panurse101

panurse101

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About panurse101

rn by day....wife and mother by night...sometimes

Latest Activity

  1. Can anyone share some cheat sheets, tracking forms, etc?

    I, too, am new to this and would GREATLY appreciate any tracking forms; cheat sheets, hint, tid bits etc. Please PM to me
  2. help training cna's

    I just started doing MDS' recently, but I still do the staff education. I am looking for any tips, tricks, etc on getting the aides to understand how to code correctly on their 7 day assessments. ( We do not have the caretracker..yet) Thanks... pa...
  3. Bowel Protocol

    in our facility, we have found that using unifiber, works really well. this is day one of our bowel protocol, and like i said usually works. the protocol is started on day 3, unlike most facilities. this is given on the 7-3 shift, with breakfast and ...
  4. resident falls

    Thank you to those that replied. We are using basically the same kinds. The mat ones are terrible. With them constantly going off. The state told us to be careful with alarms, not to jump right to them. which is what our nurses were doing. Also, if a...
  5. resident falls

    i am wondering what kind of patient alarms everyone is using? do you use a variety of alarms, different brands, or do you stick to one brand. right now, we mostly use posey bed and chair alarms. but we are trying to stay away from them, since the sta...
  6. help with inservices

    I LOVE this ideas.. Im already working on schelduling a communication one for October. We too, have a BIG problem with that... it just doesnt happen. I really believe that if you make the inservice fun, interesting, etc, the staff get more out of it...
  7. I work in a ltc facility. Some days the facility ends up mandating a nursing assistant to work another shift. There are times when every nursing assistant refuses to stay. Can they be held liable for abandonment if they were to leave without permissi...
  8. help with inservices

    For anyone out there that has been in staff dev. in ltc. I am looking for ideas for inservices/ meetings that would make it fun and interesting. I know from my own experience that to sit in a room listening to someone talk and talk and talk or put on...
  9. help with the qa process

    Does anyone have any good websites or books or anything that can help me learn the qa process, how it should work, how to go about it, team meetings, etc. There are so many issues in ltc, how do you get started? What do you do? What is your process? ...
  10. transition to management

    I am expected to give up more of my time for qa's, state survey time, etc. I did make less money yearly when I first took this job. However, thanks to our recent raise, Im finally making more. There are good points and bad, just like anything else. I...
  11. Calcium Alginate and Duoderm

    I just want to thank you.. you have made me realize .. Im not "crazy". Everything I have learned.. this just doesnt seem appropriate. However, I just cant seem to get through to anyone, except ones that don't have a say in the matter. I recently orde...
  12. Calcium Alginate and Duoderm

    My question is regarding Calcium alginate and duoderm. I know a wound bed needs to be moist to heal, although, not wet or it will macerate. I understand the use of calcium alginate. However, our facility has begun using cal. alginate and duoderm on t...
  13. Resident Incident/ Accident's

    I am the "risk manager" in our facility. I finally got the DON and NHA to give my idea's a try re: investigation unknown injuries ie: bruises, skin tears, etc. The state DOH requires an investigation to prove that abuse did not occur, and that requi...
  14. transition to management

    I can sympathize with you. I worked as an aide in my facility for 9 years, then came back as an RN. I worked as a charge nurse, became a supervisor, and now in an adminstrative position. I still have some problems, when, for example, "management" is ...
  15. How do they post DNR in the patients rooms at your LTC

    Our facility doesn't place anything re: DNR status in the resident's rooms. We only have the code sheet on the front of the chart. Because there really isn't alot of full code residents, this really isn't a problem.