rapkeygurl replied to VickyRN's topic in Educators
Hi all, I am a certified nurse assistant instructor in New Mexico, Actually I have been teaching for several years in Texas. Any information on the new mexico training differences would be greatly appreciated. I start my new class of 25 students on ...
A “significant change” is a decline or improvement in a resident’s status that: 1. Will not normally resolve itself without intervention by staff or by implementing standard disease-related clinical interventions, is not “self-limiting” 2...
rapkeygurl replied to bossynurse101's topic in LTC Directors
Wow you sound just like me. My back is killing me from the last 3 night of working 35 residents, One nurse aide and I might have been there by myself. We have had state in our building all week again for a follow up visit. I am going to drive 4 hours...
rapkeygurl replied to SuesquatchRN's topic in Geriatric
Sue, I feel for you in my small town in the last 5 years they have ran off every new DON that comes in. Really good ones too. I dont think they will run off the current one He frankly has cahunas to put it bluntly. When he came in I was relieved bec...
rapkeygurl replied to SuesquatchRN's topic in Geriatric
Sue, I feel for you in my small town in the last 5 years they have ran off every new DON that comes in. Really good ones too. I dont think they will run off the current one He frankly has cahunas to put it bluntly. When he came in I was relieved be...
rapkeygurl replied to Kitty Hawk's topic in Geriatric
I did complain to the CEO and the second time I tried to meet with them they where in the office but "in a meeting" But that was one bad apple but it left a horrible taste in my mouth and I will not soon forget it. If I would not have been laying the...
rapkeygurl replied to Kitty Hawk's topic in Geriatric
I was in the hospital ER to have some staples removed after my c-section, and low and behold the er room next to mine was one of our residents, a very confused man with alzheimers and they had him restrained, and I overheard 2 staff one nurse -- said...
rapkeygurl replied to carbaminohemoglobin's topic in Geriatric
Oh gosh sweety, you sound so like me, I was pregnant and ADON and then the DON quit while I was 7 months pregnant and she was also our RN consultant, so I had noone to turn to in nursing but agency RN's we had a couple that were helpful but not knowi...
we have a similar policy due to our recent ij involving not notifying md's of change of condition. Ours is to call the md first then the DON, but also if there is a change we are to let the DON know the entire details of the events leading up to the ...
rapkeygurl replied to 1uvakindmom's topic in Geriatric
YOU WILL GET BETTER, I felt the same as you almost 20 years ago at 19, but you really have a great ratio of nurses and CNA's which is not the norm were I am at we have 40 plus with 2 on and a restorative aide who usually is gone on transports which I...
rapkeygurl replied to dulcemorena's topic in Geriatric
yeah I am still confused, we had reported 5 incidents with injury and one of them there was no incident report and we really did not know how the fx happened. So we went into extended survey and with that lost the NATCEP training class in a very rura...
We use Obra-EZ which is from MDI achieve out of Dallas, when you call them they say Quick Care but it is not? When we first had this system we were in dos, we had to change over all data from dos to winobra, that was crap and we had no training with ...
rapkeygurl replied to ChesterCountyMSN's topic in LTC Directors
you should check out mds forum and there is a section about survey stuff we just had a doozy lost our natcep program due to quality of care issues surveys. I have been seriously bummed, but I am going to hang tough-- got new DON today hopefully we ca...
rapkeygurl replied to dulcemorena's topic in Geriatric
the worst part of the whole thing is that we lost the nurse aide program that of course I teach.. so I feel personally punished. I called the nurse aide creditialing office in our state they say I know it is not FAIR but.... you can not teach the cla...
rapkeygurl replied to LovePurple's topic in Geriatric
One of the things I did not see was rounds, before I take on an assignment as a charge nurse I go look at everyone, make sure they are all there. then get report then get typically if working 10-6am get all needed vitals and o2 sats, change any peg t...