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Search Results Type: Posts; User: CapeCodMermaid

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  1. When entering orders, please remember....
    Just to prove to some of you that I can be light hearted.....:wavey: I had a nurse who charted on the dementia unit: resident has cognitive defecate. I asked her if she meant #*&% for brains. She...
    Oct 21
    Forum: Geriatric Nurses / LTC Nursing
  2. QAPI
    Have any of you started doing QAPI as opposed to the old fashioned CQI or QA? We are about to start and my staff is freaking out. I've printed out almost everything from the CMS website but it still...
    Oct 21
    Forum: LTC: Directors Nursing / Assistant
  3. When entering orders, please remember....
    Since my last survey was deficiency free, I will continue to be how I am.
    Oct 20
    Forum: Geriatric Nurses / LTC Nursing
  4. When entering orders, please remember....
    Since the DPH never takes a "light hearted" approach to anything, I'll stick with my correct spelling and grammar. Y'all can do what you want.:cool:
    Oct 18
    Forum: Geriatric Nurses / LTC Nursing
  5. When entering orders, please remember....
    No, proper spelling. There is no word 'n' in the English language.
    Oct 17
    Forum: Geriatric Nurses / LTC Nursing
  6. When entering orders, please remember....
    Culture AND Sensitivity. US C&S
    Oct 16
    Forum: Geriatric Nurses / LTC Nursing
  7. Have you ever called Corporate at LTC?
    I called corporate when I was an ADON for a large company. The administrator was very disrespectful to the DON.....very...horribly dismissive. She would never say anything so I did. I did NOT get...
    Oct 12
    Forum: Geriatric Nurses / LTC Nursing
  8. "She'll put your butt in a nursing home."
    When I was a child, I had NURSES threaten me. I fell and bit my tongue so hard my mom couldn't stop the bleeding. The nurse in the ER told me I 'had to hold the gauze tight or I'd have to get...
    Oct 9
    Forum: General Nursing Discussion
  9. How Many is enough? Patient Ratios
    You won't lose your license. That is the way it is in long term care. It is going to have to change eventually. Our patients are getting sicker by the day.
    Oct 9
    Forum: Rehabilitation Nursing
  10. New Rehab nurse
    A month is not enough time to learn everything. Take your time, learn your residents, and you'll be great.
    Oct 9
    Forum: Rehabilitation Nursing
  11. Do we serve a tray
    I think you all misunderstood. He had a tray of pureed food with honey thick liquids. He could feed himself...we didn't feed him. Luckily, this morning at 530am he got his wish and went to heaven.
    Oct 9
    Forum: Geriatric Nurses / LTC Nursing
  12. Do we serve a tray
    I have a gentleman who can not eat without choking. One bite and he needs to be suctioned. He is alert and oriented and has signed for DNR, DNI, no IVs, no hospitalization, no artificial feeding. He...
    Oct 8
    Forum: Geriatric Nurses / LTC Nursing
  13. Always last to know
    Apparently the 5 star ratings are mostly based on self reported items such as staffing and the MDS. CMS doesn't think it's very accurate so they are trying to tweak the system. Last article I scanned...
    Oct 8
    Forum: LTC: Directors Nursing / Assistant
  14. 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
  15. 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
  16. 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
  17. 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)
  18. 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
  19. 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
  20. 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
  21. Staffing requirements
    In Massachusetts, we MUST post our daily staffing in a public place.
    Sep 23
    Forum: Long Term Acute Care (LTAC/LTACH)
  22. 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
  23. 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
  24. 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
  25. 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


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