cwgrlup85 ASN, RN

cwgrlup85 has 5 years experience as a ASN, RN.

Latest Activity

1. Tell me about your QA process

   cwgrlup85 replied to LTCRN4LIFE's topic in LTC Directors

   I do falls, skin tears, and bruises and any trends. Infection control resident and employees. We also discuss any new policies or anything new that we developed in our dept last quarter. We also discuss psychotropic meds tallied for the unit and if/a...

2. How to write a good nurses note?

   cwgrlup85 replied to Elaine Mickens's topic in Geriatric

   Well it would depend on what the resident it being charted on. For example a resident is on an abt for a uti, you would want to focus on: are they having any reaction to abt, are they continuing to have symptoms of uti, that you're encouraging fluids...

3. SIMPLY PUT

   cwgrlup85 replied to GLORIAmunchkin72's topic in Geriatric

   I often say "I have brought you your vitamins today" or "you know how those Drs can be but we have to do as they say to stay healthy" but I work on a dementia unit. Another one that works well is "your daughter __ wants you to take them"

4. Megace Suspension

   cwgrlup85 replied to moorebluejacket's topic in Geriatric

   I have seen it work on a few geriatric residents but I have mostly seen it be ineffective. I have even heard of it increasing people's appetite to the extreme of PICA.

5. Post Fall Neuro Checks

   cwgrlup85 replied to psalazar's topic in LTC Directors

   We have a policy where anyone on coumadin or blood thinners who hit their head be sent to er for ct, unless family refuses. Otherwise any fall with head injury notify physician and monitor for any change in condition. We monitor neuros every 15 mins ...

6. cna's obtaining vital signs in a timely manner

   cwgrlup85 replied to cwgrlup85's topic in LTC Directors

   Thanks! I will try these things, great advice!

7. cna's obtaining vital signs in a timely manner

   cwgrlup85 posted a topic in LTC Directors

   It seems that in the different places I have worked getting the cna's to obtain vital signs in a timely fashion is near impossible! Their excuses are always "we don't have time" or "why can't the nurses do them all they do is sit anyways". If the cna...

8. Should I feel guilty?

   cwgrlup85 replied to CapeCodMermaid's topic in Geriatric

   In our dementia classes we are taught to use therapeutic fibbing, as they call it. It is much better than trying reality orientation. Bwsides, you made her smile and seem at ease at least at that one moment in time :)

9. Is this a complete MD order

   cwgrlup85 replied to Lundazi's topic in Geriatric

   You were right. Some physicians just have a "God complex" or so I like to call it, don't ever let them make you second guess yourself.

10. frequent call offs = termination = paying unemployment

    cwgrlup85 replied to cwgrlup85's topic in LTC Directors

    I agree with you Nascar. We also have an attendance policy very similar to yours as well. I have even worked with staff based on individual circumstances and even given last chance agreements.

11. Culture Change in a Secured Dementia Unit

    cwgrlup85 replied to ClearBlueOctoberSky's topic in LTC Directors

    I am a director of a dementia unit in Illinois. We allow our residents to sleep in and rise on their own. We have our own kitchen stocked with cereals, bread, yogurt, pudding, eggs, pancakes, and much more. I generally have my cna's get the residents...

12. frequent call offs = termination = paying unemployment

    cwgrlup85 replied to cwgrlup85's topic in LTC Directors

    Thanks for all the words of wisdom! My administrator does fight against these and I have a hearing coming up. It just seems like it is so easy to get unemployment, at least I guess in Illinois. The working conditions are great, even the state surveyo...

13. frequent call offs = termination = paying unemployment

    cwgrlup85 posted a topic in LTC Directors

    Where I currently work we have a pretty strict attendance policy. I follow all the steps with verbal and written warnings, followed by a 3 day suspension and then ultimately termination. I document every discussiom with these employees as well. Yet i...

14. humidifiers

    cwgrlup85 replied to CapeCodMermaid's topic in LTC Directors

    A lot of LTC facilities avoid using them and have outlawed them for infection control purposes. Since this particular person is needing it you'll need to come up with a strict policy regarding it's use and cleaning.

15. New Rn Unit Manager (long term care)

    cwgrlup85 replied to idobelieve's topic in LTC Directors

    I too am a new unit director of a dementia unit. I made it through my first survey recently without any deficiencies! Hopefully your staff is well seasoned and know what to expect when DPH is there. I know I have my staff to thank for our great surve...