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Lil Nel Lil Nel (New Member) New Member

Saturday, 1/26/19

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Well, I thought I would be walking into a crap show, and I was right.

Seven patients of my own. Must assess and chart on four additional patients for the LPN.

One of my patients had two units of blood ordered at 1106. I gave the first unit at 2315. Day shift gave none of the blood. 

This patient has a single lumen PICC, and IV antibiotics every two hours. Day shift will have to give that second unit.

One patient has an abdominal wound that is her entire abdomen. It took me 30 minutes to do that dressing.

Another patient has trach care every four hours. Thankfully, she doesn't want to be auctioned, and refused 0200 care. The trach is old, not new.

So 11 patients to assess and chart on, and all kinds of med-surge type of care, in a rehab hospital.

I am leaving out all of the random dressing changes and q 2 turns, that is just standard fare.

No, I will never pick up extra shifts. My three shifts are quite enough.

Hope you all have a great day!

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Good Morning.  Is this site slow at times since the upgrade or is it me?  Several times I've been to impatient.

Nel, sounds like the medical unit that I hate to float to. 

Working this weekend today and tomorrow and off three.  Had a nice quiet solitary day off.  Went to the gym.  Started watching a Korean show that wound up being out zombies, so I won't finish that series on Netflix, but it seemed well done and set in the past.   Hope everyone has a great day!

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Morning-

Yes, the site has been very slow at times.  Guess they're still working out the bugs.   I'm still under the weather, but I'm working my 3 hour shift this morning although I feel like crap.  You had better be dead if you call out sick on a Saturday, otherwise you will be shortly.  I hope this crap in my head clears before I leave for my mini vacation Thursday.  Wah, wah, wah.

Nel-that sounds like an awful night.  It sounds like some of these patients should still be in an acute care facility, not rehab.  I wouldn't pick up extra shifts either.

Tweety-Hope your day is good and you get out on time.

Stars-I hope the procedure gives you some pain relief.  My condolences on your 3 day Nannie sitting gig.  

Hi to everyone else.  Hope your Saturday is good.

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Nell 7 patients is too much, and those patients don't sound like they should be on an acute rehab floor with all of those issues

Morning Tweety

BC hope you fell better

Work was better yesterday, I'm trying to look at it differently.  Not sure if I'll find something new this year or not, will have to see how things go

Ran some errands last night before it got really cold

Dad is busy today so I won't be seeing him.  Going to do a lot of cooking today, both for the week and for the brunch we're having at church tomorrow as part of the annual congregational meeting.  Going to make my mom's usual dish for church functions, ranch beans

Svengoolie has a 50s werewolf movie tonight guess I'll give it a watch.  Have to exercise tonight too

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Hey all,

Will read the posts later. Trying to catch up on things on the site.

Yes, to answer your question .... the site on Break Room side is slow. Taking longer to load requests/pages, etc.

Joe V is constantly improving things and during the process, it will be a little slower.

Thanks for being patient. I'm headed to the coffee pot to drink a little more patience myself. 🙂

Hope you all are doing o.k.

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Good day this Saturday Nel, Tweety, Joe, BCgradnurse, sirI, and friends who will follow.

ANY seven patients are too much. And more so when it is actually eleven with an LPN doing most for four of them. MANY hospitals, including rehab units are staffing much better in many states. Some have California ratios in their contracts.

At the assisted care home where step-Mom lives there are six residents and a minimum of two caregivers working. All are, at minimum certified home health aides or certified nursing assistants. As I told most of you before the head caregiver in charge (and the cook) is educated as a dentist in the Philippines. I California she is certified as a CNA and medication aid. When she is not there an RN or LVN comes in twice a day to give medications. AND when a resident is sick she goes to the hospital.

Prayers that BCgradnurse feels much better today!

Joe: Your Mom's ranch beans sound good! Do they have onions in them?

The site is slow to me too. Sometimes I play solitair or go clean the sink while waiting for a page. 

More than forty years ago my grandmother gave us a little pine three with ornaments on it in a two inch pot. Husband planted it in the yard. Now it is BIG. Today I plan to rake the fire hazard needles, put them on top pf the lawn clippings, and put it out for Tuesdays truck to take for recycling. I also put veggie stems, sweet potato peels, and such in too.

Have the best possible day nurses!

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Thanks for the support.

I sent my NM an email, complaining about the patient assignment load when we have two LPNs on our unit.

She forwarded my email to the NM who oversees scheduling. As you can tell from my rant, nothing changed.

I will send another email, stressing the unsafe, and unstable load to her, and this time, to the DON, so it will be on record how unsafe this is.

The patient with the abdominal wound, refused to wear a binder, part way through my shift, because it hurt. 

Yep, you guessed it, her dressing fell off when she went to the toilet.

This dressing change requires two people to do in 30 minutes, so at 0500, the tech and I had to REDO it.

I stressed that the binder was holding the dressing in place. We could apply it loosely.

Nope. She wasn't going to wear it.

I guess she would rather have her innards exposed, waiting for someone to redress, if need be, because the next nurse may not be free when the dressing comes off.

A patient asked me last night how long I had worked at the facility, and if I enjoyed working there.

Believe me, I told her the TRUTH last night! Sometimes I do like it, but not last night, and I was honest about my work load.

