marthyellen

marthyellen

Geriatrics, Ambulatory Care

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About marthyellen

marthyellen has 16 years experience and specializes in Geriatrics, Ambulatory Care.


Latest Activity

  1. Alert & Oriented & I want to go home

    Sorry you do not like LTC. I personally love it. It is not the perfect work environment, but what is? Thing I love about nursing is that there is something for everyone. I hope you find the job for you. I asked my admin one day why he chose LTC and ...
  2. Documentation "No-No's"?

    Always chart objective not subjective information. If a resident is cursing write what was said. I hate to pick up a chart and read "inappropriate behavior." What does that mean? Moral values play into what someone thinks is inappropriate. Be specifi...
  3. New Grad in LTC - Feeling Overwhelmed (21 pts)

    I think three days orientation is ridiculous for a new grad.
  4. How many residents is too many for one nurse?

    I am in Texas which has the second lowest Medicaid rate in the US AND just had a 3% cut BUT we are taking higher acuity residents. BTW I had a 105 y/o full code. When we explained what would happen if we performed CPR, the daughter stated "she is ...
  5. Need some advice please...

    If you know psych nursing is not for you have every right to sat so within your first 90 days. There is no reason to feel bad about that. There are so many specialties in nursing even within LTC. You said you enjoyed rehab and the other LTC units. I...
  6. Abuse Allegations

    Unless the self report is substantiated and sited they are not listed on the Department of Aging website only consumer complaints are.
  7. Nursing home administrator

    In TX you must have a BS in any subject attend 15 hours in long term care administration and 1000 hour AIT program. In Colorado you must successfully completed an associate's degree or higher degree in a health care-related field and have a minimum ...
  8. How to handle suspected med error?

    The nurse in question needs to understand that EVERY nurse makes a med error at some point in her career. Any nurse who says they have never made a med error is either a liar or too stupid to know she made an error. You found the error and you repor...
  9. Signing a nurses note for another nurse

    Why would he sign someone else's name and not his own?
  10. You're Kidding..........

    Wow that is the problem. I have work with administrators like that and will never do it again.
  11. You're Kidding..........

    Thank God I have a great administrator. Luckily my administrator agrees about alcoholics and alcohol related dementia. Not drinking for 30 days does not guarantee that someone does not have alcohol related dementia. They are VERY different from other...
  12. You're Kidding..........

    He had no payer source which is why the hospital was willing to pay us to take him. I like when corp tell you that you should be the employer of choice. If you take residents like this you will NOT be the employer of choice. CNAs and staff do not wan...
  13. You're Kidding..........

    I feel your pain. There are buildings that specialize in morbid obesity. You know it is trouble when the fax cover page says that the hospital will pay for the patient's stay at your facility. Stop reading and call them back and say "No, thank you" ...
  14. Samples of Kardex or other communication tool

    Care Cards for CNAs can be placed inside the residents closet. One page with basic info like ADLs, food preferences, diet, etc. We also have a CNA 24 hour report they can fill out themselves and pass report to each other
  15. Hourly rounding logs

    I thought the same thing about "potty" I think rounding sheets hourly sounds like is a great idea. Unfortunately, there is no way possible to do it. They barely have time to the minimal documentation. CNA's and nurses became CNA's and nurses to ca...