ltcnurse4u

ltcnurse4u CNA, LPN

LTC

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All Content by ltcnurse4u

  1. Involuntary commitments in LTC

    In our area, we have senior behavior units ( at local hospitals) and if they are not able to get stabilized there, they are sent to a psych hospital. In order for the resident to qualify to be sent to...
  2. So, just how much?

    Thanks everyone. We did settle on a salary...I did some research of the current pay in the area for nurses in this area and I am happy with my new salary. We also agreed to sit down in 6 mos for...
  3. So, just how much?

    A few months back, I took a part time job with a group home. This a very part time job with 95% of it allows me to work from home. I am only required to see my clients twice a month. I average about...
  4. Diabetes management in LTC

    Of course!! I have seen it many times when a patient is on a an antibiotic or prednisone and they are on a temp sliding scale until the treatment is complete . I really do like our new medical...
  5. So I have been a nurse for about 7 yrs or so now. I have worked at many places and seen a lot. I have also learned a lot. I recently in the last few months landed a very good job. I have been wanting...
  6. Diabetes management in LTC

    We have been having this same discussion with our current medical director. He is new and has started a new policy requiring nursing to request primary md's to review current med lists and reduce as...
  7. RN - Crushing medications

    This is very true. I have a current patient who is NPO and has a peg. We had to get an MD order to get the okay to mix meds to prevent fluid over load. However, 99% of my other peg tube patients, we...
  8. Going to be fired?

    I am still trying to figure out how is 18 patients too much. I work 12hr shifts. On the first part of my shift, I have 22 sub acute rehab patients. Then after 10pm, I am the only nurse with 4 CNAs for...
  9. Adjusting to EMAR

    When we transitioned, we have had three classes to attend to go over the new program. Then each nurse was assigned a certain number of residents to transcribe the orders into the new system. Each...
  10. New Grad, SNF job

    Here is my tips: Always ask questions....there is no such thing as a dumb questions except the one you do not ask!! Make a list...stay organized...get a routine. It took me several weeks to get a good...
  11. Nurse to patient ratio for LTC.

    It seems to be a problem everywhere. I am currently working to overnight positions. At one place, I am the only nurse (lpn) from 10p-6a with 3 CNA's and at 4am a TMA comes in to help with med pass. I...
  12. Fighting For Mom

    We have a repeat resident admitted a few weeks ago after a fall at home that resulted in a broken right hip and dislocated right shoulder. She is a very small 93 year old, she has severe dementia and...
  13. 1st lvn job at snf

    Takes a special person to work LTC. Doesn't matter what shift you are working, you will be busy. LTC nurses usually have a large patient load. Expect to be short staff. No matter which place you...
  14. LTC is Great

    You took the words right out of my mouth!!! Great post..thank you so
  15. LTC's are a joke

    From my experience we have survey window. State can come in anytime a month before or month after from last year survey. So yes...for 3 mos..we knew they were coming...but didn't know what date. The...
  16. LTC's are a joke

    @bobloblaw... And if a survey were to show up during the NoC shift. .I would be proud to show you around and how things are done. The earliest I have seen state walk in is at
  17. Hello, New to site

    Hello fellow nurses, Just wanted to introduce myself. I have been a nurse in LTC for 10 yrs. I have worked my current job for 2yrs and love where I work. I work mostly NOC shift but have worked...
  18. LTC's are a joke

    Seeing a lot of comments about how some nurses give the important meds and about the title of the this thread. I have only worked LTC and I do LOVE it. I have never questioned my chosen career. I...
  19. LTC's are a joke

    And this is why I work nights!! I have worked days and pm shift before however, I found that for my sanity...NOC shift is best for me. I have four residents that get meds at 2 am and 15 residents that...
  20. Hello, New to site

    Thanks for the warm
  21. Nurses forced to stop med pass

    Its been a while since I have pulled a PM shift, but as I recall, most afternoon med pass is fairly light. Just blood sugars, and coumadins with a few blood pressure meds. Maybe the pharmacy rep can...
  22. Guilty and relieved at the same time

    One of things I have always said is something my father has said to me. If you wake up one day and just dread going to work, or you at work and to the point you cannot do it anymore; then yes its time...