Inquisitive one replied to ArwenEvenstar's topic in Geriatric, LTC
Speaking from experience in a facility a little over triple your size, staffing sounds typical. You'll be overseeing that policies and procedures are being followed by nurses and CNA's, help out...
Does anyone have real anxiety when it comes to writing and how do you overcome it? I do fine with nurses notes and the technical stuff. It's the more subjective stuff that causes anxiety and brain...
Inquisitive one replied to kyliebear's topic in General Nursing
We've had TPN at the LTC facility I work at. Not often though. Things that come to mind immediately are: Daily weights, I&0, Accuchecks every 6 hours with sliding scale insulin, frequent labs,...
Inquisitive one replied to kathybMA's topic in General Nursing
This happens frequently in the LTC facility I work in. When a nurse takes a telephone order she writes it on the Doctor's order sheet with TORB(telephone order read back) DR. XYZ/Nancy Nurse RN....
Any 3-11 Rehab/LTC supervisors care to share? What are your responsibilities, approx. wage, paid salary or hourly, weekend commitment required, receive shift differential, size of facility, required...
Have a subacute patient on TPN. Nurses need to add additives prior to hanging. One of the additives was 70/30 insulin along with regular insulin. I questioned the order because I learned that only...
Inquisitive one replied to Inquisitive one's topic in General Nursing
Each bag hangs for 24 hours. The tubing is changed when a new bag is hung. We also attach a 1.2 micron filter to the tubing. Having an inservice today at work about TPN by an infusion nurse...
Inquisitive one replied to Inquisitive one's topic in General Nursing
Just to clarify; this patient is in LTC (SNF) setting and there isn't an inhouse pharmacy. Nurses need to add pepcid, vitamins, insulin, and vitamin C from an ampule to the clear dextrose solution...
We are just getting started with consistent staffing with the CNA's. Our nurses are pretty much consistently assigned already. Any suggestions from someone who's been doing it for awhile? How does...
Inquisitive one replied to Inquisitive one's topic in General Nursing
Thanks everyone. I will let you know the answer when my friend gets her assignment corrected. It could take up to 2 weeks though. I thought it could stand for
i would like to hear from any 3-11 ltc supervisors in regards to your position. what are you responsible for, how many hours do you work, are you required to work weekends, what is a typical evening...
Inquisitive one replied to Inquisitive one's topic in Geriatric, LTC
:thankya: Thank you for your response Daytonite. I am a 3-11 LTC supervisor and do all that you wrote about. I find that the evaluations are the most difficult part of the job. Did you do evals on...
Looking for creative ideas for fall prevention interventions. Already in use are alarms, low beds, winged mattresses and other obvious things. I work the 3-11 shift, and after supper EVERYONE wants...
How are CNA supper breaks scheduled in other facilities? At mine, residents supper is from 5p-6p. After their meal, residents then want to be toileted, changed, put to bed etc..... Many alarms...
Safety peeves in long term care: Overfilled Sharps containers!!!!! Door to med room not locked IV lines not labeled Sticky G-Tube feeding on Pump stand and
Inquisitive one replied to Nurse1962's topic in General Nursing
The long term facility I work in required nurses to wear caps up to about 6 years ago. They even purchased a bullk of them so anyone who didn't have one could buy one. Staff's noncompliance and...