shoreh2000

Latest Activity

1. Number of Meds per Resident

   shoreh2000 replied to aander2's topic in Geriatric

   as a nurse consultant and an x-surveyor.....i disagree with giving our residents multiple medications....we....are so wrong as a society.....to treat what hurts with another pill....other cultures choose not to do that....and guess what.....they live...

2. Number of Meds per Resident

   shoreh2000 replied to aander2's topic in Geriatric

   as an x-surveyor....we always looked at psychotropic meds closely.....now with the new federal regulation changes with pharmacy tags....surveyors are looking really closely at all the meds and the justification for them....they are calling immediate ...

3. Survey is coming!!!!!!

   shoreh2000 replied to wooosp's topic in Geriatric

   relax.....don't be nervous!.....if you do get nervous....tell the surveyors you are and you need some time to think of the answer....then go to your superior and discuss the question with them!....you can't have all the answers! take it from me....i ...

4. Number of Meds per Resident

   shoreh2000 replied to aander2's topic in Geriatric

   what a waste of time and money:angryfire :angryfire not to mention the many side effects....

5. DNR's

   shoreh2000 replied to ajaxgirl's topic in Geriatric

   i agree with nj lnha. that is an excellent practice. the resident must have a preferred intensity of care when admitted, which includes cpr, tube feeding, iv's, antibiotics, transfer to the acute care hospital, gastrostomy/nasogastric tube feeding,...

6. Meal assists, tips, tricks and howto's.

   shoreh2000 replied to Levin's topic in Geriatric

   i love what all of you have written. you guys have some great suggestions. lemon ice....wow...what a wonderful idea. my mouth is watering already. fish shakes :barf01: augh!!....but it worked...ha? as an ex-surveyor the department will look to see w...

7. Teaching docs a bedside manner!

   shoreh2000 replied to marjoriemac's topic in Geriatric

   what???....go out of the facility to get the resident's perscription filled???? in california this is not our practice. here we have 24/7 pharmacy available which delivers the medications as soon as possible. the facilities do have emergency kits wh...

8. Behaviors and Call Lights! Help!

   shoreh2000 replied to carolbear's topic in Geriatric

   as an ex-don and an ex-surveyor your dministrators practice is unacceptable . what needs to be done is that staff (especially the idt members) need to address the residents behavior. if you transfer the resident and don't take them back because the...

9. Meal assists, tips, tricks and howto's.

   shoreh2000 replied to Levin's topic in Geriatric

   what great ideas....buquets for all.

10. Behaviors and Call Lights! Help!

    shoreh2000 replied to carolbear's topic in Geriatric

    i second that. what a smart nurse!!!

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

    shoreh2000 replied to Destinystar's topic in Geriatric

    hello guys i am an ex-surveyor (la county) and don. there is help for all of us. 1. staff need to be more proactive and be more informed regarding the regulation so they can make better decisions. 2. prioritize your work. 3. talk to your colleague...

12. Are most LTC understaffed? Are most nurses in LTC overworked, understaffed?

    shoreh2000 replied to Bala Shark's topic in Geriatric

    Hi They just don't prioritize their work. If the staff (DON/Administrators) knew how to use the QI reports it would help the staff tremendously. And, if SNF's knew how to decrease their erroneous meds it would leave more time for hands on patient ca...

13. Is This Illegal?

    shoreh2000 replied to HannahRN24's topic in Geriatric

    I'm an ex-surveyor (LA County). This practice is illegal. The reason for the 7 days a week RN coverage is because the LVN's are not allowed to assess the residents. They can only gather information for the RN. got to be an RN, 7 days a week, 8 hrs a ...