afteralltheseyears

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1. knowing how to maintain a PICC line

   afteralltheseyears posted a topic in Infusion

   Since proper maintenance of PICC lines vary depending upon whether it is an open or closed end catheter, how do you know how to care for it if the patient doesn't know what type of catheter they have and the catheter was placed at another facility? ...

2. communication of PT recommendations to nursing staff

   afteralltheseyears posted a topic in General Nursing

   At your facilities--do the therapists (PT, OT or ST) give their recommendations to the Dr and the Dr then writes them as orders for the nursing staff or does your nursing staff follow their recommendations directly?

3. communication of PT recommendations to nursing staff

   afteralltheseyears posted a topic in Rehabilitation

   At your facilities--How do the recommendations of Physical,Occupational or Speech Therapy become part of what the nursing staff follows when giving care? Do the therapists give the recommendations to the Dr and the Dr then writes orders for nursing...

4. Samples of Kardex or other communication tool

   afteralltheseyears posted a topic in LTC Directors

   We are interested in implementing some sort of a communication tool that will inform staff of care needs of specific LTC patients. I don't know what to call this tool but I envision it to be like a Kardex. Our care plans have good, pt-specific info...

5. flag outside room door so staff can be found

   afteralltheseyears posted a topic in General Nursing

   We are a small hospital with limited funds to purchase staff tracking technology (device that turns on a light above the room door so you can see when a staff member is in the room). Anyone have any ways of "flagging" a room so it is easy to see fro...

6. Staffing/NHPPD

   afteralltheseyears posted a topic in LTC Directors

   In my CAH right now, I have 18 unskilled, custodial-type patients who reside here (for the state they are categorized as unskilled swing patients but they are basically nursing home pts). In addition we have 4 unskilled swing patients. We are staff...

7. Hourly rounding logs

   afteralltheseyears replied to afteralltheseyears's topic in Geriatric

   I'm shocked at the staffing ratios I hear on here-1 nurse and 4 aides for 60 patients. HMMM, if you do 12 hour shifts that comes to about 1 NHPPD. That sure doesn't come close to the 3.2 NHPPD that I believe I read somewhere was legislated (somewhe...

8. Hourly rounding logs

   afteralltheseyears posted a topic in Geriatric

   Is anyone utilizing the practice of hourly rounding to assess the 4 Ps (position, pain, personal needs and potty) and if so do you have a log up in the room for staff to document it? This practice has been found by research to decrease falls, callli...

9. CNA training program, manual

   afteralltheseyears posted a topic in Geriatric

   I am considering starting a CNA training program in my community. Where can I find a good training manual/curriculum? What is the ratio of LPNs to residents at your facilities? Thx

10. shift report, CNA/pt ratio

    afteralltheseyears posted a topic in Geriatric

    In your nursing homes I'd like to hear how the change of shift routine goes. Specifically: who sits in on report--all oncoming nurses and CNAs hearing the same report from offgoing staff? OR nurses give report to nurses while CNAs report to CNA? If...

11. kardex

    afteralltheseyears replied to afteralltheseyears's topic in Geriatric

    We are the only hospital in our state that has been given the designation of CAH with extended swing patients who permanently reside here (in other words-we have 20 nursing home patients in our hospital who are permanent residents). We don't have to...

12. kardex

    afteralltheseyears replied to afteralltheseyears's topic in Geriatric

    I wanted to add: to whoever said they love Kardexes I say AMEN. I'm an old nurse too and Kardexes were what we used to give report with and I guarantee nothing important got left out of the report since the items we needed to cover were all right t...

13. kardex

    afteralltheseyears replied to afteralltheseyears's topic in Geriatric

    Thanks so much for all your feedback. The system that exists here is alittle flawed I think as the RN on duty keeps to her ER/Acute care patients and has little to do with the LTC patients and the LTC nurse and CNAs take care of her patients and has...

14. kardex

    afteralltheseyears replied to afteralltheseyears's topic in Geriatric

    Sorry, I'm not explaining my thoughts well. The care plans in use now are ones that have been "copied and pasted" from a care plan template. I don't think they are very meaningfully personalized for many patients. Each of our LPNs is assigned ...

15. kardex

    afteralltheseyears replied to afteralltheseyears's topic in Geriatric

    Good question. Like I mentioned, there are 19-20 residents. They are cared for by 1 LPN and 2 CNAs. What is a good ratio of nurse to patients that will allow adequate time to do care planning and documentation that is reflective of the care plans? Th...