Latest Comments by CoffeeRTC

CoffeeRTC, BSN 20,264 Views

Joined: Jan 22, '03; Posts: 3,741 (24% Liked) ; Likes: 1,816
RN LTC; from US

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    All depends. I'm sure it the abuse report will be investigated and they will also look at the reporting of it. Why did it take so long? Was the LPN educated on how to report and the regulations on reporting? Was the claim substatiated?

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    If this is LTC....I feel your pain.

    Document EVERYTHING! Careplan EVERYTHING! Psych consult, behavior contract, IDT meeting with resident and family involvement and document the results. Limit setting, rotate staff, involve activites, get the resident out of the room as much as possible, move the room closest to the nurses station, call the ombudsman to get them involved.

    Good luck!

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    DaniTheEnchanted likes this.

    I definitely recommend working some day shifts. You would see a lot more and understand what happens during the day and why some tasks need to carry over into nights. That said, I've only worked in facilies that do 8 hour shifts. I think starting at 7 will give you a little peek, but I still encourage and schedule a few shifts of orientation on days.

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    We are currently in the process of changing ownership and will be getting electronic health records. Any words of wisdom in making the change? We will be using PCC.

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    if we have a charge nurse aka the desk nurse, they complete the admission.
    Its hard to give a number on how long it takes to compleat a new admission. If I am working the cart and doing an admit, I will cluster things. We are all paper too, so transcribing orders can be time intensive if there are a ton. After getting meds verified, faxed and or called to the pharmacy I will concentrate on getting a quick history, do a quick head to toe assessment and have them sign the POLST, consent to treat, inventory and a few other forms.

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    Wannabenurseneko likes this.

    Honestly, 5 hours of paper work for one admit? That's extreme overkill? What assessments are included? Are you doing more than nursing assessments?

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    brownbook likes this.

    I echo what everyone said above. POA only takes control when the resident is unable to answer for themselves. Do they have a living will that helps guide the POA for decisions?

    What about the hospice agency covering? Have you reached out to them? Are they providing support and education to the family?

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    I don't think I've done a wet to dry in about 10 years or more! (Maybe for the occasional temp dressing when
    wound vac is on hold)

    But to answer your

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    I might have to try the gift card option. Money does motivate.

    llg, I agree...It should be a condition of employment. Sad to say that we'd have to let go of at least 75% of our staff. This is LTC and our staffing is tight. Just when we think we have an awesome crew and positions are filled..bam! Call offs, someome gets sick, someome is taking FMLA etc. I'd like to assign a day a every 6 weeks that I can take a few people off the schedule and do inservices etc .

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    We use Relias for our education. Unfortunately, we do not have many computers for the staff to complete these on in the facility. I do have all of the modules in paper form so that there is that option. I'm also willing to hold mini classes and go over the material so that they do not have to spend the 1-2 hours on some of the subjects. No one comes. On the days that there are in-services or mini classes, I've tried to make sure that there is extra staff around to cover. Of course, this doesn't always happen and staff thinks it is a great time to call off. We also have let staff know that they can complete the modules at home and get paid for the time that they spend on them (some prefer this option)

    What are suggestions for getting staff to complete these modules on time? Our company rolls out new modules each month.

    Any suggestions?

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    How is everyone handling the staff education/ competencies? Do you have a skills day? a few each month?

    I've recently taken over SDC role and am just getting my feet wet. Actually, I'm wading up to my knees now and starting from scratch. Nothing was left in the office. I've been trying to organize things and working on spreadsheets to track things, but this is crazy.

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    Will she have an escort for the appointment? I work in a SNF and most places won't let us send a resident with any type of confusion unless they have an escort either a CNA or family member. I myself would rather have a foley places but I am willing to bet it won't be possible even by "family request." Foley or cathing are rarely used in LTC unless there are specific diagnosis for them.

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    Jumping in and following this thread too!

    I'm just trying to read up on everything and trying to wrap my head around the new regs and competencies that will need to be done.

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    I have no clue, I'm in LTC there is a Pittsburgh Nurse's Facebook page that is active and had a discussion about it

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    ruby_jane likes this.

    I took it as an elective in my last semester of BSN school. I loved it!!! It was a bit easier and kinda fun and a great way to learn different assessment skills and critical thinking. I took the tests and passed and got my NR-EMTB. Sad thing was that I never practiced as an EMT. To this day, 20+ years later, I still have some of the nemonics for assessments in the back of my head. That and I was awesome at CPR with all the practice we did in practicals and clinicals for that class.

    Do it!!