prinsessa

prinsessa

LTC/Skilled Care/Rehab

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All Content by prinsessa

  1. Barrier Cream on a Skin Tear?

    We generally put polymem on skin
  2. bored. . .wondering if I should make a change?

    I work in sub-acute rehab and it can be pretty busy sometimes. I hear what you mean about feeling like you are losing some of your skills. My long term goals don't include working on an inpatient...
  3. Splitting pills outside of nurse's scope of practice?

    I don't know if we "can" split our own pills but pharmacy always does it for us. We scan all our own meds so the split pills are sent up in a scanable pouch. I'm not sure how it works on night shift...
  4. I'm tired of it!

    I hear you! I was having a bad day a while ago and someone was talking about how a patient was going to call administration about something small (it wasn't my fault but you know that in the end...
  5. [So] My hospital has banned disposable wipes...

    We don't have disposable wipes at our facility. We use washcloths. I'm not sure if they are bleached but they are white (and don't ever have stains on
  6. How far do you travel to get to work?

    I live about a mile from work. I walk there and back (unless I pick up a PM shift). It takes me about 10-15 mins. I would commute up to an hour as a new grad because it isn't easy to get a job. It...
  7. hobbies to keep dementia pts happy?

    I just heard a story on NPR about people with dementia. They talked about how having the person look at a picture and make up a story to go along with it can be very helpful. Here is a link if...
  8. Inaccurate respiratory rates

    I had one tech put all RRs in as 22. I think 22 is even a little high...and for everyone to be breathing that
  9. Sitters: A Thing of the Past?

    We don't use sitters or restraints on my floor. The really confused patients get put in rooms close to the nurse's station and have a bed alarm. Sometimes we have to "take turns" watching a...
  10. I took a job making $8.25/hr after graduating nursing school because I couldn't find a job. After paying for transportation, somedays I would only make
  11. charge pay

    On the unit I work no extra pay for charge nurse. Full patient load. I work sub-acute
  12. Time For Another Days vs. Nights Debate!

    I have worked both days and night and while days and much busier I could never work nights again. On our floor the patient load is generally the same for nights and days. No admissions on nights....
  13. Blood Pressures

    I have found that patient's with A-fib can have crazy BPs with an automatic cuff (either too high or too low). Some people can only be checked with a manual cuff because the automatic is never...
  14. "But for me, 98.4 means I have a fever...."

    I work with the elderly so I get nervous when I see a temp of 99. Most of our patient's seem to run in the 96-97 range. I have called our medical director and told him about a temp of 99 on one of...
  15. I started off nursing school with the idea I would go into L&D and eventually become a midwife. I enjoyed that rotation but I wasn't as thrilled about it as I thought I would be. After...
  16. Why can only nurses call the MD?

    Pharmacists are pretty good at my hospital with calling the MD for clarification. Sometimes they will call us first to see if we know the answer but they will actually page the MD themselves. If a...
  17. How do you handle this?

    When I worked at a SNF I would send patients out before calling the MD if it was really an emergency. I never had a doctor get upset about me doing
  18. PTO accrual

    We get ~8 hours per pay period (every 2 weeks). We can take off weeks at a time but we have to get approved by the manager first. She doesn't seem to mind when we take
  19. Do Chiropractors Hires Nurses?

    Wow. Maybe most Chiropractors didn't become MDs because they didn't want to....not because they couldn't. Do you think the same of all nurses? I agree that some Chiros are quacks but so are some...
  20. There are pluses and minuses for both shifts. For me 3-11 was the worst. More admissions, never see your family, sleep schedule is always messed up and I never got out before 1 or 2 am anyway. It...
  21. Living in Chicago on an RN salary

    I would say that is about right. I started at $26/hr last
  22. CNA's Applying heat

    Where I work only PT/OT are supposed to apply heat. People still make their own heating packs to use. Heating packs can be dangerous especially if the person has diabetes or is elderly. I would be...
  23. My LTC experience doesnt count :( HELP!!

    Are there any hospital in your area that have a Skilled Care Unit? That could be a great way to transition to a hospital setting. Plus they will usually cross train you in several areas like Rehab...
  24. shift report, CNA/pt ratio

    I have very rarely seen CNAs give each other report at the LTC facility I work at. I didn't generally give the CNAs report unless there was a new resident or there was something new or a specimen I...
  25. What size scrub pants do you wear and what size jeans?

    I am 5'9" and weight around 150. I always buy the Dickies hip flip pants in M tall. They are a tiny bit long on me but the regular size is too short on