CoffeeRTC, BSN 18,585 Views
Joined Jan 22, '03.
CoffeeRTC is a RN LTC.
Posts: 3,715 (24% Liked)
Yikes. I would be working with the MDs and pharmacists to get the list of meds whittled down....especially all the extra MVIs etc.
Geri psych stay?? Danger to self (hygiene issues that can lead to serious infections) and danger to others with the hitting, bitting, and bruises. Of course you are doing event reports for the staff injuries? Family involvement??
Psych eval? Depression related to nursing home stay?
I'm the LTC nurse that would be calling you. I like the idea of having the resident sign off on getting the medication too. Does the fent patch need to be increased again? If he is truely in pain, that might help. I'd also make sure he is on a good bowel regime. Of course, I would be making sure everything is documented out of the wazoo and care planed.
We use this brand of foley and collection tube. The flush port on the actual foley is accessed by a needless Luer lock syringe
and the specimen access on the drainage tube with a needle.
Double briefing is not an appropriate care measure. Get a Foley or a supra- pubic catheter order. You will not have enough time to check/ change your patient every hour. Trust me on this... they will be lying in their own urine for hours.
Welcome to nursing.
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