No, I don't lie, and I don't sugarcoat.

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You made me laugh, herring, about cleaning the sink while waiting for the site!

I noticed I have tried to "like" several comments, and seem unable to.

Hope you are feeling better BC. Hang on for that trip!!!!!!!

I took care of a wonderful elderly woman last weekend, from NH.

She moved here to be close to her daughter, who moved here for the horses. I think that is the only reason why someone from New England moves to KY.

I loved this patient. She was 95, and great!!!! Typical Yankee.

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3 hours ago, herring_RN said:

Good day this Saturday Nel, Tweety, Joe, BCgradnurse, sirI, and friends who will follow.

ANY seven patients are too much. And more so when it is actually eleven with an LPN doing most for four of them. MANY hospitals, including rehab units are staffing much better in many states. Some have California ratios in their contracts.

At the assisted care home where step-Mom lives there are six residents and a minimum of two caregivers working. All are, at minimum certified home health aides or certified nursing assistants. As I told most of you before the head caregiver in charge (and the cook) is educated as a dentist in the Philippines. I California she is certified as a CNA and medication aid. When she is not there an RN or LVN comes in twice a day to give medications. AND when a resident is sick she goes to the hospital.

Prayers that BCgradnurse feels much better today!

Joe: Your Mom's ranch beans sound good! Do they have onions in them?

The site is slow to me too. Sometimes I play solitair or go clean the sink while waiting for a page. 

More than forty years ago my grandmother gave us a little pine three with ornaments on it in a two inch pot. Husband planted it in the yard. Now it is BIG. Today I plan to rake the fire hazard needles, put them on top pf the lawn clippings, and put it out for Tuesdays truck to take for recycling. I also put veggie stems, sweet potato peels, and such in too.

Have the best possible day nurses!

It's a mix of ground beef, kidney beans, and pork and beans.  In addition to onion soup mix, ketchup and mustard

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Good Afternoon!

Yup, the site is slow and a little confused, kind of like me. 🤔

I went to the library to stock up on books (4) for my recuperation, after Monday's procedure, as I have been instructed I am to "take it easy". Not to drive until Dr sez so. Hope it will be soon, so that I can get in the van next Saturday and take that Nannie person out for a late lunch. When she goes out for lunch, she usually just has cereal for supper. Yes, there's a 'meh'-thod to my madness, in that I don't feel much like cooking these days. I'm all for quick and easy eats to fill the hunger hole. I'm not a fussy eater, just a fussy 'kitchen-maid'.

Wrote a review for one of the grocery stores at which I shop....mainly to give kudos (remember kudos?) to the week-end manager. She really keeps an eye out on the ebb and flow of shoppers,  is ready to help anyone who needs it, customers, or employees at the register, or bagging. She even helps empty the  cart onto the moving belt/counter.  She always keeps enough registers opened,  so there is seldom much of a line. She is so easy going and pleasant, smiling, observant to the activity around her. She's the kind of manager or supervisor everybody should have! I love to write complimentary letters when I notice somebody doing a great job.

But, when Press-Gainey (sp?) starts sending forms to shoppers every time they make a purchase, I'm through!!! ☹️

Just waiting for Monday. I'm not nervous; just hoping for success in eradicating the worst of what I've been going through these past several or 3 months.

May not be able to keep the word "OUCH!" entirely out of my vocabulary,  but I am looking forward to not scaring the people around me when the pain grabs me, making me  😲  *GASP!* ...so that  🙄  all eyes turn toward me and at least one person says, "Are you OKAY?" 

Hubby sez, "Dinner is served!" 

Everyone have a good evening and a good night, no matter where you are or what you're doing!

 

 

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So, is this Daily Diary a Club which I must ask The Leader if I can join?

It has "4" as the # of members in the Daily Diary 'Club'....but it is open to the public. 

This is weird and I'm having a time of it, but I'll chew my way out of this wet paper bag sooner or later...

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Hi all, 

NSIME, if you look at the top of the first post of the day, you will see a little heart outlined in black; click on that to turn it red. Then, the next time you want to find today's posts, click on the clubs, then Daily Diary, under the What's Happening in the column on the right side of the page. 

Very pleasant day today, slept in, took a nice leisurely walk about the neighborhood. I talked to a woman who was door-belling to support an upcoming school bond to rebuild our high school. The bond failed in November by 3%. It requires a super-majority of 60% to pass. The poor school is nearly falling down; the boiler is so old they can't get parts to fix it; buildings are infested with rats, ants and mold; one building floods when it rains; and law enforcement thinks there are way too many entrances in case of an active shooter. I have lived in this district for most of my life. I went to this high school as did my kids and it was never fancy, but this sounds awful. 

And when I got home, I puttered in my yard for a couple of hours and laughed at my silly dog, zooming around from backyard to front and back again. The hummingbirds dive-bombed and scolded me a few times. I just love discovering new things poking up, or blossoms opening. 

I came in, turned on the telly and fell asleep. I made a new pasta dish tonight, sort of an alfredo, will need to jazz it up a little more next time, and maybe use fettuccine instead of the spaghetti it called for. 

And now I'm about to watch a Ted Bundy documentary on Netflix. Tomorrow we are going to drive about to find some eagles. Dh wants to see if he can get some good photos. 

Later kids, 

j22

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