Search Results

Search Results Type: Posts; User: CapeCodMermaid

From Date
  1. Am I Being Too Sensitive
    I should add she is always condescending...ugh.
    Sep 19
    Forum: LTC: Directors Nursing / Assistant
  2. 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
  3. 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
  4. 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
  5. 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
  6. 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
  7. 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
  8. 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
  9. 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
  10. 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
  11. 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
  12. 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
  13. 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
  14. Fentanyl patch
    We have two nurses sign off during narcotic count that they observed an intact patch on the resident. We occasionally have them go missing in the linen or in the shower. If the person is very sweaty...
    Sep 11
    Forum: LTC: Directors Nursing / Assistant
  15. DON certification course/which one?
    I took the test without taking a course. I think NADONA/LTC offers a course you can take.
    Sep 11
    Forum: LTC: Directors Nursing / Assistant
  16. Which one to choose
    Thanks for all your opinions. After hearing through the grapevine about the new nurse from some of her current co-workers, she is not the one for my facility. When we called to get a reference, "do...
    Sep 11
    Forum: LTC: Directors Nursing / Assistant
  17. The Right to Die
    Is the POA for healthcare or financial? Huge difference. If the patient is still alert and oriented, have him fill out and sign a MOLST (POLST in some states). It specifies what he wants and more...
    Sep 11
    Forum: Geriatric Nurses / LTC Nursing
  18. Alarms
    He can disable the motion detector. He knows the door is alarmed so now he goes out into the hall bathroom. He is the most stubborn resident I have.
    Sep 11
    Forum: Geriatric Nurses / LTC Nursing
  19. It's Wrong!  (A night shift perspective)
    Most families need 2 incomes. Who is left to take care of Mom? I'd live in my facility. Restaurant style meals, plenty to do including drink and dabble....drink wine...paint.... Drink more wine..
    Sep 11
    Forum: Geriatric Nurses / LTC Nursing
  20. The imposition of chemical restraints...
    The nurse who assesses the resident is the one who should medicate or not based on their assessment. That is my point...whether too much medication or not enough.
    Sep 9
    Forum: Geriatric Nurses / LTC Nursing
  21. Resource Help
    Read as many of the posts here as you can.
    Sep 8
    Forum: Geriatric Nurses / LTC Nursing
  22. Alarms
    My resident sits on the toilet for hours. We've tried a schedule, behavior mod, motion detectors....he can walk and transfer himself on and off the toilet. He sits so long, however, he falls asleep...
    Sep 8
    Forum: Geriatric Nurses / LTC Nursing
  23. The imposition of chemical restraints...
    If YOU are the nurse administering the medication, YOU should be the nurse doing the assessment whether it's a pain med or an anxiolytic. I have suggested in the past that the nurse call the MD to...
    Sep 8
    Forum: Geriatric Nurses / LTC Nursing
  24. Alarms
    Does anyone know of a toilet seat alarm that sounds when the resident sits DOWN? I've been searching but so far all I've seen are alarms that sound when the resident stands up. Thanks in advance....
    Sep 8
    Forum: Geriatric Nurses / LTC Nursing
  25. Losing patience with residents.
    If an alert, oriented person threw a cup of hot coffee at my staff, that person would be asked to leave.
    Sep 7
    Forum: Geriatric Nurses / LTC Nursing


Top