CoffeeRTC, BSN 17,349 Views
Joined Jan 22, '03.
CoffeeRTC is a RN LTC.
Posts: 3,654 (24% Liked)
Never, ever go into this resident's room alone. There should always be a buddy system and if possible the nurse should be there too. Not easy in LTC. I've taken care of my share of residents with similar behaviors. As a nurse, I would document word for for word what the resident is saying. His behaviors need to be care planned and there needs to be limits set. Family should also be involved and the facility should contact the ombudsman.
UGHHHHH. I can just scream about this issue. Can you tell I'm dealing with a similar issue? I find it amazing that the vital signs are done without the equipment moving from the desk. Amazing!
Vitals for meds.....I do, unless i see the CNA just walk out of the room before i'm going to pass the med.
Um...not a totally bad idea, but like Ruby said...we need more information.
I've been in the business since the '80s. Limited duty was only offered to employees who were injured on the job, never for post op people or those who were injured on their own time.
Honestly? It is the pay that keeps me coming back. I've worked other places PRN, so I realize that it is the same type of problems in alot of the facilities. I'm starting to wonder though, lol.
I am glad you found your happy place. My experiences have only been in LTC. I'd just like to mention that not all nonprofits are the same. I worked for a huge for-profit chain. While at times, it felt like it was all about the $$. Looking back, it really wasn't all that bad. There were systems put in place, a clear organizied corporate structure and a policy for everything. Sounds overy structured? yep and I really miss it.
Now, we are owned by a nonprofit. There is no structure. There are random consultants, there is little consistency. While a huge corporations isn't "making all the money" someone still is. We run short on supplies, we are accepting diffuculty admissions, vendors have changed...now much cheaper etc.
When we heard "nonprofit" we were all thinking more resident centered care. What sets nonprofits apart is who is running them. The Babpist home up the road....The have a mission. They have fundraisers and donors. We do not.
If you are prn, I woun't rock the boat. As long as the meds are given, that is what counts. When we did montly refils, we used to go by the date. I loved this for my OCD, lol. Now it is a free for all . Some start at #1, some start at #30. Narcs are always counted back from the largest #.
I never thought I would see the day, but many LTCs in my area are now pushing to have mostly RNs on staff with the CNAs.
I think that is a great breakdown of the shift work. I think the ratio really depends on the acuity of the residents. If they are more LTC and less skilled, then you might have more meds, but less assessments. The med pass is what needs streamlined. There are way too many meds on stable LTC residents.
What type of place schedules that far in advance? Why would you need to give that much notice as a PRN employee? 2 weeks to a month is standard. Quit putting yourself out.
I think people were asking if it was homework because most experienced nurses would see that it is a med error. At first it just screamed "homework assignment"
IVFs are medication. Giving the wrong med or dose is a med error. Plain and simple. Every facility has their own policy on how they deal with med errors. At the very least, stop the iv immediatley, assess the patient and then call md for further orders.
What is POS? ED and AED?
We are still paper charting. Only nurses check them every month to make sure the orders are correct.
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