zuchRN

Latest Activity

1. New Grad-RN just hired into PACU

   zuchRN replied to RN*06's topic in PACU

   I think you will love recovery. I have been working it for a year now after working in long term care for 13 years. If I can adjust, anyone can!!! I was really apprehensive about extubating patients, but as it turns out, it is the easy part. I wo...

2. post op blood pressures

   zuchRN posted a topic in Operating Room

   I was just wondering what your thoughts are on BP post op. I work in stage one PACU. Some of our patients have low bp's for various reasons. The last 2 days, I have had 3 ortho nurses not want to take patients because of decreased bp, despite bein...

3. put me on ccu

   zuchRN posted a topic in Agency

   I picked up a night shift at our local hospital. I was placed on CCU. The agency told the hospital that I was able to do Coronary Care.....WELL, I have been a DON in LTC for the last 7 years, this is my first week doing agency...I have never worked...

4. What can we do to improve working conditions in Nursing homes?

   zuchRN replied to Destinystar's topic in Geriatric

   Well said Triage and southern. I agree whole heartedly that professional nursing staff does not demand the respect they deserve. I have had to talk with nurses about gossiping and not liking each other and he said she said stuff. What a collosal w...

5. What can we do to improve working conditions in Nursing homes?

   zuchRN replied to Destinystar's topic in Geriatric

   In reading the replies to this post, I am hearing that mandated staffing ratio's are the "answer" to our problems. I encourage everyone to ask what their facility ppd is. We have a ppd in our facility which is higher than the proposed state minimum...

6. opinions on in-services

   zuchRN posted a topic in Geriatric

   What is it that people like or dislike about in-services? I frequently do the in-servicing and have been experimenting with different types of presenting styles and activities. I would appreciate any good suggestions on things that really capture y...

7. CSM guidelines for Pressure Ulcers

   zuchRN replied to CapeCodMermaid's topic in Geriatric

   Right now, we do weekly skin assessments on all residents. We rare;y deve;ope in-house pressure ulcers. I think we have had one in the last 6-months. obviously, our focus is prevention, because it is obviously too much work if one does develop!!! ...

8. Do DON,Adminis.,Admissions get bonuses?

   zuchRN replied to Shell5's topic in Geriatric

   would you feel the same way if bonus's were based on clinical factors rather than keeping costs down? What if the measurement for bonus was a percentage of prussure ulcers, weight loss, restraints, antipsychotics, CMI?

9. Fall Prevention

   zuchRN replied to oceanblue's topic in Geriatric

   we have now implemented a walk to dine program for appropriate individuals. I was also just reading a study from medscape that was saying that balance activities in restorative decreased falls more than strengthening or endurance exercises. we have...

10. I.V. flow sheets

    zuchRN replied to dmrn722's topic in Geriatric

    I have a good sheet. it is for site assessment. If you would like a faxed copy, you can e-msil me @ [email protected]. I am a DON and have seen and utilized many different forms. This one seems to satisfy the needs for surveys and is the least t...

11. Not me!

    zuchRN replied to Town & Country's topic in Geriatric

    I know that if you ask your DON for a copy of the regs and tell her that you just wanted a copy so you can make sure you are following the rules...or you want to brush up for survey to be sure that you are doing things correctly...some bs like that, ...

12. Advice please!!

    zuchRN replied to sashibeak's topic in Geriatric

    I would also like to point out that this resident may be on depakote for behavior management issues. We are using depakote and klonopin more and more for behaviors, this may explain the low dose and being used in combination...Just anopther thought...

13. frequent falls

    zuchRN replied to deadend's topic in Geriatric

    let me try again. Deadend, It sounds like to me that you and the don do not have a good working relationship. I am a DON. I have an ADON, SDC, Wound specialist, medical records and redstorative nurse. I have very set parameters for everyone. My...

14. frequent falls

    zuchRN replied to deadend's topic in Geriatric

    deadend:

15. self scheduling

    zuchRN posted a topic in General Nursing

    I was wondering if anyone is involved with a facility that practices self scheduling? If so, can someone tell me how it works?