LittleMamaRomeoRN

LittleMamaRomeoRN has 3 years experience.

Latest Activity

1. Flow sheets/check lists for floor staff?

   LittleMamaRomeoRN posted a topic in LTC Directors

   How do you all keep your floor staff organized with all the bits and pieces that need accomplished? We are having trouble making sure that all the appropriate assessments, skin sweeps, and behavior grids are getting documented as scheduled. We have d...

2. New ADON feeling overwhelmed

   LittleMamaRomeoRN replied to LittleMamaRomeoRN's topic in LTC Directors

   I would love to just get new nurses in the building, I know many that do care and strive to do their best work. Unfortunately, our LPNs are covered by the union, which makes getting rid of nurses who practice poorly extremely difficult. I can't belie...

3. Nurses ignoring nausea complaints

   LittleMamaRomeoRN replied to ricksy's topic in Geriatric

   Good for you for acknowledging her complaints! Something should always be done. The physician should have been notified sooner, resident should not have been complaining for 2-3 weeks. Even if there ends up being nothing wrong, notifying the physicia...

4. orienting: have different "opinions" on holding insulin. who do I listen to?

   LittleMamaRomeoRN replied to gigi918's topic in Geriatric

   As Amy says, DO NOT hold long acting insulin. It is meant to keep a resident at a normal glucose level and will not cause them to "bottom out". Read your facility's policy on sliding scale coverage. You should follow the sliding scale as written for...

5. LTC "Brains" Do you use one?

   LittleMamaRomeoRN replied to Ginnym1981's topic in Geriatric

   15-25 patients isn't too bad! It is different than a hospital setting, unfortunately you don't get as much 1:1 time with your residents, but you will find a way to get it all done. If the facility has a shift report sheet, USE IT! If not, I'd suggest...

6. New ADON feeling overwhelmed

   LittleMamaRomeoRN replied to LittleMamaRomeoRN's topic in LTC Directors

   Thanks for the inupt thus far. As a matter of fact, the approach that tkt and Orca recommended has been my approach to subordinates throughout my career and one I continue to practice in my new management role. So far I think think it is working with...

7. New ADON feeling overwhelmed

   LittleMamaRomeoRN replied to LittleMamaRomeoRN's topic in LTC Directors

   Tasha, we have a lot of nurses that are not very thorough at my facility, and they are resistant to change and learning new things as well. I suppose I am just doubting my ability to get them to do what they are supposed to do. I want to be a strong ...

8. New ADON feeling overwhelmed

   LittleMamaRomeoRN posted a topic in LTC Directors

   This is only my 2nd week in my new position as ADON of a 212 bed non-profit SNF. I'm very excited about learning new things and hoping to be a positive influence on staff, but our survey window is opening up and I'm getting flooded with information ...

9. Going alarm-free

   LittleMamaRomeoRN replied to LittleMamaRomeoRN's topic in LTC Directors

   I was concerned when the idea was first brought up, but it seems that more facilities are going this way, and the research does show that alarms do NOT decrease falls and just add more irritation and dignity issues for residents. I have a feeling we ...

10. Going alarm-free

    LittleMamaRomeoRN posted a topic in LTC Directors

    Just wondering about others with experience making their facility alarm-free. I've read the research, my DON and I want to phase out alarms, but we need some ideas for other falls prevention alternatives. We are thinking that amping up our activities...