Latest Comments by CoffeeRTC

CoffeeRTC, BSN 18,122 Views

Joined Jan 22, '03. CoffeeRTC is a RN LTC. Posts: 3,691 (24% Liked) Likes: 1,770

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  • 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~

  • 0

    Yeah, I don't think most places would accommodate you on this one, especially since this is the overnight shift. We often have nurses pick up a different shift. If they come in 15 minutes early, they really can be "trained" on the night shift. The facility layout is the same, the residents are the same...there will just be a few different tasks that you may need to perform.

  • 0
    In MDS

    Care plans can be updated at any time. As soon as we add or change the interventions, we update the care plan. At risk for falls is still an acceptable problem. They will almost always be at risk for falls. No new careplan is needed.

  • 4

    I just can't imagine. How horrible. I do have to ask, "what was the staff thinking?" I understand that the adm might not have wanted to sound the alarm and send these people out but the nurses?? If there was any reason to disobey the administration, this would be one of them.

  • 0

    Athletic directors can be anyone with a sports background and don't always mean they have any medical or athletic training. My husband is an AD and he is clueless on these matters.

  • 1
    ltcnurse4u likes this.

    I'm confused. Were you written up or do you want to write up the CNA?

    Sounds like the CNA needs more of an orientation or help with time management. Is she new to the job and new to being a CNA?

  • 0

    Wowsa! So many things to say about this one!!!
    How do the other RNs feel about her?? As an RN, I would love to have a few words with her.

    I'm not sure anything you say to her would help. Sounds like she needs an education on scope and practice. Can you speak to your sdc and ask them to talk with her?

  • 2

    OP, please come back and update us when you can. I'm interested in finding out how things are going.

  • 2
    Cherokeegirl08 and brownbook like this.

    Quote from purplegal
    By the way, my boyfriend also agrees there's not much point to me working if I can't get an ICU nursing or any hospital job
    And what experience or background does he have? Is he in HR?

  • 1
    prnqday likes this.

    Never offered one with any of my 5 kids. Now aged 18-8. I do remember the peri bottle. Life savers!

  • 6
    matcha-cat, herring_RN, Zyprexa, and 3 others like this.

    I would love to hear responses from the law enforcement side. This is just so crazy!

  • 0

    Another post in a different thread got me thinking about this med.
    Do you carry the nasal or injectable forms in your E Box?

  • 0

    Oh...hell no! We are a similar issue with this. I really don't want to be the nurse on duty when residents are sneaking or signing out, getting wasted and then coming back into the facility. BUT...for some reason this seems to happen. What needs to happen is the MD needs to sign a no LOA order. If they sneak out or leave without an order, they should be considered AMA or elopement and then discharged from the facility.
    We should be able to drug test too. yes...we have narcan on hand, but for real???

  • 0

    30 residents on an evening shift won't be that bad. Might be a good way to get your feet wet again.