VeronicaWileyRN

VeronicaWileyRN specializes in Long term care-geriatrics.

Latest Activity

1. Quality Assurance/Audit Tools or Forms for LTC or ALF

   VeronicaWileyRN replied to MYRN2016's topic in LTC Directors

   Check Brigs for any forms. They will also have state regulations and forms to go with this. I don't know what state you are in, but in NC the AL the med techs pass the medications and do the documentation. They do not know what they are doing. Yo...

2. Nurse helping out Cna at times = they eventually expect the nurse to help them?

   VeronicaWileyRN replied to nd deb's topic in Geriatric

   As a nurse I feel that it is important that staff work together. Nurses need to help nursing assistants and the nursing assistants need to help the nurses. The patients come first.

3. missing narcs

   VeronicaWileyRN replied to Medsport's topic in General Nursing

   They should be looking at the nurse that signed the narcotic sheets in and look back at other narcotics that came in that same day to see if anything else is missing. I agree that I don't think they will do polygraph test because they are very expen...

4. is nursing supposed to be sad?

   VeronicaWileyRN replied to VPal's topic in General Nursing

   When I was in Nursing school, I was going through a divorce. It was not easy. I was depressed, but I had a strong support from my family. Your friend needs to continue to go to counseling and you need to be there when she wants to talk. She could...

5. Am I being too sensitive?

   VeronicaWileyRN replied to NurseLily22's topic in General Nursing

   Many of the previous reply are what you need to do. Go talk to the person who supposedly talked negative about you. It could be that she didn't say anything or was talking about something else. If she checked you off on your orientation then why d...

6. I had an 89 yr old patient curse out the doctor today.

   VeronicaWileyRN replied to my.toys's topic in General Nursing

   I have had patient cuss a doctor because he wanted to put them on an antidepressant. If she cussed at him because he was predicting her death in 4 months, she probably in her mind is going to fight death tooth and nail. As a younger person, she pro...

7. Applying for night shift RN position

   VeronicaWileyRN replied to WVRN10's topic in LTC Directors

   I have worked some 11p to 7am. If you are working 7pm to 7am, there is some difference. 7pm you come in and start a med pass. Check 8pm blood sugars. at 11pm do another med pass. If you have tubefeeders you will need to address them and give the...

8. ADON misleading title? Rant from DON

   VeronicaWileyRN replied to americanTrain's topic in LTC Directors

   I will tell you as a DON that has been fired a couple of times it makes it hard to find a job down the road. I do suggest you look for another position, because it sounds like the problems are just going to get worse. I would suggest that if you ar...

9. Turned in my Resignation

   VeronicaWileyRN replied to rukiddingme's topic in MDS

   The facility you worked for obviously doesn't understand that the MDS can make or break a facility. MDS must be done timely inorder to get the appropriate funds. The MDS must have appropriate documentation of where all the information came from so...

10. as DON/ADON ....do you help or hinder your staff?

    VeronicaWileyRN replied to sasha2lady's topic in LTC Directors

    I have worked as a DON for over 20 years. I have helped the CNAs, passed meds, pulled 3rd shift because there was no one else. I have helped with admissions and discharges. The DON job description is long and complex. Most staff have no idea what...

11. ADON misleading title? Rant from DON

    VeronicaWileyRN replied to americanTrain's topic in LTC Directors

    The assistant DON title in the facilities I have worked in never does the MDS unless the MDS nurse is out sick or on vacation and the MDS nurse also does the care plans that allows for continunity. The PCC nurse (Patient Care Coordinatoor) should b...

12. new RN needs advice

    VeronicaWileyRN replied to emmacaitlinRN's topic in Geriatric

    What is the difference between a per diem nurse and a staff nurse? This sounds like a big problem. I would suggest that you talk with whoever is in charge of staffing. Find out if you are going to be assigned a specific schedule and a specific hal...

13. serious question, need reply: policy on rape

    VeronicaWileyRN replied to noctanol's topic in Geriatric

    At one facility I worked, we did accidently admit a resident that was listed as sex offender. We did have a very explicit plan of what we did if we admitted a patient that was at risk for assualting any other patients. To begin with that patient wo...

14. Can you really change a bad LTC?

    VeronicaWileyRN replied to lisa41rn's topic in LTC Directors

    I have worked as a DON in several places. I worked in one facility where the administrator started having the beginning symptoms of dementia. I worked with another administrator that totally had no clue what was happening. If it didn't happen on t...

15. Patient refusing meds, combative

    VeronicaWileyRN replied to Trubie's topic in Geriatric

    Without knowing if this patient has a diagnosis of Alz, dementia or other mental health diagnosis, it depends if you have to hide the medication. If you have a patient with dementia, then you may have to hide their medication, but if you have a pati...