BackInTheGame

Latest Activity

1. Giving pain meds.

   BackInTheGame replied to banditrn's topic in Geriatric, LTC

   We d/c unused pain meds too and our DON is the only person who has the authority to destroy d/c'd meds with the facility supervisor as witness. What gets me fired up is a doc who d/c's pain meds that...

2. Giving pain meds.

   BackInTheGame replied to banditrn's topic in Geriatric, LTC

   I personally would wonder why the aide is so adamant about you not asking the RN about it. I agree with so much that has been said here and one can never overemphasize the need to DOCUMENT DOCUMENT...

3. Can u believe my resident???

   BackInTheGame replied to Debbie_LPN's topic in Geriatric, LTC

   You said it happened to two others. Any times where she said that and it turned out not to be true? The way I see it, if she's 100% accurate, then cross your fingers and get ready for a lot of...

4. Over-Restaining Patients

   BackInTheGame replied to achot chavi's topic in Geriatric, LTC

   The woman to whom I was referring demanded to get up out of bed. She wasn't forced, nor is any patient in the facility forced to get up or sit up all day. According to her, she wasn't raised to lay...

5. Over-Restaining Patients

   BackInTheGame replied to achot chavi's topic in Geriatric, LTC

   We have floor mats for fall prone residents when they're in bed. They're like larger versions of kindergarten mats so they fold up in thirds to make getting to the bed a lot easier... some

6. Over-Restaining Patients

   BackInTheGame replied to achot chavi's topic in Geriatric, LTC

   Ok this is going to sound horrible but there are times where I miss restraints. Not for my convenience but sometimes, they are needed for patient safety. We have a ZERO restraint policy and we get...

7. Med Pass/interruptions

   BackInTheGame replied to violetrose's topic in Geriatric, LTC

   Yeah, it's the same here. Multiple med passes even though we try to standardize times, there's always those who need meds at "odd times". On my unit a full house is 35 patients. On my 3-11 shift, I'm...

8. Giving pain meds.

   BackInTheGame replied to banditrn's topic in Geriatric, LTC

   I agree. When a person is admitted for "comfort measures", then give them COMFORT, whether it be narcs or not. We have families not wanting us to put family members on oxygen because they consider it...

9. Giving pain meds.

   BackInTheGame replied to banditrn's topic in Geriatric, LTC

   NOT counting narcs??? Never heard that one before. We have a doc that refuses to believe that her patients have pain. We fight tooth and nail and toe to toe with her over this issue. She won't even...

10. What to do when state comes in?

    BackInTheGame replied to sweetnurse1's topic in Geriatric, LTC

    Last time State showed up on our doorstep, it was because of a family complaint... later proved to be totally unfounded. One of the RN's was getting a census sheet for shift change and someone came up...

11. Help with sundowning residents (long)

    BackInTheGame replied to Elektra6's topic in Geriatric, LTC

    Oh and one more VERY important thing.... DOCUMENT, DOCUMENT, DOCUMENT!!! If the person is verbally abusive to staff or others, quote every word... even the four letter

12. Help with sundowning residents (long)

    BackInTheGame replied to Elektra6's topic in Geriatric, LTC

    Oh God love the sundowner's because sometimes it's hard for the rest of us to. As far as #1 "problem child" goes, I agree with a lot of these suggestions. Had one like this, major league blow ups...

13. Giving report in LTC

    BackInTheGame replied to night owl's topic in Geriatric, LTC

    I agree with you on "report books". Ours simply contains the census sheets with our notations that are passed along in report. We use the census sheets rather than a kardex. As a matter of fact, we...

14. Please Help! Encouragement needed

    BackInTheGame replied to BlessedbyGod's topic in Geriatric, LTC

    oh yeah i definitely agree. give me a floor with good aides and i am one happy camper. luckily i'm on a unit like that now. the two "regulars" are top notch and when they're there i know that it will...

15. Please Help! Encouragement needed

    BackInTheGame replied to BlessedbyGod's topic in Geriatric, LTC

    i just realized that it sounded as if i was unconcerned with the death.. i wasn't. the supervisor was handling the details and making the calls and the room was filled with family and staff who were...