KlareRN

Latest Activity

1. For DON about regulations

   KlareRN replied to nursbaybie's topic in Geriatric

   Hi! All states have their own "state regs" that you have to follow within your state- and EVERYONE has to follow the "federal regs" throughout the US. Some states have taken some of the federal regs and expanded them or given more specific requireme...

2. same station burnout?

   KlareRN replied to kaynolees's topic in Geriatric

   I am currently working as DON in a facility similiar to the one you are working in. We keep the same staff on our dementia/alzheimers unit to help reduce confusion for our residents. Out on the other 2 halls- the C.N.As rotate every two weeks (on pa...

3. CPR after rigor mortis

   KlareRN replied to HealinghandsRN's topic in Geriatric

   I have worked in management in long term care for several years and every facility I have worked in has the same policy: If a person is not a DNR- you are to initiate CPR and you send them out 9-1-1 no matter how you find them unless: -Obvious lividi...

4. Kennedy terminal ulcers

   KlareRN replied to ChainedChaosRN's topic in Geriatric

   I agree with sunnygirl- you probebly will not find it anywhere else. There is alot of skepticism about it in the medical field. It is an ulcer that grows quickly during the dying process...alot of changes happen quickly when the body is shutting dow...

5. Anyone out there that just wants to work?

   KlareRN replied to oregon-rn's topic in Geriatric

   lpnga- I was not going to respond to your post but I cannot just let it go. First- I agree that the alphabet soup behind your name is not a mark of intelligence ("who is smarter than who") but there are some things that you need to understand. The ...

6. Teeth Grinding

   KlareRN posted a topic in Geriatric

   We have a gentleman in one of our facilities that has a diagnosis of alzheimers dementia. A couple of weeks ago he started to grind his teeth. He does it almost constantly. We gave him gum...and it worked for several days. But now he either "pocke...

7. Frequent Faller

   KlareRN replied to StormyCD's topic in Geriatric

   At the facilities I consult in we use low beds, bed and chair alarms,baby monitors, and motion sensors. If you choose a baby monitor- make sure that you do not call it that. The state may cite you for a dignity issue. We careplan them as "Adult So...

8. QMA Scary Practice

   KlareRN posted a topic in Geriatric

   The state of Indiana has passed a new scope of practice for QMAs. Under the new guidelines; a QMA can administer G-Tube meds, do glucochecks for BS, and some more critical dressing changes. In the facilities I go to- we are leaving it up to the fac...

9. Wake Up

   KlareRN replied to tex's topic in Geriatric

   I am with you Tex- there is not much to read here anymore. In the facilities I go to- Medical Records do the ICD-9 codes. I have heard of the MDS co-ordinator doing them too. I guess whoever has the most time LOL!!!

10. Difficult DON

    KlareRN replied to lynniepooh's topic in General Nursing

    I agree with everyone else here. Wait it out. The tenure for a DON in LTC is about 18 months- many times much shorter. The problem is that if you leave- odds are pretty good that you will end up working with her again anyway. I have learned that ...

11. Beating my head against the wall

    KlareRN replied to Nurse Ratched's topic in General Nursing

    Aot of mixed feelings here...so I have to give mine: (I will take alot of flack for this)- It IS this womans right to smoke it she chooses. I have been involved in cases with ombudsmen and the state board of health over pt. rights. I had a 39 y.o. ...

12. tips for dealing with dementia

    KlareRN replied to ktwlpn's topic in Geriatric

    ktwlpn- You are the kind of nurse most of us would like to clone to work on our dementia units. Too many are too quick to pop a pill than to take the time to be human. I agree that if a person doesn't want to be in bed at 10pm; let them be up. In ...

13. What would you do????

    KlareRN replied to beckymcrn's topic in General Nursing

    I agree with prn nurse. Be sure you have all the details...How did you find out about her pay? Did she tell you or has it gone thru several people (at an increase of 50c per person??) I have experienced situations where nurses have inflated their ...

14. Sick call policy

    KlareRN replied to goldgram's topic in Management

    ACNORN- Thank you for telling it like it really is but be prepared...you are bound to get alot of flack for what you said. The truth is- staff nurses say "that is why you make the big bucks" not realizing that our hourly wage is usually about half o...

15. Sick call policy

    KlareRN replied to goldgram's topic in Management

    I am not frightened to defend myself...what I am is frustrated. Some nurses just continue to justify their poor behavior. Remember I never said ALL call-ins were avoidable. What we are talking about here are nurses who have abused more lenient att...