nursenikki928

Latest Activity

1. case mix question

   nursenikki928 replied to chlori's topic in MDS

   Northeast Ohio, Ashtabula County

2. case mix question

   nursenikki928 replied to chlori's topic in MDS

   I am also in Ohio and our goal is a 2.0 for both Medicare and Medicaid. Im usually at about 1.9 on the Medicaid and 2.1 on the Medicare. We have 115 beds, and average about 20 part A's per day. Im also the only MDS nurse with a part time person t...

3. Wine Debate

   nursenikki928 replied to TiggerBelly's topic in Geriatric

   When I completed nursing school and started in a ltc facility i was only 19. I had a resident that got 6oz. of wine every night. I had to have another nurse give the wine to him because I was not old enough to serve alcohol. Kinda funny I could gi...

4. Incident Report Documentation

   nursenikki928 replied to khagerman's topic in General Nursing

   Your incident report is considered an internal investigation document. You should never document in your nurses notes that an incident report was completed. If you do, your report may be used in court. They are only to be used internally to invest...

5. interested in becoming a CNA/STNA

   nursenikki928 replied to shrimpchips's topic in Ohio

   Call around to nursing homes in your area. A lot of them offer the nurses aid training course and if they hire you to work for them they will pay for your training and the test. You just have to find a place that is offering the class. The facilit...

6. Collecting urine sample

   nursenikki928 replied to NextSummer's topic in Geriatric

   Usualy our 2nd shift nurses obtain the urine specimens because the patient is laying down and has had hs care. Day shift is just too busy. If 2nd shift doesnt get to it then the 3rd shift nurse may have to.

7. Survey begins

   nursenikki928 replied to ktwlpn's topic in Geriatric

   Thanks for that info.. I definatly will not be looking forward to a survey like that. They usually do go through some Dc'd charts at our facility but nowhere near 100 charts!

8. Survey begins

   nursenikki928 replied to ktwlpn's topic in Geriatric

   I also live in Ohio and we do not get any type of advanced warning for survey. Just the 3 months before and 3 months after last years survey window. We just had ours in December and did well. I work at a really great facility and we have had defic...

9. Did we fluid overload her?

   nursenikki928 replied to Megsd's topic in General Nursing

   These are very difficult and also very sad. They seem to be constantly fighting the renal failure vs. the cardiopulmonary disease.

10. Point Click

    nursenikki928 replied to nursenikki928's topic in Geriatric

    I work at a 116 bed facility and I am the MDS coordinator. About 7 of us were trained to input all the information. At first it took about 4 hours to do each patient but after a couple days it took about an hour depending on how many meds or treatm...

11. Point Click

    nursenikki928 replied to nursenikki928's topic in Geriatric

    we stared using point click last week. we started by inputing all of our physicians orders and will begin using the program march 1st. we will be using it for charting, mars, tars, physicians orders, physicians progress notes, nurses notes, mds, an...

12. Which is correct method admin meds via GT

    nursenikki928 replied to Kashia's topic in General Nursing

    This is how we do it at my facility also. We are supposed to give each med one at a time but most nurses "cocktail" the meds and just give them all together to save time. All of our T.F. patients have orders to flush with 30cc of h2o before and aft...

13. What Is A Shift Like?

    nursenikki928 replied to mammaoftwo's topic in Geriatric

    i worked nights for 2 years in a ltc facility 7p - 7a. i did this right out of nursing school and it was a great place to start. usually you take report, check your patients, change and hang new tube feeds, and do charting, and note the new orders ...

14. Humorous Introspection

    nursenikki928 replied to stillpressingon's topic in General Nursing

    I too have the cursing problem. My mother calls it the "Nurses Potty Mouth" I have her convinced that all nurses talk that way. It just comes with the profession.

15. Family members that run the facility!

    nursenikki928 replied to wefdm21's topic in Geriatric

    i also have this problem where i work and i am sure everyone else does. some of these patients and their families think they are at the hilton and not a skilled nursing home. hang in there and definatly document everything. everytime you give a pr...