If I say "how stupid are you" will they take it as a challenge??

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I'm am the DNS of a beautiful SNF....20:1 staffing with no clinically complex patients. WHY can't the nurses remember to do the basics like , oh, signing out meds when they give them???? Getting an informed consent before starting a psychotropic medication? Documenting target behaviors on the MAR???

We get maybe one admission a week. Why can't they do their jobs the right way? It certainly isn't for lack of education and/or explanation of why we need to do these things. I am at the end of my rope and if I could, I'd fire the lot of them.

It sounds to me like these informed consents are completely laughable.

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