lpnbecky123

lpnbecky123 specializes in SNF/LTC, ALF, Med surg, from CNA to ADON.

Latest Activity

1. M D S 3.0 Draft

   lpnbecky123 replied to Talino's topic in MDS

   ok, what do the new RAP's look like?

2. LPN as MDS coordinator

   lpnbecky123 replied to nursejane236's topic in MDS

   The MDS coordinator is the one who makes sure that the MDS is completed. Anyone can do the work if they have the knowledge & assessment skills. The skills include working the Raps. Some facilities divide the Raps up between the different disci...

3. uncooperative resident

   lpnbecky123 replied to nurseofalltrades's topic in General Nursing

   I firmly believe that all new residents to a SNF/REHAB/LTC should be given a script for antidepressants for at least the first 3 months, especially if they have never been in this environment. Yes it is depressing to go to "a home" yes it is scary....

4. What would you do about a LTC resident like THIS!

   lpnbecky123 replied to tattooednursie's topic in General Nursing

   She sound lonely. she sound like she could be having pain. What kind of activities does she do. did you ever sit down & tell her she hurt your feelings? Maybe she needs to get into a restorative program, maybe she needs to walk a bit. she may...

5. Scheduled toileting not being done by certain CNAs

   lpnbecky123 replied to old rural nurse's topic in Geriatric

   I would be tickled to death if the CNA's would come to me & say, "Mabel only uses the toilet when she first gets up & then after lunch, she stays dry the rest of the time. They would have made their own reasonable care plans. The Resident's...

6. Scheduled toileting not being done by certain CNAs

   lpnbecky123 replied to old rural nurse's topic in Geriatric

   No place can toilet every resident every 2 hours. Who the heck came up with this schedule? I'll bet they figured since you must reposition everybody every 2 hrs you might as well toilet them. It can't be done. toilet at routine times to reduce in...

7. Help with RAP's...PLEASE!

   lpnbecky123 replied to catmom1's topic in MDS

   In my facility I work the RAPS. NATURE OF CONDITION, CAUSAL FACTORS (usually the diagnosis(es)) OTHER FACTORS, RISKS/COMPLICATIONS, REFERRAL, CARE PLAN (yes or no), COURSE OF ACTION. I make sure that everything on the RAP is in the care plan, I LIM...

8. Care Plans and Care Conferences-Help!

   lpnbecky123 replied to laurenbella24's topic in Geriatric

   What has worked for me is first thing I review the daily report, gather up telephone orders & check the charts for MED-A & managed care. I also look for incident reports. then I update care plans with 1 or 2 lines. some need a bit more res...

9. Nebraska Nurses working in LTC

   lpnbecky123 replied to Aprilmist_99's topic in Nebraska

   I've spent most of my Adult life working in LTC in Omaha. From CNA to ADON. Not too much I haven't seen, but these folks continue to surprize me daily.

10. Took Nclex today and shut off @ 85

    lpnbecky123 replied to DeeDee143's topic in LPN/LVN

    I am so jealous. I took mine a million years ago with a #2 pencil & a proctor in the room, walking up & down the isles. I had to wait 8 weeks until my License was mailed to me.

11. Getting started as MDS nurse

    lpnbecky123 replied to farmgirl2's topic in MDS

    I have been doing the MDS/RAPS/CAREPLANS since the darn things started. My only advice is to keep it simple. pare your care plans down to 5 or 6, combine i.e.; ADL self performance/ Risk for falls, Continence/Skin integrity, Cognitive Function/Comm...