ltcnurse4u

ltcnurse4u CNA, LPN

LTC

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All Content by ltcnurse4u

  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. 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)...

  6. 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...

  7. 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...

  8. 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...

  9. 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...

  10. 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...

  11. 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...

  12. 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...

  13. Crushing Oral Medications...New Regulation

    ltcnurse4u replied to ltcnurse4u's topic in Geriatric, LTC

    Agreed...

  14. 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...

  15. 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...

  16. Full Code patients in Long term care

    ltcnurse4u replied to beatrice1's topic in Geriatric, LTC

    You need to check with your DON and what the facility policy is. From my experience, every place (and state) can differ. If your patient is a full code, then you must do everything to sustain life....

  17. Hours cut in half

    ltcnurse4u posted a topic in LPN, LVN Corner

    Let me start with this..I love love love my job. I love my co-workers, my bosses and my residents. A few years ago, I was working both PM and NOC shift. The PM shift was hard on me and my family and...

  18. Hours cut in half

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

    This is what I was afraid of. Management really has not changed. We have a new RN charge nurse who does not think that very highly of me (or other nurses). Myself and other nurses have reported her...

  19. New nurse needs advice

    ltcnurse4u replied to amt51213's topic in LPN, LVN Corner

    Like the previous poster stated, it takes a good year to feel 100% comfortable. I made a cheat sheet of important numbers, codes to doors, who to call and when..anything I felt I would need to know..I...

  20. Counting Liquid NARCS

    ltcnurse4u posted a topic in Geriatric, LTC

    I recently picked up a 2nd job, part time to make some extra cash. At this nursing home, we must have a 2nd nurse or TMA co-sign or verify the correct dosage for all liquid NARCS. I found this policy...

  21. Meal times

    ltcnurse4u posted a topic in Geriatric, LTC

    Noticed a sign that is posted at the nurses station. It states our meal times and that they are a regulation of the dept of health. Residnet must be down for meals. Then it lists the times and then...

  22. Counting Liquid NARCS

    ltcnurse4u replied to ltcnurse4u's topic in Geriatric, LTC

    Every time we give a liquid narc. I am being told by our ADON that its a state

  23. Can a single nurse do adequate peri-care on a patient unable to stand?

    ltcnurse4u replied to jm_emt's topic in Geriatric, LTC

    If the patient is unable to stand, then clean them best as you can while in the sling. Then, once in the bed you can do better

  24. Fear of losing my license

    ltcnurse4u replied to Aryea, LVN's topic in Geriatric, LTC

    TheCommuter has summed it up perfectly. Every nursing home has that "one nurse" that no matter what, still has a job (and their license). You need to worry about how you are as a nurse. You will not...

  25. Nurse to patient ratio with acuity

    ltcnurse4u replied to judyparham's topic in General Nursing

    Sounds like you could use a moment to take a deep breath. Most LTC's or Short stay rehabs are filling up with sicker and younger residents. I have a few residents who are in their 20's, 30's and 40's...