nursespike

nursespike specializes in Peds, ER, Geriatrics, Rehab.

Latest Activity

1. typical day i n LTC

   nursespike replied to BandEmom's topic in Geriatric

   Depending on the facility and acuity..There is never a "typical day"..there is however the same old atypical day:D As an RN (ADON, soon to be DON)this is how my day does: To work between 7 and 730am Check lab box Check units for staffing, make quick ...

2. Over-Restaining Patients

   nursespike replied to achot chavi's topic in Geriatric

   It was very similar at this facility when I first started out..the pager drove me NUTS! It was an expectation of staff that when there was a call out...tag, youre it...after the pager "broke" it was never replaced and the staff got educated on how t...

3. Over-Restaining Patients

   nursespike replied to achot chavi's topic in Geriatric

   I did too..I am currently an ADON which also includes Director of Pt services, unit manager, infection control, restraints....and the "when you dont know, ask me" person...under the DON who gets the credit...recently accepted DON position at "local c...

4. Over-Restaining Patients

   nursespike replied to achot chavi's topic in Geriatric

   Hey..I got a lunch bag:lol2: ...I know...but I do love it...one day things will change, hopefully..

5. Over-Restaining Patients

   nursespike replied to achot chavi's topic in Geriatric

   I still agree...I think I was trying to say the biggest "challenge" is the staffing issues...never seem to be enough...agree completely.

6. Over-Restaining Patients

   nursespike replied to achot chavi's topic in Geriatric

   I agree...but for as long as I can remember there have always been staffing issues no matter where you are at...LTC/SNF seem to be chronically short handed in one way or another due to state laws and nurse/staff to pt ratios/greedy hands, but unfortu...

7. "Don't Send Anyone Out!"

   nursespike replied to TheCommuter's topic in Geriatric

   "Ditto" with Suebird..We have a similiar rule...but nursing judgement is nursing judgement. If your assessment indicates a problem that cannot be fixed in your facility, then they need to be sent out.

8. Over-Restaining Patients

   nursespike replied to achot chavi's topic in Geriatric

   A good toileting plan often helps too...hipsters have been proven to help prevent hip fractures...if you can get the patient to wear them

9. Over-Restaining Patients

   nursespike replied to achot chavi's topic in Geriatric

   New here ...interesting and double edged topic. I currently run the restraint reduction team at the facility I work for. The development of this "team" was done to keep track of and review all patients that had any sort of restraint/device in use. We...