CoffeeRTC, BSN 16,172 Views
Joined Jan 22, '03.
CoffeeRTC is a RN LTC.
Posts: 3,612 (23% Liked)
What are you giving at 1 am?? I would kick someone if they woke me up for meds.
We have 50. I might start at 5:30 am and be done at 7. This would be accu checks, synthroids, prilosec, iv meds and g tube feeds....probably for about 25 or so getting meds.
12 am pass was very light, but I would also change tubing, g tube dressings, IV meds, neb treatments....and probably be done 1 am -130.
Your pharmacy should have a policy in place.
I work LTC. We get meds delivered from an off site pharmacy. The case comes in and has an inventory sheet. We are supposed to verify that we get is on the sheet (blister packs etc) We get a copy, the delivery driver gets a copy. We also sign the hand held computer and a paper sheet for them.
I had to call off once for "having a baby." She was a few days early
My favorite of all time came from a CNA's husband "yeah, she won't be in tonight. She has a real bad yeast infection." He went on to describe all the issue she was having in full graphic detail.
Ruby Vee hit the nail on the head. Critical thinking....is asking why and what else? In LTC, you do more focused assessments and a lot of times you can miss the big picture. It is also about priorities. There are a million things to do, but if you have someone that needs meds, ivs, labs....those simple dressing changes are going to have to wait.
For the most part, we do not wake the residents just to check them. Sometimes there is not need to wake them to check on them. Unless they are on vital signs q shift or more frequent, there is no need. If they have a treatment or iv med timed then that would be a good time for a mini assessment. I do visuals every 1-2 hours when I work 11-7. I'm normally down the hall helping the cnas or giving a prn anyway.
I will try and be helpful
If this is LTC...it is just way to common. What are the reasons they are calling off? What is staffing like?
We have been running very short. CNAs are doubling or splitting 8 hour shifts so they are working 12-16 hours 3-7 days a week. Yes...I said 7. Many are single parents or parent with a few children. They have bills, they need money. CNAs don't get paid enough as it is. These ones that sign up to work extra are making it so that we are not short staffed by filling the holes. They get burnt out very fast. Now...add in a call off for a legit reason or even something not (too much partying the night before) Cue the resentment and increased fatigue by the staff...cue the cycle of call offs.
So...adequate staffing and a good prn call in staff.
Generous time off or flexibility for illnesses or emergencies.
Staff appreciation ...little things add up.
Enforcement of discipline process when there are call offs.
To CoffeeRTC - are the facilities JACHO?
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