dcnballmom

dcnballmom ASN, RN

LTC

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About dcnballmom

dcnballmom has 16 years experience as a ASN, RN and specializes in LTC.


LPN in LTC

Latest Activity

  1. electronic med passes

    My facility recently started on BCMA ( bar code medication administration) - and we are having lots of problems with it. Our system shows that there have already been over 100 med errors in 2 weeks because the system is just not feasible in my place...
  2. need a good idea for this patient

    Thats a good idea but I am not sure it would work for her - I know that the sheepskin is pretty soft, but with her constant pelvic thrusts from meds (or coming off her meds) I think she might do more damage than good. Last nite at work they tell m...
  3. need a good idea for this patient

    I have a patient in my facility that is being tapered off psych meds. She has continual movements of pelvis, legs, etc. In addition to this, she was admitted to us with some pretty fragile skin on her coccyx area. When we got her she was pretty s...
  4. Guilt: Not being able to do it all!!!!!

    I was in long term care as a new LPN and lasted for 15 years before it was time to decide if it was gonna be me or them- alas they won, and I left for a new position where my nursing skills are sort of lost but it pays the bills for now. LTC is a cr...
  5. you didnt write too much at all - i know exactly how you feel -
  6. I know your situation too well - I was in nursing home for 15 years before I had to make the decision that it was either them or me - We were bought out by a corporation that of course is more interested in making money than caring about the resident...
  7. Nurses that write their own orders

    well back to writing orders without physician approval - this week rumor has it that my nursing home ADMINSTRATOR did that very thing too for a wound specialist consult - and the physician was not very happy to find out that the specialist had seen h...
  8. the meanie struck again

    the worst part of my job is having to deal with my PCC, who used to work my wing until she got an admin position - she is an LPN like me, just with a few extra letters after her name for QA - anyway, she doesnt like to be wrong and thinks that her wa...
  9. Good Activity Staff

    in my LTC we are told there are too many activity people too - one director , 2 regular staff, and every so often someone from a different department shows up in activity too - this is my issue - - my nursing assistants are expected to stop their pat...
  10. Nurses that write their own orders

    i am in long term care - i had my unit supervisor do the same thing - write order for a swallowing eval that the doctor had already said he didnt want - wrote the order, made a nursing note - then when the doc said definitely NO - she errored out the...
  11. i have read the overtime threads time and time again - and i thank those with all of their good input - but the question to me now is - anyone out there actually finish their 8 hours without overtime - and do you get everything completed or pass off ...
  12. thanks to everyone that posted here - i took the site info to work with me today, let a few more people there know what it is like - not just with us but with everyone - then i hear of another situation that i wondered about with overtime pay - and ...
  13. OMG do they every - we now have a slip to fill out to say why we are late clocking out - i usually put on it CUZ I WAS DOING MY JOB - 50 patients to tend to, 25 labs, 15 fingersticks, not counting the numerous interuptions from admin - and dont forg...
  14. BSI and understaffing websites

    i wish you luck too - i would like to also see the sites if you find any - to send to our corporate offices in an attempt to get my LTC staffing better situated - i know that costs are an issue, but wouldnt it be better to pay a little for a staff me...
  15. Is this understaffing (or is it me?)

    i just re- read your post - and i agree with you there - i know for a fact that my med error rate has at least doubled - (for little things, but my NM feels the need to write up everything ) and my documentation could be much better - but now we are ...