Latest Comments by CoffeeRTC - page 3

CoffeeRTC, BSN 19,440 Views

Joined Jan 22, '03. CoffeeRTC is a RN LTC. Posts: 3,733 (24% Liked) Likes: 1,813

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  • 0

    I have never seen these in SNF or in my state.

  • 0

    Quote from Pepper The Cat
    Pulse sat of 87 isn't overly low for a pt with COPD.
    Are we missing something?

    First off, there are occupancy regulations. The rules were broken...big time.

    I'm not sure what you are worried about. If you checked on him 7 minutes before the event, things can happen. A previous posted asked about fall risk, bed alarms etc? If they weren't utilized that may be a problem. Vital signs were stable and an O2 sat of 87 isn't horrible for a residnet with COPD that is laying face down.

  • 0

    Are there any LTC Risk Managers on here?

    I've been filling in for our facility. Right now I'm self-taught. I've skimmed our intranet and tried to pull up all info in the RM tab.

    How are you tracking your events (incidents)? Do you have a program or spreadsheet?
    There seems to be little info provided by our company.

    Right now I've been reviewing the event report and any witness statements (hunting them down if they were not done), reviewing the nurse's notes, checking orders and care plans. With this, they have an analysis form. It asks for a description of what happened, the cause, the immediate action or intervention that was taken and then any follow-up actions.

    Are there any resources for RM in LTC? Groups or organizations?

  • 1
    Kitiger likes this.

    Post in the LTC forum for more answers. This is a great question. We do a two step PPD on all readmits.

  • 0

    Quote from tining
    C'mon now, "Bad guy" is in our job description. Next topic.
    True just about everywhere.

    Not a school nurse, but I'm the bad guy where I work. I'm in LTC and refuse to let the residents smoke unattended outside and keep their lighters in their room. BTDT and saw accidents happen.

  • 0

    This would be an "Assist to floor." I would report it. Reporting events like this help in the long run. Does this resident need evaluated for therapy for strengthening or transfer training? Would they benefit from a restorative nursing program? Should they be classified as a two person transfer or use a sit to stand lift. Evaluating this can only help and make it safer for the resident and staff.

  • 0

    I personally haven't worked as an admissions coordinator, but share the office with ours. Ours is called a referral manager. She is not a nurse. Her job is definitely more sales and marketing. As far as a nursing review of potential admits....she asks me or takes it to the morning meeting for the team to review. I would say your experience is helpfull in knowing what type of care the potential admits would need and your other LTC experince is very relevant too.

  • 4

    NO, No, No!!

    Only thing I've seen in an emergency epi pen given this way.

  • 2
    OlMaMa and canoehead like this.

    Is it one Dr that gets upset or different ones?

    Working part-time in LTC as the charge, i'm often calling doctors on off shifts and getting an on call. Some of them may have see the patient before in their office or during their office am i to know.

    i start my calls by saying "Hello Dr Jones. This is Mary calling from Happy Homes. I have Mr. Smith (admitted under Dr Blue). Are you familiar with him?"

    Yes, I saw him yesterday and did his discharge..what's up? or
    No, I don't recall.. Then they get the full run down.

    I've been doing this too long to care about nasty attitudes from the on calll MD. It just rolls right off my back. I have a job to do and will remind them of thiers if they want to give an attitude.

  • 0

    We just started using agency to supplement our CNA staffing. We are a small facility with 50 beds. Some days it is up to 3 agency CNAs we are using. Our pay rate is horrible and the benefits stink. It is hard to attract staff. It won't change either. The CNAs are unionized. The staff that has been there for a while get nice $$, but in the contract the starting rate is what it is.

    So, with new management, they have weeded out some of the CNAs leaving a huge gap, hence the use of agency staff. We are about two months in and I see the company shutting this down real soon. We've currently hirred 6 new CNAs... I think 3 might make it pas tthe one month mark.

    Solution....that is the million dollar question! I've been suggestion recruiting new CNAs or restarting a CNA training program. CNAs with zero experience don't demand high pay rates. If we can train them and retain them for over a year, that would be a huge step.

    As far as nurses....we have a large amount of part timers and some LPNs that love OT, so we've been lucky. RNs are a bit tighter, but out managers rarely have to work the cart and if so, it is just the unit manager.

  • 0

    Are you investigating a bruise or trying to determine when an injury occurred?

  • 1
    Beth1978 likes this.

    Great question! We have the same issue but with a much smaller facility. Couple questions for you. Do you have computer access for your staff to complete the modules at work? Do you set aside time for them to complete them while at work? Do you pay them to do the training? How do you let staff know what is due and when?

    We have limited computers access at work. The internet seems to be spotty or maybe it is the actual computers that freeze up. It is horrible! We don't have an SDC right now so no one is really in charge. I was filling in for a short period of time, so I have a little bit more access to the relias site. With the 6/30 deadline, I was able to get a few of the modules printed out so that staff could complete them and do a paper test. This helped.
    With this last round, I believe the DON was giving verbal warnings (not sure if it happened) but there was no deadline for late education to be completed.

    Raises based on performance, hahahah. We are a union facility so they are guaranteed raises.

  • 3
    Here.I.Stand, Orca, and Blackcat99 like this.

    Viva and Capecod some to mind.....

    Fair management abilities.
    Compassion for the residents...not forgetting that they are why we are working.
    Common sense and critical thinking abilities.

  • 0

    We are still an all paper facility. We do use PCC for CNA charting and a few other things.
    We are also a very small building with 50 beds.

    Question for the group....Who does your nursing schedules? How is it done? How often is it put out? Are you still using paper schedules or do you have a program?

    Our medical record clerk does our schedules. There are a few long term staffers that have a set schedule. Everyone works every other weekend (except the unit manager is M-F)
    She puts out the master schedule and then does daily staffing sheets. Any open spots are posted. I would assume the DON would then review it to make sure staffing levels are appropriate, etc

    There have been many problems.
    People who have quit or got fired not replaced ASAP
    transcription errors from the master to the daily schedule. people on the daily schedule that are not really scheduled to work (this is the #1 issue...sounds like an easy one to fix, right)
    No call no shows...not being replace for the next shift
    No updated phone list for employees. No way for after hour supervisor to call in staff.
    ....the list can go on.

    I'm looking for any advice on scheduling. Any programs or software you use? Spreadsheets? Any thing....

  • 2
    Julius Seizure and OldDude like this.

    [QUOTE=peacockblue;9579861]Totally off topic and don't want to be sassy but those of us who live here like to point out that Pittsburgh is spelled with an "h". We are quirky like that. ������[/QUOT

    I've been avoiding the news lately and haven't heard about this event. My first thought was, it probably was the Pittsburg in Kansas....the one without the "h"

    School nurse wanna be here~