ChainedChaosRN

Latest Activity

1. monthly summaries in LTC

   ChainedChaosRN replied to ktwlpn's topic in Geriatric

   I'm a DON in a 160 bed facility and I did away with monthly summaries. I too found them redundant and not helpful. The patient is reassessed quarterly or with significant change. I'd rather have a nurse doing a several daily quality nurses notes...

2. frequent falls

   ChainedChaosRN replied to deadend's topic in Geriatric

   There isn't any tags for ADON's. There are no specific citations for DON's or Administrators but some tags fall under administrative. The facility is cited. Any position in a facility can cause a citation if the person errors no matter what depar...

3. CNA Patient Ratios?

   ChainedChaosRN replied to StacyC417's topic in Geriatric

   Depends on the type of resident being cared for. Totally dependent with all ADL's will require more staffing, more independent less. Care levels and layout of a facility are big factors in ratios.

4. Emergency: Need Response Asap!

   ChainedChaosRN replied to Town & Country's topic in Geriatric

   I might of missed it, but I didn't see anyone ask what the acuity of the patients on that 30 bed unit. Are they ambulatory? Mostly independent? Alert and oriented? I've worked in facilities which would have a unit designated for the primarily indepe...

5. Constant Faller

   ChainedChaosRN replied to CoffeeRTC's topic in Geriatric

   Has psych seen the patient? Something to calm him down, it can't be a pleasant situation for him either, being that restless.

6. How do you feel about the right to die?

   ChainedChaosRN replied to sassynurse78's topic in Geriatric

   Hard situation. I guess my first question I'd ask is if the patient is competent, and deemed competent by a physician. If yes, advance directives should be in place prior to the tube being pulled. If she IS competent it is not the families decis...

7. The continuing saga...I went to the UM this morning

   ChainedChaosRN replied to night owl's topic in General Nursing

   Wow NightOwl, I haven't been on for a few days...what a weight on your shoulders. You handled it well. I wish I had you on my staff. Re: Incident reports, we IR everything, every bruise, lab draw or not as soon as it's noted, even if it is over 4...

8. Sleeping at Work

   ChainedChaosRN replied to ChainedChaosRN's topic in Geriatric

   LOL Night Owl...you made me choke on my water :)

9. Sleeping at Work

   ChainedChaosRN replied to ChainedChaosRN's topic in Geriatric

   I agree Night Owl, you can't tread softly. That's like covering a draining decub with duoderm and wondering in 3 days what the heck went wrong. Frankly I'm tired of having to continually keep "surprising" the 11-7 crew to see if they are awake and d...

10. Sleeping at Work

    ChainedChaosRN replied to ChainedChaosRN's topic in Geriatric

    Hi Rebel_Red, Please do not think I condone sleeping on duty..not at all. I've fired many for finding them sleeping on 11-7 shift. I and my nurse managers continue to spot check in the middle of the night. I just think putting your head down, k...

11. infection control LTC

    ChainedChaosRN replied to Used and abused's topic in Management

    In our facility we keep a bag full of small bags on the double hamper (laundry and trash) tied to it. Laundry stocks the linen carts for each shift and unit: adding the briefs, some gloves and the small trash bags. We ask the CENA's to carry a cou...

12. Sleeping at Work

    ChainedChaosRN posted a topic in Geriatric

    I know this is always a hot topic here but I wanted to share a new policy set forth by my company this month. My company is a nation wide chain 300+ homes. In their new policy book it states that any employee found sleeping on company property is ...

13. At the end of my HOPE Survey got to me!!!!!!!

    ChainedChaosRN replied to Rnltc's topic in Geriatric

    Wow.. your surveyors are definitely out of control. I think you need to place a complaint to CMS about this.....or maybe your licensing officer? I've seen homes picked on....usually they are corporate chain homes. I think there is alot of politics ...

14. Disciplinary action, How long after?

    ChainedChaosRN replied to CoffeeRTC's topic in Geriatric

    Hi Huq, Definitely it is...and I thought that was what we were doing? Kind of nice seeing the Geriatric forum coming alive...isn't it? When I first joined days and days would go by and no one posted here.

15. Disciplinary action, How long after?

    ChainedChaosRN replied to CoffeeRTC's topic in Geriatric

    Hi Huq, I wasn't making the comment necessarily to you that if you don't sign it still goes in the file. It was just a comment in general. Many employees at first will assume if they don't sign it...it doesn't count. Regarding the speculation/as...