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Search Results Type: Posts; User: CapeCodMermaid

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  1. legal mandation length (illinois)?
    I'm pretty sure in Massachusetts you can't be mandated to stay any longer than 16 hours total unless the governor has declared a state of emergency such as in a hurricane or blizzard.
    Oct 1
    Forum: Geriatric Nurses / LTC Nursing
  2. Do you have to call your nurse manager before you call the doctor?
    We have a very busy post acute unit with very sick people. If my nurses had to call me before they called the doctor or after they called the doctor, I'd get even less sleep than I do now! I hired...
    Sep 27
    Forum: Geriatric Nurses / LTC Nursing
  3. Do you have to call your nurse manager before you call the doctor?
    I've worked at places like that too. It's ridiculous. You are there with the patient. Why call someone else who isn't there to do an assessment? I encourage my nurses to call the supervisor in the...
    Sep 27
    Forum: Geriatric Nurses / LTC Nursing
  4. Staffing requirements
    We aren't allowed to count 'administrative nurses' in the daily staffing posting...strictly the number of RNs, LPNs, and CNAs by shift
    Sep 24
    Forum: Long Term Acute Care (LTAC/LTACH)
  5. Statements post fall
    I like the "was the care plan being followed" since that's one of the first things I want to know. Thanks...I'll check out Briggs
    Sep 24
    Forum: Geriatric Nurses / LTC Nursing
  6. Statements post fall
    Hi. I'm trying to come up with a form that will guide people writing postfall statements to give me information I can use....you know, was the person wearing shoes? Were they incontinent? Last time...
    Sep 24
    Forum: Geriatric Nurses / LTC Nursing
  7. fim testing
    FIM.....haven't heard that in years. I had to be certified as a FIM something but it was so long ago, I can't remember the details.
    Sep 23
    Forum: Rehabilitation Nursing
  8. Staffing requirements
    In Massachusetts, we MUST post our daily staffing in a public place.
    Sep 23
    Forum: Long Term Acute Care (LTAC/LTACH)
  9. GT continuous feeding  with malfunctioning pump
    I had a nurse tell me once that G-tube feedings didn't work without a pump. I had to explain gravity to her. That said, I probably would have called the MD and ask to split the remaining feeding into...
    Sep 23
    Forum: Geriatric Nurses / LTC Nursing
  10. Tips on taking vitals on the elderly
    You might want to question WHY you're getting vitals on an elder. We are getting away from routine, weekly vitals on many of our residents.
    Sep 22
    Forum: Geriatric Nurses / LTC Nursing
  11. Employee abuse?
    1. My job does not entail getting the crap being beaten out of me. 2. I am a customer. What do I tell another customer if this person beats THEIR family member? 3. If her daughter doesn't want us...
    Sep 20
    Forum: Geriatric Nurses / LTC Nursing
  12. Terrible Medication error
    Don't you have a double check system? We use am EMR but when one nurse enters an order, a second nurse must verify it. There are a few of us for some stupid reason who don't have to have our orders...
    Sep 20
    Forum: Nursing and Patient Medications
  13. Am I Being Too Sensitive
    I should add she is always condescending...ugh.
    Sep 19
    Forum: LTC: Directors Nursing / Assistant
  14. Am I Being Too Sensitive
    I'm the DNS at my building. I am everywhere....helping, watching, investigating...same as many of you. So today I was in the Admissions office looking at an old referral. The phone rang so of course...
    Sep 18
    Forum: LTC: Directors Nursing / Assistant
  15. Weight Variance Meetings and EHR
    We do monthly weight variance meetings..dietician, nurse managers, and DNS attend. We use Matrix which calculates for us the percentage gained or lost....worst meeting of the month!
    Sep 18
    Forum: LTC: Directors Nursing / Assistant
  16. Employee abuse?
    Wow....that resident would have been sectioned in a minute. We really try to figure out the whys of behaviors, but if someone is violent, they buy themselves a trip to the local geripsych.
    Sep 18
    Forum: Geriatric Nurses / LTC Nursing
  17. How Many Night Nurses Attend Meetings?
    We have multiple meetings if they are mandatory....OR...I get up in the middle of the night, drive to the facility and meet with the night staff.
    Sep 16
    Forum: Geriatric Nurses / LTC Nursing
  18. Murphy's law
    Please tell me I read your post wrong. You apply cream to someone's coccyx in the dining room or hallway?!?
    Sep 15
    Forum: Geriatric Nurses / LTC Nursing
  19. The Right to Die
    That's been my experience of state appointed guardians here in Massachusetts, too. They are afraid to act lest some cousin from Arkansas finally shows up and sues them. I have known them to go back...
    Sep 14
    Forum: Geriatric Nurses / LTC Nursing
  20. The Right to Die
    I think it's quite selfish for people not to discuss end of life wishes with their family members. I have two kids....one of each kind. My son would never let anyone unplug me. My daughter will do...
    Sep 13
    Forum: Geriatric Nurses / LTC Nursing
  21. The Right to Die
    Families don't discuss end of life wishes very often. It does no good to wait until Grandma is on her way to the ER to discuss what she would want. Have your social services department host a family...
    Sep 12
    Forum: Geriatric Nurses / LTC Nursing
  22. ltc and a lawsuit.
    I've been in the business for more years than I'd care to admit. Someone is always suing someone for whatever they think they can get. Don't say anything to anyone. If you get deposed, tell the...
    Sep 12
    Forum: Geriatric Nurses / LTC Nursing
  23. Recruitment
    We were extremely staff challenged this summer...3 nurses out on maternity leave (don't drink the water) and 4 LPNs who all went back to school to be RNs. We tried an open house, Craigslist ads,...
    Sep 12
    Forum: LTC: Directors Nursing / Assistant
  24. It's Wrong!  (A night shift perspective)
    Of course we accept Medicaid. It's the philosophy of the company that everyone deserves the best care and the best life regardless of the payer source. We are a very small, family owned corporation...
    Sep 12
    Forum: Geriatric Nurses / LTC Nursing
  25. Alarms
    We're checking a PSA and started him on Flomax. Again, this is NOT new behavior....years of doing this at home before he was admitted and he's not looking for alone time because he has a private room.
    Sep 12
    Forum: Geriatric Nurses / LTC Nursing


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