ttt4271

Latest Activity

1. Are we over-reacting?

   ttt4271 replied to RainMom's topic in Geriatric

   That is actually a great trick, it avoids the need to remove a resident's shoes and pants in order to change a soiled pull-up. Assuming your mom is changed frequently enough that her pants don't need to be changed it is quite efficient. The other tho...

2. Negligent CNA?

   ttt4271 replied to halerac88's topic in Geriatric

   In some states it is required to be reported; in my state we have to report incidents in which our investigation shows that staff could be guilty of neglect, which includes failure to follow the careplan. When we report the incident we also tell the ...

3. Fl Staffing Ratios

   ttt4271 replied to stervets's topic in Geriatric

   Actually Florida does have LTC staffing laws; I did some research last year for a paper I wrote in my class and found several articles about it. Try this link for an article abstract: Florida's efforts to improve quality of nursing home care through...

4. Worst SNF ever!

   ttt4271 replied to snfnurse's topic in Geriatric

   Don't take this the wrong way-I do think the SNF you were at sounds like it has some real problems. But I don't understand why you were just putting concerns on a supervisory report and expecting others to take care of them? Why not contact the Dr. y...

5. Electric Wheelchair

   ttt4271 replied to aiker31's topic in LTC Directors

   I have one but I think I don't post enough to send private messages-if you can message me with your email I'll send it to you.

6. So fed up with my coworker

   ttt4271 replied to Rainy day RN's topic in Relations

   Try looking at it this way-she is covering that one day a week that you and one of your full time coworkers have off, so that you can work only 3 12 hour shifts a week with no mandatory overtime. Learn to plan ahead and ask off early and let your fam...

7. So fed up with my coworker

   ttt4271 replied to Rainy day RN's topic in Relations

   Try looking at it this way-she is covering that one day a week that you and one of your full time coworkers have off, so that you can work only 3 12 hour shifts a week with no mandatory overtime. Learn to plan ahead and ask off early and let your fam...

8. Resident nurse ratio question

   ttt4271 replied to LH...RN's topic in Geriatric

   No, I do not think that workload is reasonable. A C.N.A. might have 10-15 patients to care for (with the help of a float C.N.A. assisting with baths or lifts) but for a nurse to have all the med responsibilities, orders, phone calls, etc. along with ...

9. I think my nurses are on the verge of mutiny!

   ttt4271 replied to NurseGuyBri's topic in Geriatric

   How big is your nursing home? Ratio of ICF to Skilled? Are there different roles you could transition your "good, slow" nurses to? I have one RN who residents complained about constantly when she started as a charge nurse (waking residents up for HS ...

10. grandfather with dementia

    ttt4271 replied to sunnystdnt's topic in Geriatric

    Alzheimers patients with extremely aggressive behaviors pose difficulties even for facilities with dedicated Alzheimers units. 1. They pose a risk to other Alzheimers patients some of whom may be much more frail than your grandfather. Keeping him fro...

11. Reportable to state?

    ttt4271 replied to baygrl11's topic in Geriatric

    You need to report her to the DON NOT the state. If you are concerned the DON may not investigate tell your administrator as well. The state will investigate the whole facility not just the nurse;and it could well take months before they get around t...

12. I asked for Christmas off and they...

    ttt4271 replied to Brian's topic in Rock

    I think nurses who are parents just need to be flexible and proactive. Planning family events and holiday celebrations is key! We often celebrate Christmas the weekend before or after depending on my work schedule. Once in a while I do miss an extend...

13. Safe sleep aid for alzhiemer/dementia residents

    ttt4271 replied to beatrice1's topic in Geriatric

    Before you suggest any med changes to the family or Dr, be sure to discuss it with your DON. A few of the med suggestions here would not be allowed in our nursing home. There is a huge push against antipsychotics in dementia residents and surveyors a...

14. Is this common?

    ttt4271 replied to elisiah's topic in Geriatric

    You might expect to see that kind of ratio on overnight shift, but not during the day when you are passing meds and completing treatments, charting and noting orders for that many patients. 20-25 patients to 1 nurse on day shift is common, but we als...