CoffeeRTC, BSN 14,785 Views
Joined Jan 22, '03.
CoffeeRTC is a RN LTC.
Posts: 3,537 (23% Liked)
It will depend on your area.
Most facilities have a complinace hot line. It should be posted.
Try to work up the chain first. If all else fails, you can call the compliance hotline or state department of aging.
So does this resident just sit in their room and what??? Yikes! At the very least orders should have been put in for the resident.
A full admit takes at least 3 hours to complete and that is when you have all the information and the resident is alert and able to sign things and answer questions...we are still paper charting.
Who sets up the admission? They should have got the basic information from the last facility. Med list and H & P, face sheet info, recent labs. I'd be on the phone to the other facility asking them to fax that info STAT.
how can one nurse do 40 admits in a shift?? How big is your facility??? We try to have a "desk nurse" to do the admits. One admit and working the cart might be doable, but anymore than that is crazy. BTDT and have the Tee shirt!
Does she have a pet that might need insulin? My first though was at the diversion or illegal use, but ????
So, you are supposed to tell staff to keep their cell phone in their lockers at work, but to take a picure of the offenders you need a cell phone??? Wow. I've seen many a crazy rule but what the what?
LOL. I totally got this post from the get go. Some days I really don't have time to pee when I want to and yes, we end up holding it untl we almost burst.
I really love when my co-worker will say the same BUT she oldly has enough time to smoke?? Hmmm. I guess I do have my priorities wrong, LOL.
Long time LTC nurse. If you can get your foot into the acute care setting, do it! Starting out LTC isn't easy. If it is your goal/ passion, then okay but both jobs as a new nurse....no.
Recently changed my name to stay more private.....Coffee RTC...how doesn't need coffee round the clock ?
We do it as you described. One page per med. Started when you get the med and just signed off with each does. We then have a page at the start of the book/ binder that we sign on at the start of the shift and off at the end of the shift. Each nurse has a spot.
I might have at least 20 or more different carts, boxes of patches, injectables or liquids on my cart. I couldn't imagine doing all of that double charting. Is this a pharmacy consultant or nursing? I'd want to see the reg or back ground for the new requirement.
Wha??? I work in a small LTC and totally understand the staffing issues, but this was crazy!
Keep it simple and in one place. In my LTC, we have to sign the MAR, sign the narc book, fill out the pain flow sheet, come back and assess the pain then do a nurses note.
We seem to have good relationships with all of the hospices that we use.
We are a SNF and may only have 1-2 residents at a time. Any isses we've had seem to be resolved by communication.
A few things that we had to work out dealt with communication. When we get a respite admit, we rearely get a good listing of the medications or basic chart copy from the home.
Is the PT having an asthma attack or is this just routine?
Since I have about 25 people to pass meds to and 6 or some might need nebs...for timing I would give the oral meds, cough syrup, then the nebs.
If the PT was having resp difficulty, I would do the rest meds first, pills then cough syrup. Most prefer to take cough syrup last without water to coat their throat and prevent cough.
We've been using melatonin a lot more and it seems to help. You might have to up the dosage on it though. We really try to stay away from the other sleep meds and find that they don't always work but cause a lot of other issues. How about aroma therapy like Lavendar? Sounds silly, but what about a warm bath or shower? Has he been assessed for pain? Even minor aches can keep someone up. Tylenol has been effective for some.
Realizing that what works today or this week, might not work next week.
Was he living at home? Psych evaluation? For anxiety? The elderly definitely can take pain meds. Is he getting an antibiotic? Stool softner? You mentioned no colostomy output, what about that? Is he dehydrated too? Therapy needs to look at him for positioning / comfort.
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