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Our MDS coordinator laminated heavy copies of these and PERSONALLY handed them out to all nurses in our facility to guide our charting. After years of SOAP,narrative,checklist and general meandering...

In our LTC located in Colorado where MMJ is legal on the state level,we do not permit the (state) legal possession,consumption or self-medicating of MMJ on our non-smoking campus because we receive...

VS immediately with grips,speech,pupils,mentation. Repeat q 15 minx1hr,q30minx2hrs,q4hrsx24hrs,q shiftx72hrs. restart sequence c each fall(even when multiple falls occur within this time frame. Labor...

Medscape-Geriatrics is also excellent resource.

Agree c RingaLing-the all help explain WHY you have to do WHAT you have to do in LTC. Ours in one of the most regulated areas of healthcare. As more directives and documentation are...

NOTE-[this is from a LTC perspective] I did the end of month recaps for a 59 bed facility on paper for the past 8-9 yrs,noting every order,d/c,edits(time...

Don't see too many of these anymore(thankfully!) I'd try to manage exudate first-alginate rope for packing-loosely!-foam as secondary. This will help odor as well. Karaya paste as perimeter to secure...

LOVE how you think! Though not a newbie,practicing 30 yrs.,LTC, I'm grateful that I've been able to work in a field that encourages critical thinking every shift. My mind has been sharpened year...

Just had visit from our V.A.C. rep yesterday,good to get refreshers/updates/tips! You can cut more than one piece of foam for a wound, if you're not good at eyeballing the shape. Better to have 2...

As scope of practice varies from state to state,so does the elusive and much sought "IV Certification" for LPNs. I was certified in Colorado in '80,at the urging of my administrator in my newish job...

WCC-Wound Care Certified 6/10-through Wound Care Education Institute (wcei),exam through National Alliance of Wound Care. I fine "Advances in Skin and Wound Care" relevant,up to date, and...

Luckily for me,and the elders whose home I work in(yes,it's a LTC/SNF),what you all are describing is at the heart of the Eden Alternative. I began working at a traditional(institutional) LTC 21...

::up::up::::yeah::yeah::::bow::bow::hug::hug::balloons::balloons::clpty::clpty::clpty::dancgrp::hpygrp::w00t::redpinkhe:redpinkhe:redpinkhe:redpinkhe:redpinkhe Thanks to you for recognizing your...

Wondering if anyone is using liquid adhesive ie Mastisol,et al, to additionally secure Tegaderm drape with KCI V.A.C.? Problem isn't air or fluid leak, but corner of dressing is in a rather mobile...

Don't forget pain management. During a survey, we had a PT/WCC perform a dressing change on a pt. who stated "OUCH", with the surveyor present. Needless to say,we recieved a MAJOR citation,which...

Well, while I was fully aware that the only people who get to put their hands on my body are those who are invited to, or are falling over, I didn't really take it as a sexual harrassment thing...

WAAAAAYYYY back in the earyl '80's,before those lovely mechanized lifts, I was attempting to manually transfer a resident from his very low comfy swivel chair to his bed for our medical director to...

Agree c assessment that 12 hrs.LTC is 4 hrs. TOO much! Physically and emotionally demanding, whether slinging med cart for ENDLESS med passess, assisting CNAs c direct care,responsibility for care...

Stand tall-be VERY proud of your decision to become a NURSE. That is what you will be. You'll graduate from an accredited school,pass a difficult board exam and have the initials LPN after your...

No policy? No monitor? NO WAY! Somethin's gonna give on this one...Better keep those vitals and documentation up to the minute,and MD on speed dial...........Good luck!

I believe IV cert. varies by state,and compensation by employer. I got certified by the state of Colorado 20 yrs. ago,taught by an accredited provider. It was a 44-hr. course,with classroom and...

I'm an LPN in LTC and just finished the wcei course-tough, thorough, and well prepared me for the exam, which I just found out today I passed! You do need to check out the pre-reqs for taking the...

Gloves for everyone(post AIDS),moist wound healing,handoff checklists,positioning devices when on gurney awaiting x-ray(PU prevention),opening closed systems every shift(indwelling foleys, IV...

Ditto SuesquatchRN. Doesn't sound the elder centered care,but unfortunately, these unrealistic,medically modeled beliefs have been reinforced by MDs to pts. and families for so long, that it's a long...

All controlled substances-ll-V,offgoing / oncoming nurse,sign off, hand over keys.