dinkymouse

dinkymouse

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About dinkymouse

Latest Activity

  1. Federal Investigation and employee confidentiality

    The people who were questioned didn't bad mouth the facility, they just answered the questions truthfully that they were asked. One was how long of an orientation did you receive? 2 days was about the norm for everyone. How often do you work with ...
  2. communicating with CNA's

    Our Cna's are required to attend report and before they leave I make sure they know what to watch for and what I need to know asap.
  3. Federal Investigation and employee confidentiality

    Not excusing her actions, but during orientation we were told to send someone to check the chart for code status. That has changed to have someone bring you the chart. The investigators were both state and federal and all those interviewed were tol...
  4. I got written up and it's bringing me down

    I have been writing up by 2 different nurses, once for not checking that what the previous nurse told me was true and once for not passing something on in report. The last one I refused to sign because I had witnesses that I had passed it on and the...
  5. How many Pt do you take care of?

    LTC-Iowa 70-80 residents-days 2 nurse managers, 1-2 nurses and 7 aides plus 2 rehab aides evenings-1 nurse, 2 med techs ( on a good day) 5-6 aides nights-1 nurse, 1 med tech, 3-4 aides I am usually the evening nurse and it can be overwhelming at time...
  6. An RN in our facility had 2 days of orientation and was then put on the floor as a charge 3-11. A patient died and she did not start CPR. An aide had accidently told her the patient was a dnr. The RN quit and the family called the State agency, wh...
  7. Umm...I will have 47 residence to care for !!!!!

    I am generally charge, 3-11, of 70 residents. We do have 6 aides most of the time and I have at least med tech to pass 1/2 the pills. On a good day I have 2 so I only have to do the tube feedings, insulins, orders, charting, assessments etc. This ...
  8. How do they post DNR in the patients rooms at your LTC

    When I started this post it was just a hypothetical question but in the past few weeks it has become a reality. I was the only nurse on one night when a patient went into cardiac arrest in the dining room. His chart was clear down on the other end ...
  9. any facilty overdocument???HOW FRUSTRATING

    I agree that a good assessment is necessary and charting must be detailed. What I find so awful is that many of our forms have the same redundent questions. On a typical 3-11 shift as the only nurse I estimated that I signed my name or initials ove...
  10. Am I too slow or too thorough?

    I am a 3-11 RN charge at my ltc facility. Generally I have one med tech and we each take a wing to pass meds. We have 21 diabetics, many of whom get insulin twice during this shift. Of course I have to do that. I have to supervise the dining room...
  11. Call-off policy

    Our facility has the 2 hour before shift policy and if you are gone 3 days or more you have to have a doctor's excuse before you can come back. No one has to make up the shift but we are "highlighted" and have to stay until they find someone else or...
  12. CNA Problems

    Update-the first cna is still too slow and the other aides are starting to stop helping her. If it didn't affect patient care I wouldn't mind it. Luckily most of the CNA's I work with know that if I ask them to do something it is the resident who w...
  13. I can't stop crying... need encouragement...

    I have to say that when I am about to lose it and can take no more I sneak away outside to have a cigarette (yes a nurse who smokes) and if I had a pc I would probably I written a short note to a friend and posted it because I needed to vent to someo...
  14. Calling family for TX!!!

    Unless it is a specially ordered tx that we don't have stock supplies for the price of tx's are billed to medicare. What medicare won't pay for the corporation eats. Some of our residents are private pay and they are billed separately with the cost...
  15. CNA Problems

    "I sympathize with you... when *any* part of your team is not doing their job, it disrupts the whole unit. I am the type of person who will go out of my way to make my people happy...because I feel like a positive work environment is important. But...