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Search Results Type: Posts; User: CapeCodMermaid

From Date
  1. "State's Here!": Demystifying the Long-Term Care Survey
    Momo---you need a vacation....seriously.
    May 14
    Forum: Geriatric Nurses / LTC Nursing
  2. Elopement and LTC
    HERON--I believe you meant to write SENTINEL event...not seminal....a seminal event would be one in which there was sex between residents :cheeky:. And, I've had residents with working wander guards...
    May 11
    Forum: Geriatric Nurses / LTC Nursing
  3. Elopement and LTC
    I've worked in buildings where residents eloped on a regular basis. NO ONE ever lost her license --- even in one case (I wasn't working there at the time) where the resident was harmed. Your...
    May 10
    Forum: Geriatric Nurses / LTC Nursing
  4. can your DON tell you to completly change how you chart?
    I'm completely baffled by this. Been doing this for more than 30 years and this is a new one for me AND I have a degree in English and am a member of the Grammar Police so I know it can't be that....
    May 9
    Forum: Geriatric Nurses / LTC Nursing
  5. Redefining "Abuse"
    For abuse to occur there needs to be be intent. A person with dementia has no intent to harm. I suggest you redefine your terms.
    May 3
    Forum: General Nursing Discussion
  6. Berkshire Health
    Does anyone know anything about Berkshire Health? I've done a Google search but of course all I find is their own web site which paints a glowing picture.
    Apr 30
    Forum: LTC: Directors Nursing / Assistant
  7. Rant About the Administrator
    I've spoken to him on numerous occasions. It doesn't help. He is not at all self aware and getting worse by the day.
    Apr 30
    Forum: LTC: Directors Nursing / Assistant
  8. Nurses who can't give out narcotics
    :roflmao:ask the MDS nurses to help! Really? Mine are so busy they can't even get their own work done. It's a miracle if they help feed a resident when we're short. Plenty of LTC residents don't take...
    Apr 30
    Forum: Geriatric Nurses / LTC Nursing
  9. Favorite Cheat Sheets, Resources, Tools
    If you look through the posts on this site, you'll find lots of cheat sheet ideas. Who needs Google? We have AllNurses!
    Apr 25
    Forum: Geriatric Nurses / LTC Nursing
  10. QAPI
    We call it QAPI but only a few of us are relating our project to a potential tag which is the point of QAPI. I wouldn't mind doing a project but I have trouble coming up with one that is useful. I...
    Apr 24
    Forum: LTC: Directors Nursing / Assistant
  11. Rant About the Administrator
    I was thinking of hiring some half naked women to occupy his time.
    Apr 21
    Forum: LTC: Directors Nursing / Assistant
  12. Rant About the Administrator
    I don't really expect an answer...just need to vent. My admnistrator is not a good manager. He tells the CNAs how hard HIS job is. Really? You're telling this to kids who make 10-15 dollars an hour...
    Apr 20
    Forum: LTC: Directors Nursing / Assistant
  13. Orientation Checklists for Nurses/CNA's
    If you IM me your email, I'll be happy to share what we use
    Apr 20
    Forum: LTC: Directors Nursing / Assistant
  14. 50 Things New Nurses Need to Know About Calling Doctors and Other Providers
    Use the SBAR and know what you want from the provider who is on the other end of the phone. Don't call Nancy NP and tell her Mrs. Jone's BP is 86/50 without telling her that the highest Mrs Jones...
    Apr 20
    Forum: First Year After Nursing Licensure
  15. The Differences between Nursing Home in the United States and Nigeria
    We have a Manager on Duty on the weekends plus a nursing supervisor. The MODs don't pretend to be nurses(except for those of us who are nurses). They provide extra help for calling in staff if...
    Apr 19
    Forum: Geriatric Nurses / LTC Nursing
  16. To Say or Not to Say Hospice?
    We have several residents on Hospice at my SNF. Only one understands what hospice actually is. The others have end stage dementia and are probably not capable of understanding. It bothers me if the...
    Apr 19
    Forum: Hospice Nursing
  17. State Surveyors
    Does the Kentucky Department of Public Health have a web site? If so you can review regulations there....just be ready for your head to explode! Your pharmacy should be able to help you out with any...
    Apr 16
    Forum: Geriatric Nurses / LTC Nursing
  18. The Differences between Nursing Home in the United States and Nigeria
    Is there a point to this? I admit I did not read every word so perhaps you covered this, but it's been my experience in the 30+ years I've been in the business that most people living in a nursing...
    Apr 14
    Forum: Geriatric Nurses / LTC Nursing
  19. Any advice would be Appreciated
    I have quite a few patients in my facility who are very accusatory. Our solution is to always have two staff members go in the room whether it's 2 CNAs or 2 licensed people. It's a PITA, but better...
    Apr 12
    Forum: Long Term Acute Care (LTAC/LTACH)
  20. 4 Point Restraints in the ER. Is that Abuse?
    Maybe the OP received those degrees and didn't update her profile? Check the policy manual where you work. Even in a SNF we can use a restraint if it's clinically warranted. Putting an abdominal...
    Apr 12
    Forum: Emergency Nursing
  21. Remaining professional with rude, disrespectful family members
    I calmly tell families or patients, "I cannot listen whilst being yelled at." Most of them look puzzled at the word 'whilst' but it shuts them up. Do not yell at me or my staff. We do the best we can...
    Apr 9
    Forum: Geriatric Nurses / LTC Nursing
  22. Sliding scale insulin...give or hold?
    A low blood sugar is more worrisme than a high blood sugar in someone who is in his eighties. Hypoglycemia contibutes to falls and increased confusion. 70-110 might be an acceptable range for a...
    Apr 6
    Forum: Long Term Acute Care (LTAC/LTACH)
  23. State Surveyors
    In Massachusetts there is a process by which you can complain about a surveyor or a whole bunch of them. You call their boss. We complained about a complaint surveyor who said something about a "G_d...
    Apr 3
    Forum: Geriatric Nurses / LTC Nursing
  24. Unhappy Family
    We are very proactive at my facility and I've always had a good relationship with my Ombudsman. We've included him/her in a number of family issues. I've always found the ones I've dealt with to be...
    Apr 2
    Forum: LTC: Directors Nursing / Assistant
  25. Unhappy Family
    I've run into these kinds of families more than once. Call your Ombudsman and have her/him attend a family meeting. That way YOUR side of the story is clearly spelled out and everyone --especially...
    Apr 1
    Forum: LTC: Directors Nursing / Assistant


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