication that is crushed, you do not what medication it is because the meds have been crushed together. This is ridiculous and...

15. Crushing Oral Medications...New Regulation

    ltcnurse4u posted a topic in Geriatric, LTC

    Our pharmacy sent out newsletter on Monday that states: As of November 28, 2017, phase 2 of the new federal regulations will take effect. Part of the changes relates to crushing oral (PO)...