prinsessa

prinsessa

LTC/Skilled Care/Rehab

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All Content by prinsessa

  1. "if I could give you any advice" New RN wants advice!

    Don't be afraid to ask questions. I would rather ask a stupid question than make a stupid mistake. And don't feel too bad about making mistakes because we all make them
  2. Reapply a Fentanyl Patch?

    Maybe different facilities have different rules but at my facility insurance will only pay for so many patches a month. If we replace a fentanyl patch early there would be a few days that pharmacy...
  3. I feel like I actually have more of a life than when I was working days. I am married with kids so I didn't have much life to begin with LOL. I usually get to sleep around 9a and then wake up around...
  4. Electronic MAR?

    I would like to know what reason you would give in LTC. Is it free text or is there an option for "impossible med pass"?
  5. The Med Pass is Ruining My Job!

    I totally feel your pain! I have worked in LTC for about a year and I hate the med pass. I didn't become a nurse to pass pills all day. What about assessments and teaching? Don't have any time for...
  6. Nurses Enjoy LTC

    Maybe I work at the wrong facility but it is extremely fast paced (especially day shift). Most of the nurses on day shift never have a chance for a break. You are constantly rushing to finish your...
  7. Peeves at work

    Coming to work and finding one of my patients with their tube feeding turned off and no O2 on. I ask the other nurse about it and she says the patient was sating at 95% on RA. I go and check the...
  8. What Would You Do?

    Wishing you lots of good luck with your new job! I know what you mean about LTC. I felt like I was almost shoving pills in just to get my med pass finished. Forget about finding out why some of the...
  9. Anti-Intellectualism/Autonomy in nursing

    I think some units/facitlities are like this because there are some nurses who aren't that bright and will use O2 without thinking first. I have come on shift and found a patient who is supposed to...
  10. Need advice!!!! I hate my job

    We were given full patient loads during our last semester of nursing school. We had a leadership clinical where we could sort of pick the specialty we wanted to be in. I agree that it takes...
  11. I feel like I am respected as a nurse most of the time. There are some families who like to complain and belittle people no matter who you are but if they think you know what you are doing, you will...
  12. Transition from computer to paper charting

    I have done both and I perfer computer charting any day. I think it all depends on how comfortable you are with computers. I find it much easier to type out my nurses notes. I can go back and fix...
  13. BSN only hospitals?

    Rush Medical Center does have on their website that they will hire ADN if you have a bachelor's in another field. Rush Oak Park said they are only hiring BSNs at this
  14. Beds

    Most of the beds at my facility are crank style. Horrible on the back since they don't raise up and down. Only the residents who at a high fall risk get electric beds. It is kind of funny when we...
  15. BSN only hospitals?

    Rush is only hiring
  16. Pay for hospital nurse vs LTC nurse

    I work LTC and just got a job in a hospital. The hospital pays a little less (shift differential makes it more since we don't get that at my LTC facility) but the benefits are much better at the...
  17. Hiring managers

    Most jobs are only aquired through HR but there are exceptions. If the unit manager really wants to hire you he/she can get the approval through HR if that unit is hiring (or will be hiring in the...
  18. Going from days to nights.....

    Just want to wish you good luck! I am also switching from days to nights. I know it will be an adjustment but I need to change jobs. I don't know when you plan on sleeping but will probably sleep...
  19. What do you do when......

    Where I work the RNs pass meds just like the LPNs. I am a RN myself and have learned a lot from some of the LPNs with a lot of
  20. Reprimanded for giving glucagon?!!!

    If the resident is still A+O I will give them orange juice no matter what their BS is. I have seen people lethargic and have a BS in the 50s and other people talking to me with a BS in the 20s. I...
  21. would you apply for this job?

    That is how it works at my facility. On nights 2 nurses work the floor (sometimes 3). One of the carts is split and one of the 2 nurses will count
  22. What do you do when......

    Not at my facility. When our managers "work the cart" they always tell us "I don't know how you do this". They aren't happy with our work load either but can't do much about
  23. What do you do when......

    The CNA where I work at don't do vitals or accuchecks. I'm not sure why, they just don't. Once in a while I will ask a CNA to check a residents temp if we are keeps a close watch on the temps. We...
  24. What do you do when......

    If the residents have consistenly good blood sugars I talk to the MD or NP about reducing the number of accuchecks per day. Why poke someone 4x a day when they are never over 150? I often feel the...
  25. Favorite "Lay Terms" For Diagnoses

    One patient told me that she was "suffercating" because she was