Latest Comments by Rnltc

Rnltc 1,647 Views

Joined: Apr 12, '03; Posts: 49 (2% Liked) ; Likes: 1

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    HI,

    Can any ine help find publications oif you are to float heels when they are on an alternating air mattress. I have tried two bed companies and they reall do not address floating of heels.
    HELP

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    I have seen and used it several times in the elderly to appieite stimulant. If it is going to work for the resident it does well. Not all states will allow it useage in this manner for the elderly.

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    CMA is a certified medication aide.

    Not all states have them.

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    I have said it for years now it really happened. I live in WA close to the Seattle area. Moved here from the Midwest about 5 years ago and I even said it back then.
    You can flip hamburgers for the same hourly wage and not have to put up with all the CRAP... :chuckle

    An excellent CNA who has worked at the same nursing home for the last 6-8 years. Just quit and went to work at Mc Donalds for the same amount of money. This is very said and makes me angry.

    How does everyone else feel? Does this happen in your areas as well?

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    Quote from bucksandra
    Just wondering...Are there any state surveyors out there?
    That is a great question. Is there?

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    It depends on which type of procdure they had. Plus why do they need nursing home care and not at home with home health. You should be able to get something from the center who did the surgery. I am sorry I did not understand your first posting as into the Bariatric procdure. I read it to mean bariatric resident in general on P&P for caring for Bariatric residents.

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    I did leave they fired me. Which was the best thing as I worried 24/7 about the resident and staff as well as lic. It is a sad case when you are forced to take residents who you can not provide the care for as there is not enough staff. Of course you are not going to see any Corp. support from the home office to come out and work as a NAC or a LN. They would just swope in on their brooms and tell you everything you were doing wrong and what you HAD to do to fix it NOW. Nothing you didn't already know. Just takes bodies to fix them. Residetn and family complaints run wild and they have every reason to complain but there are no fixing their concerns or complaints.

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    Quote from michelle126
    We have one now. Took us a while to get prepared (after resident was admitted of couse) Are you seeing more? What are you doing to prepare? Any special policies or procedures?
    Of course it is after the resident has arrived. Will the bed fit through the room door. Let me guess they are medicaid as well. As well, they will be on the call light 24/7 wanting every thing done for them and NOW.

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    This is in all states this company is in not isolated to one state. It is a Corp policy.

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    What is a SANE nurse. I mean I wounder some days if I am sane?

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    Quote from michelle126
    I PMed you! We have the Red,yellow Green admit process. If someone calls on the off shift, staff nurses need to be able to accept the admit and take the referal...We are never allowed to say NO. If our facility can't physically accept them we have to give them numbers of our local or state facilities or take the info and give the referal to another facility. Never say NO...heard it is a write up.
    We had the DOP drips before...let me tell you it was scarey. They weren't doing daily wts, I/O couldn't convert lbs to kilo grams :uhoh21:
    Yep this is todays LTC....wouldn't mind it if we had staff and they were educated.
    Iam not sure how to PM. Your right. With doesn't matter if we can meet the residents needs. Little alone dose the staffing matter. Just say yes!
    It is crazy... I am just waiting to see who gets a lawsuit first and where will those people be that are making this ploicy and truly have no lic. to loose. I have seen the 20 facilties take some really scary things that has nothing to do with their medical needs. Residents who are homless and need a bed, but also need a fix. And we have all those narc. The new question the survey team are askingout here is what would you do if someone walked up with a gun and demanded all the drugs...the scarey thing that is so close to being a fact out here with all the CHem. people they take who are still activily using.
    I have staff being abused by these residents and the missing of objects go up. I have seen residents demand to move because of these types of residents. I would not to put my loved in a facility where there were multiple of these types of residents.

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    Quote from donmomofnine
    They did you a favor......
    Yes I agree. The releace of stress has been wounderful. Still worry about the good people left behind, but I am sure they will get around to them also. In a years time the new VP has either fired or asked to resign 13 people out of 20.
    Guess the Mother Corp. doesn't care as long as census stays up.

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    Quote from renerian
    In that setting something is not right....Are you working there now? I have never heard of this no to no admission.........

    renerian
    This Corp owns 350+ LTC across the US. I use to work for them until the fired me on 12-29. THey are firing people right and left cause they do not agree with this admission process. It is scarey and so uneithcal. 60% of the time LN and NAC do not even know the resident is being admitted till they arrive at the door.
    NO equipment ready, let alone the room and bed being cleaned. It is so embarssing.
    I worked at the regional level so I can say I have seen and witnessed this in at least 20 homes.
    I have seen buildings being told by the area V.P. and president of the company you will take them... WOrry about meeting their needs later,
    I have seen sex offends level 3 admitted felony. Drug dealers. Not to even mention the resident who were so clinical ill their needs could not be met due to the equipment, meds and staffing.

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    ANy one heard of a Corp doing a Green light on admissions. This means you say NO to NO admits. DOesn't matter what their payor source or condition is. Let alone what the staff is for the buildings. I have never worked for a LTC before who does not allow the Administator or the DNS have some say about the admissions and types of admits.
    Insulin Drip and dopiame when there is only one nurse on for 60-80 residents. NAC ratio 1-20 on opm's and 1-15 on days. NIghts will be 1-30,35. LN have 40 residents no matter what.
    What happens to the LC of the administrator and DNS. NOt to mention the poor staff on the floor.

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    DOes anyone work for Extendicare? IF so why do you think of it?


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