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Thanksforthedonuts BSN, RN

Just another nurse who likes donuts.

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Thanksforthedonuts's Latest Activity

  1. Thanksforthedonuts

    How to Chart on Controlling Family

    We intend to have a formal care conference and to speak with a social worker who is starting to follow her case. I believe it is more than just concern... there are a few things that stand out beyond just being "overwhelmingly concerned": -She can't take NO for an answer and persistently tries to overstep regulations. If she feels "defeated" she will forget what the NO was related to and try again on another visit (such as administering meds). - she becomes passive aggressive if you overstep her (aka set limits) and will ignore you, no eye contact, pretends you are not there, won't speak to you, and pushes you aside. -manipulates conversations among the healthcare staff and will tell staff conflicting information on purpose. We have delt with children who are "crazed" with concern, but here it appears different. It is odd and concerning.
  2. Thanksforthedonuts

    Webcams in Nursing Homes?

    Horrible idea. I would say the second WORST part of LTC are crazy family dynamics we have to deal with. You know the problems that school nurses see with crazy helicopter (or bulldozer, I heard that's a term now) parents handicapping their kids? Yep, they have the same tendencies with their parents. I RARELY see a well balance and normal family. It is either they hate their parent and come see them once a year for 5 minutes or they come daily and watch them for hours. It is getting so much harder to find children who are truly in tune and oriented to their parents' needs. Putting grandma on a Keto diet? seriously? Pushing grandma's call button 50 times cause she said her nose itches? Really. Yikes, a picture can mean a 1000 different things. Imagine how much a video recording can mean? Do people realize how many families truly don't believe their parent has dementia even though they have significant long and short term cognitive impairment? Tons. If we were talking about family dynamics from 15 years ago I would say... maybe..... now? NO WAY. And its not about if you're guilty or not, I would guess about 98% of the staff truly had no malicious intent when providing care. It's about the stress of undergoing a complaint, investigation, and heaven forbid a lawsuit. Expect LTC care rates to go up $$$$$ of dollars just for legal fees and quality assurance in states where this is implemented. People want a camera because they feels uneasy about something and they are looking for a problem. A family who trusts you doesn't want or even consider needing a camera.
  3. Thanksforthedonuts

    How to Chart on Controlling Family

    We have a sweet little old lady in our LTC setting. Unfortunately her daughter has major issues with controlling and manipulating her mom's care. Expressed desire to place her mom on a strict soy free, gluten free, sodium free, sugar free diet, we shot that down. Attempts to control WHICH caregivers are allowed to care for her mom, shot that down as well. Never wants to sign documents due to some imperceivable error, asks for 2+ adjustments each time. Sits at her moms beside 6+ hours a day, 6 days a week (has a spouse at home). Asks all providers to prescribe new medication orders weekly. Shows up with random prescriptions and administers that to her mom and then takes unknown medication back home with her nightly. The LTC does all house keeping and she takes her soiled laundry home with her to wash all her mom's clothes. Literally comes out of her mom's room and watches EACH AND EVERY person who walks on the premises. She combats many of our med orders by coming to staff and asking them to administer it differently, such as to give her 5% more or less of certain medications. Crazy! I don't kiss her butt. I lay down the law hard and firm and set strict limits. I don't have time for this crap and you can tell she has an overwhelming need to control. Funny thing is, her poor mom exhales a sign of relief when her daughter finally leaves for the night. She even played dead one day! Pretended to sleep the entire time her daughter was here, daughter thought she was dying (no signs of impending death whatsoever from assessment point of view) and cried at her bedside for few hours and called her spouse to come say final goodbyes. Once she finally left, little old lady open her eyes and asked, "is she gone yet? I thought she'd never leave!" We laughed so hard. OMG! Today she stopped me from assessing her mom who was upset about something (didn't have a BM for 24hrs+ and was getting distressed) and asked me to leave because I was upsetting her mom... ? Nutters. I saw her mom for like 3 minutes. Daughter often tries to confuse staff and reporting different things to each caregiver. She sets up "tests" for caregiver to see if anyone will catch something out of order so she could point out how imperative it is for her to watch every movement her mom makes. She also frequently abuses the call button "for her mom". Leaves door open to her the room to hear what people talk about outside. I want to start charting her behavior as it is getting ridiculous. How would I chart family behavior in a way that is professional, non subjective, and makes it clear that we are concerned about her mothers' well being as the daughter is exhibiting significant control issues? Or... am I wrong here? P.S. Daughter never worked in healthcare. Did a lot of "volunteering" as an aid and apparently knows everything.
  4. Thanksforthedonuts

