MarggoRita

Latest Activity

1. I received a "write up" warning at my LTC

   MarggoRita replied to Blackcat99's topic in Geriatric

2. Tinetti balance score

   MarggoRita replied to erin21880's topic in Geriatric

   Toileting ur, ac & pc, hs, & prn is also standard practice, not a program. Toileting programs are resident specific, evaluated and reassessed to reduce incontinence based on each residents personal pattern.

3. Tinetti balance score

   MarggoRita replied to erin21880's topic in Geriatric

   Walk to dine can only be counted if the resident is otherwise in a wheelchair. If they walk at all times, either independently or with assist, then it is not counted, it is simply their standard care. Restorative programs are to be above and beyond...

4. Tinetti balance score

   MarggoRita replied to erin21880's topic in Geriatric

   If they are independent with ambulation they do not qualify for walk to dine. If they are high risk for fall, then they should have assist with all ambulation and not be considered as independent. If they wish to have more freedoms, see if therapy c...

5. Section H: Toileting Program

   MarggoRita replied to erin21880's topic in MDS

   This is standard nursing care at our facility, not resident specific, and does not count as toileting program. To be resident specific, you must monitor output for a resident for 24/day for three days. Note when they are incontinent. Then careplan...

6. Silent alarms

   MarggoRita replied to transamnurse77's topic in Geriatric

   Our facility got rid of audible alarms years ago, we only use silent alarms. Not only do they alert staff just as well if not better than the audible alarms since it goes through the system and you do not need to be in earshot, but they also decreas...

7. Section O - Respiratory Therapy

   MarggoRita replied to mds2011's topic in MDS

   Thanks again, very helpful the way you explain it.

8. Section O - Respiratory Therapy

   MarggoRita replied to mds2011's topic in MDS

   Thank you for the info, next question, the tx must be over 15 minutes, but do I have to stay with the resident for those minutes? Given that my resident in question received his Nebs through a face mask and we know he receives the entire tx because h...

9. Section O - Respiratory Therapy

   MarggoRita replied to mds2011's topic in MDS

   What exactly constitutes as "trained" respiratory nurse? Aren't all nurses "trained" to assess lung sounds? Only asking because we are to document HR/LS/minutes to claim for neb tx's, but I have not been "trained" beyond nursing school, is that enoug...

10. writing telephone orders

    MarggoRita replied to nurse4lyfe37's topic in Geriatric

    I have written a note in the chart after sending someone in to ER stating that they had been admitted and why, but it makes no sense to obtain an order as once they are sent to the ER they are no longer in your care until they return, and what happen...

11. Dogs in the building

    MarggoRita replied to CapeCodMermaid's topic in Geriatric

    Our facility has two dogs that belong to the facility. A couple of our residents take responsibility for feeding and watering them, and alerting staff when to let them out. Pets are a big draw, gives the resident a sense of purpose to tend to them,...

12. Inservice

    MarggoRita replied to LovelyOverload's topic in Geriatric

    I would assume that, because it is Inservice, it is likely reiterating information that has already been taught? In regards to resident-care, as long as a nurse does the initial teaching the unlicensed staff can continue to reinforce the teaching. ...

13. Would love to hear your stories of rewards of long term care nursing.

    MarggoRita replied to Wokini1's topic in Geriatric

    I love LTC, I love being able to treat the entire person, not just their acute illness. My friends that work in the hospital setting are not even allowed to trim a jagged fingernail to bring a pt comfort if that is not part of their admitting dx.

14. med passes done on time?

    MarggoRita replied to HappyWife77's topic in Geriatric

    Then why not just make it prn? I guess where I am coming from is, are you who think it is ok just omit certain meds at leisure still signing that they were indeed given? I hold meds per nursing judgement, and chart to show that it was held. Everyone...

15. med passes done on time?

    MarggoRita replied to HappyWife77's topic in Geriatric

    Our senna is on a card, we do not have house stock for anything scheduled, and yes we do report I administered medications regardless senna or norco. We are very very hard on ourselves and write up any and all med errors because it keeps us from bec...