217shana

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1. Is this legal??

   217shana replied to nurseruby's topic in Geriatric

   The nurse was not fired because of one hole she was terminated because it had been idenitified as a problem and nothing that had been implemented solved the problem and she was one of the frequent offenders. No matter how good you are, you will occas...

2. Is this legal??

   217shana replied to nurseruby's topic in Geriatric

   I can tell you that holes in the MAR is a big deal. For example is a patient has a seizure, falls, and sustains a hip fracture. If the family seeks legal action, you can bet the MAR is going to be called in to court as evidence. The lawyer is going t...

3. Resident Care Coordinator

   217shana replied to Nurse Amy Jolie's topic in Geriatric

   I once held the title of resident care coordinator and the position included everything from rounding with the physician, to being supervisor for a unit of 50 patients, attending care plan meetings, trouble shooting family complaints, taking call, as...

4. Are LPN's being phased out?

   217shana replied to JSlovex2's topic in LPN/LVN

   In my community at the local hospital they are not hiring any new LPN's except for in the skilled nursing unit. All the LPN's there are currently being allowed to stay and no one is requiriing or mandating them to return to RN school. We are one of a...

5. Skin Prep QUESTION

   217shana replied to nurserin's topic in Wound

   I have worked with wounds for the past 7 years and we use skin barrier prep to the peri-wound area to prevent maceration. We also use skin barrier prep to blisters, stable eschar and boggy heels to help protect the skin from friction and to form like...

6. bullous pemphigoid

   217shana replied to Ms.RN's topic in Wound

   I had a patient with this once and I had never heard of it before. He was sent to the dermatologist who recommended large doses of prednisone and we applied silvadene to the areas. He had so many areas it was hard to dress all of them. We basicallly ...

7. How long should it take to pass meds to 44 to 45 residents

   217shana replied to djsugar's topic in Geriatric

   I have experienced having to give medicines to 45 patients and this was usually when someone called out, vacations, or we were between hiring someone to fill a vacant position. The thing I found most helpful was knowing my patients. I did not preset ...

8. Why is LTC so hated

   217shana replied to MadameFreckles's topic in Geriatric

   To the OP that stated that LTC nurses were not as competent as other nurses I beg to differ. I have worked in LTC for over 27 years as a nurse and went on to become an administrator. I advocate for my patients receiving the best care possible during ...

9. Hourly rounding logs

   217shana replied to afteralltheseyears's topic in Geriatric

   We have hourly rounding and what is suppose to happen is that nurses check one hour and CNA check the other hour. How is this suppose to happen when you are giving medications. At best you may see the patient every hour as you pass by their rooms but...

10. LPNs as Unit Managers?

    217shana replied to westieluv's topic in Geriatric

    One of my first part time jobs was one of a LPN in long term care facility. I was 22 years old and was made charge nurse of my shift. I now have 27 years as a LTC nurse not only have I managed a unit or floor. But I have trained many RN's that passe...

11. DON fired during state survey

    217shana replied to americanTrain's topic in LTC Directors

    I once worked with a DON who has just been forced to resign from her then current job. She came to our facility and was one of the best if not the best DON we had until her untimely death. Let me just remind you, one man's trash is another man's trea...

12. TB Skin test question

    217shana replied to new_worker's topic in Geriatric

    Once you have a positive TB test you always considered positive. You take the medicines and you have yearly chest xrays after that or at least that's what we did at one facility I worked in. Also those that were positive did an additional screening f...

13. Discharge before 5-day assessment

    217shana posted a topic in MDS

    I recently had a patient that was admitted to my facility and discharged back to the hospital with return not anticpated. The patient received two days of therapy while there. I am an short-term skilled nursing facility. How would I code the MDS. Sin...

14. Bosses

    217shana replied to lovingtheunloved's topic in LTC Directors

    I once had a DON who asked me if I wanted to learn everything there was to learn about LTC. I told her that I did. She took the time to train me in every area of LTC seeing how she had actually started out in dietary, then CNA, LPN, RN and finally ob...

15. Seeking guidance on tricky situation

    217shana replied to Nascar nurse's topic in LTC Directors

    Just remember to keep a copy of whatever you submit to higher ups. It goes without saying document, document, document. I would also go along with contacting the Ombudsman in this situation. I would also careplan the behavior as well and check with h...