geriatricRNBSN BSN, RN

geriatricRNBSN has 27 years experience as a BSN, RN and specializes in Long Term Care.

Latest Activity

1. 

   Re-testing for TB after 1 week hospital stay

   geriatricRNBSN posted a topic in Education

   I work in a SNF/Long-term care facility. If a resident is sent to the hospital for a week or more, they must be re-tested for TB upon return from the hospital. Many times a SNF resident who was tested 2 weeks ago for TB returns to the hospital for ...
2. 

   Sick of being taken advantage of LONG

   geriatricRNBSN replied to adamsmom2's topic in LTC Directors

   Where is the administrator in all of this. He/she should be aware. What about compliance hotline?
3. 

   How to Be a Successful ADON?

   geriatricRNBSN replied to bluegeegoo2's topic in LTC Directors

   That is exactly what happened to me. Here is your desk. You are right to continue the quality measures reports. I don't know how you have it divided up between you and the DON but monitor these closely: Falls - interventions in place, documentatio...
4. 

   What to do when a patient falls?

   geriatricRNBSN replied to Nurse_Tricia's topic in Geriatric

   I am sooooo sick of falls I could scream. I had 32 falls in a 77 bed facility last month. One resident fell oob so many times we put the mattress on the floor and she fell off that too! Caregivers cannot give good care with a resident on a mat on ...
5. 

   Does your DON want you to do skin checks on night shift?

   geriatricRNBSN replied to Blackcat99's topic in Geriatric

   Yes, we do. The nurses usually wait till around 6 am when the residents are 'rousing and some meds are being given. It is easier to assess the resident in bed. We do NOT have them do more than 2 skin assessments per day for any nurse.
6. 

   QA/PI and residents with 9 or more medications

   geriatricRNBSN replied to geriatricRNBSN's topic in Geriatric

   I see what you mean with the DMPOA. I've found it depends on who the payor source is. If they are private pay, they are more likely to want to reduce the pharmacy bill vs. Medicaid residents' families who pay nothing out of pocket. So far, I've h...
7. 

   QA/PI and residents with 9 or more medications

   geriatricRNBSN replied to geriatricRNBSN's topic in Geriatric

   What is a DMPOA - family? :-)
8. 

   Would you like some cheese with that whine.

   geriatricRNBSN replied to CapeCodMermaid's topic in LTC Directors

   Do you work for a non-profit? I work for a for-profit and it's 10:1 on days, 13:1 on evenings and 20:1 on nights. Management will give me NO MORE. Period. End of discussion
9. 

   QA/PI and residents with 9 or more medications

   geriatricRNBSN posted a topic in Geriatric

   We've just started our QA/PI. Others at the meeting were choosing the usual falls, staff retention, anti-psychotics etc. We've decided to take a different approach - residents with 9 or medications. Is anyone else using this as your QA/PI and if ...