At my wits end...

Wow, not notifying family about resident having a bad dream is an "incident". I don't even know what to say to that.

Yeah. It was hard to pick my jaw up off of the floor.

Wow, notifying family because a resident had a bad dream? One could be on the phone A LOT then.

In my charting I did write "resident was showing signs of distress and breathing heavily" and "resident would not awaken to verbal stimuli, had to be touched to arouse" which I guess could seem like more of an "incident"? But I also quoted her saying she was having a bad dream. So I don't get it. If I were a family member and a nurse called to tell me my mom had a nightmare.... Idk. So dumb.

I probably wouldn't have written a note on that at all. Especially if you have people go pick through charts like that. Because if it was important enough for you to document, someone is bound to think the family or physician should have been notified.

If I were a family member and a nurse called to tell me my mom had a nightmare.... Idk. So dumb.

Forgot to quote this part. That's exactly why I wouldn't have documented anything at all. It's not really a medical issue. By charting it, you made it important. If that makes sense. So then someone can come along and say, "hey the nurse charted this, obviously this is a change in stays or concern otherwise she wouldn't have charted it, so why did she chart but not notify anyone". It just sets yourself up.

It's ridiculous for someone to actually make fuss and expect you to call a family member over it, but then again, you did think it was strange enough to chart.

I probably wouldn't have written a note on that at all. Especially if you have people go pick through charts like that. Because if it was important enough for you to document, someone is bound to think the family or physician should have been notified.

I agree with this. I would not have charted on that either.

Wow, just wow. Please tell me you didn't sign that write up? I think this may have been the most ridiculous write up I have seen in all of my years.

Wow... That makes no sense...ltc facilities are so dumb sometimes, they only worry about state surveys and don't worry about patient care. Get your RN and run out of LTC, or try to find a good nursing facility where you can actually do some real nursing..

May I use this in the book I'm writing entitled "You Can't Make This Stuff Up'. I got called to a resident's room by her son just to tell me her "s**t" smells bad. No joke. It's all part of the game.

That's fine by me! Lol

Wow, people are unreal!

OP, I feel your pain. I've been in LTC for almost 30 years and I see more and more regulations with less and less staff and money to handle them all. Yes, to any who ask, you are required to notify the doc, the family, the town crier, for Pete's sake, about the most trivial things it's not even the least bit funny. You are told to make a more "home-like" environment by the same people who insist you call a doc because a resident ran into their bedframe their own selves and got a bruise. What sense does it make to call the doc because Granny got a bruise at the SNF if it doesn't make sense you'd call him if Granny got a bruise at home????? This is what we are dealing with in geriatric services of the 21st century folks. Paradox and irony rule the day.