evidence based practice in long term care

JZ_RN · Jun 18, 2012

I honestly do not see much EBP in LTC of SNF. I had an MD where I used to work still do Homan's sign which EBP has shwon to be an ineffective predictor of DVT and may actually dislodge an embolus leading to PE or CVA. I've also seen then use meds that are less effective and with more side effects simply because of "cost" which I understand is not EBP but it kind of ridiculous. Seen drugs prescribed with no labs or tests to see if they are really needed, etc. MDs where I worked didn't care about EBP and the nurses were too stressed and overworked to worry about it.

litbitblack, ASN, RN · Jun 18, 2012

Thanks for your response. I am actually in school doing my bsn and this is one of the assignments. I work cert alz. so if there is anyone who has any ideas i am up for them. My first ebp assignment was alternatives to administering medication for dementia based behaviors. thanks

JZ_RN · Jun 19, 2012

litbitblack- I do not see much done for dementia-based behaviors besides medicine because there is never enough staff to do anything with any of the residents short of clean them up, change them, and shovel some food and pills in them. It's so sad.

litbitblack, ASN, RN · Jun 20, 2012

I am interested in some examples of evidence based practice in long term care some of you may have been involved in. ideas?

Well I'm glad not everyone feels that way. I am fortunate to work in a certified dementia facility that is private pay so yes there are different things to do than give medicine and shovel food. Sad to think people actually take care of people that way.

JZ_RN · Jun 21, 2012

That is why I left this facility, I am a good nurse, I care about patients, and I can and will do better than that. I won't give subpar care because they refuse to staff properly or get us supplies.