Catsrule16 RN

Latest Activity

1. Does "the state" visit your facility often?

   Catsrule16 replied to MelodyRNurse's topic in Geriatric

   There is no way to tell from a website which facilities are focus facilities. Facilities are supposed to put survey results readily accessible to anyone who may want to view them. You may want to look at those results to see how often the state comes...

2. Does "the state" visit your facility often?

   Catsrule16 replied to MelodyRNurse's topic in Geriatric

   State Survey Agencies have facilities that are known as "Special Focus Facilities" that are surveyed every 6 months. Usually a poor performaing facility. This has been happening since 1999. CMS issues an Action Plan for Quality Improvement yearly. Th...

3. Volunteer Nurses Needed for Hurricane Emergency!

   Catsrule16 replied to glascow's topic in General Nursing

   check the this site for volunteering as an unpaid hhs employee eligible for workers comp coverage and reimbersement for some expenses. http://www.hhs.gov/katrina/ health care professionals and relief personnel worker page the office of the surgeon ge...

4. pt sign POA against will

   Catsrule16 replied to merricat's topic in Geriatric

   It is a good practice for facility employees not to sign this kind of legal document because of the possible financial gains through mishandling of funds that could cause problems. A good attorney would see a signature from an employee and imply that...

5. Relationships between spouses

   Catsrule16 replied to CoffeeRTC's topic in Geriatric

   Sounds like this spouse needs to be involved in a dementia support group. Adult protective services should be contacted as well. Be the advocate for the resident. Try contacting your local Ombudsman for suggestions. If you don't protect the resident,...

6. Yikes! Another bad observation at an LTC facility

   Catsrule16 replied to eddy's topic in Geriatric

7. Do the state inspectors ever show up on noc shift?

   Catsrule16 replied to Blackcat99's topic in Geriatric

   The term body buddy is not one I have herad before. Sounds like you are refering to bolsters that keep a resident from rolling out of bed. If a resident doesn't want it, even if it is a physician's order.... DOCUMENT everything! Document on the cogni...

8. What can be done??

   Catsrule16 replied to TexasPoodleMix's topic in Geriatric

   If the facility can't get the psyche back in to see her, file a complaint against him with the local Medical Association. Did he get paid by Medicare for his visit to her? if he didn't see her and charged for it, that is fraud. Has the facility had t...

9. Do the state inspectors ever show up on noc shift?

   Catsrule16 replied to Blackcat99's topic in Geriatric

   As the info under my username implies, I am a State Surveyor. I have been known to enter a facility at 10:30 PM for a complaint investigation and stay till 2:00 AM to return at 9:00 AM. I've gone in on a sunday at 9:30 AM and extended a survey throug...

10. Is this understaffing (or is it me?)

    Catsrule16 replied to Town & Country's topic in Geriatric

    In SC this would be inadequate staffing. Minimum Staffing requirements: Nurses all shifts 1 for every 44 residents 1st shift (7-3) CNAs 1 for every 9 residents 2nd shift (3-11) CNAs 1 for every 13 residents 3rd shift (11-7) CNAs 1 to every 22 residen...

11. Briefs at night???

    Catsrule16 replied to AlixCoastRN's topic in Geriatric

    This practice has also been known to reduce the incidence of UTIs. The wet brief may act as an incubator for the normal flora on the skin to grow in and cause an infection. Have to look at all the outcomes, good or bad from leaving briefs off while i...

12. Prioritizing "Medical" Diagnoses

    Catsrule16 replied to sparrowSN's topic in Geriatric

    Apparently your Clinical Instructor has no idea how a NH operates. Quality of Life and Quality of Care are the two most important areas of focus in a NH. Are they reaching the maximum potential for what is going on with the resident? Is there life in...

13. Not me!

    Catsrule16 replied to Town & Country's topic in Geriatric

    LTC is not regulated by JCAHO. CMS contracts with each state to survey healthcare facilities. A LTC facility can be certified to receive Medicare/Medicaid funding without being JCAHO accredited. JCAHO Accreditation for LTC facilites are good fro mark...

14. Not me!

    Catsrule16 replied to Town & Country's topic in Geriatric

    Does your state have staffing requirements? Every time I worked in a situation where I didn't have enough CNAs or enough Nurses to meet the minimum staffing requirements, I reported my facility to the Certification and Licensure Agencies. I also kept...

15. Manor Care

    Catsrule16 replied to Peggyd's topic in Geriatric

    Manor Care changed their name in South Carolina to Heartland. Jokingly refered to as Heartless. Lots of problems at one facility. VA pulled their contract with them as well as all their resident