    Night shifters- try a weighted blanket

    I completely agree, it as to be washable! So funny, I came back to this page and now I have an add running for cooling blankets they must exist then!
  5. Thanksforthedonuts

    Night shifters- try a weighted blanket

    I have restless leg (and hands) syndrome. My sister uses a weighted blanket and claims is helps her (she’s got RLS too). I’ve been meaning to try one for ages but can’t fathom spending so much for something I might hate. I’ll check out amazon or Walmart though... I'm wondering... Would this also be helpful for dementia patients who have trouble sleeping at night? Or would it been “Mis”- interpreted as a restraint?
  6. Thanksforthedonuts

    Hospice Abuse

    What state is this in?
  7. Thanksforthedonuts

    Suspended for touching a child's head and face

    There are many delusional parents now a days. Their child is the exception to every rule and they are always a victim.
  8. Thanksforthedonuts

    Suspended for touching a child's head and face

    How crazy. I’m in my 20’s with 5 kids and NEVER would have thought twice about it. In my personal opinion we are too sensitive to many things and feel entitiled to being “wronged”. Sad thing is.. I went to a follow up appointment with my toddler this week and gave him a quick Kiss on the cheek when picking him up. The PA stopped and gawked at us, as if wondering why I didn’t ask him for permission to kiss his cheek, seriously? I don’t ask for permission to kiss or hug my kids (ages 7 and under). Sorry but they BETTER give their mama a kiss, plus they love it. The Parenting culture has taken an unfortunate turn in this country...
  9. Thanksforthedonuts

    Active investigation with board for charting errors

    Agreed, charting errors aren’t typical BON material... unless we are taking about fraud? Or if someone is seriously lying on their charting. But honestly... many people get away with: Little Old Man #1 has great bilateral pedal pulses when in reality he has had bilateral above the knee amputations... sooooo there’s that.
  10. Thanksforthedonuts

    Active investigation with board for charting errors

    What type of errors are we talking about? It’s hard to tell when you ask such a vague question.
  11. Thanksforthedonuts

    Nurse as a Patient?

    You never know, her coworkers in the ED might be doing it subconsciously out of fear. I’m amazed at how many intelligent people I’ve seen become trapped in a manipulative relationship.
  12. Thanksforthedonuts

    $200,000 salary as a RN, it's true

    Small empty plots of land go for more than 200k here.
  13. Thanksforthedonuts

    $200,000 salary as a RN, it's true

    Coming from Seattle’s east side area.... a decent house for 400k seems like a dream. Unless you want a creepy house in a sketchy area.
  14. Thanksforthedonuts

    Where to post for house to rent?

    Thanks for all the replies! I realized that renting only to nurses isn’t going to guarantee a great/responsible renter. Thank you for the leads and I’ll follow up on them to see if we can find a good short term renter. Thanks all!
  15. Thanksforthedonuts

    Where to post for house to rent?

    Maybe this isn't the right place but I thought I would ask so someone can point me in the right direction.. So I just bought a new house and I have plans to renovate (build an extension and so on) in the near future. In the mean time I have a good 6months+ wait time till I get plans and permits to come in. I would like to offer the house up for a travel nurse to rent as I would prefer a short-term contract. Most people in our area (like on nextdoor etc.) prefer longer contracts of a year+ which delays my timeline for renovations. Any place/platform that other travel nurses can recommend to advertise/post my offer on? I prefer to stick to my nursing community instead of offering to other people around who might not want to leave in 6 months or. Any ideas?
  16. Thanksforthedonuts

    ARE MOST RN SCHOOLS LIKE THIS??

    My school was 80% or better or you fail. You also couldn't not get a 80% in all your courses because you needed at least a 3.0 overall AND semester GPA. So... due to the grading scale breakdown... if you got an 80% in each course your semester GPA would fall below 3.0. You needed at least 1-2 courses above a B to pass the semester. 90-93% was considered s B+ in our program. Consider yourself lucky.
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