mlolsonny replied to mlolsonny's topic in Infusion
Scrubbing the hub was never in question. Pulling blood through the lumen of the PICC was. This was not how most of our RNs were taught, so we were asking for expert opinions.
Thanks for your responses.
Big discussion at nursing home. Single lumen PICC. Educator says aspirate for blood prior to every flush and infusion. A couple of us think that's asking for trouble. What is best practice in home care or outpatient setting?
We're measuring expo...
MDS (Minimum Data Set--nothing minimum about it) is the federally required Resident Assessment Instrument for nursing homes that drives further assessment, care planning, reimbursement, and nursing home quality measures. It's a Long term care sub-spe...
Your assumption is correct. Because supervision occurred 3 or more times, code as supervision. With the information presented, there is absolutely NO justification to code as extensive.
mlolsonny replied to baby_nurse-'s topic in Geriatric
Also a difficult lesson to learn, but until you can get your own work done on time, you can't do anyone else's work. I.e. helping with transfers, bringing people to the BR, etc. Your scope of practice is much broader than a CNAs, so anything that the...
The first two questions with rails, grab bars, assist bars, etc. are restraint and safety. Looking at safety is much more broad than the aspect of acting as a restraint. Here are the questions from a side rail assessment that we developed after a su...
mlolsonny replied to baby_nurse-'s topic in Geriatric
Unless your start time is absolutely set at 2000, try starting earlier. Group some tasks together, like starting nebs, giving supplements to people that are getting only supplements, etc. Don't get hung up on going to rooms in order. I suspect that s...
mlolsonny replied to Adele_Michal7's topic in Geriatric
In the simplest: Preventable Problems. Think pressure ulcers, contractures, weight loss, non-healing wounds, medication errors, decline in mobility/ ADL ability. Rationale: If adequate care is provided, most of those are prevented. Certainly you're ...
mlolsonny replied to Bubbles82's topic in LTC Directors
200 hours of staffing for 53 residents @ 1.16 MCM per 24 hours. 24 hours RN (one AM charge, One PM charge, One with focus for the day-- Assessments, Wounds, MD rounds, Mood/Behavior monitoring, Restorative, etc.) 12 hours MDS 40 hours LPN (16 hours A...
We use EMR and ours uses Events as "to do" list for charting. We open a Clinical Charting Task event and put in what we want documentation on. Our nurses love our events.