jaimemds

Latest Activity

1. Disciplinary Action Poll

   jaimemds replied to UM Review RN's topic in General Nursing

   Where I used to work, the nurse who was orienting me had put in her two weeks notice and went for exit interview. She was honest about why she was leaving and was told not to come back or finish her two-weeks.

2. Questions on charting

   jaimemds replied to Meika9501's topic in LPN/LVN

   Never chart I in reference to yourself, only in quotes as the resident stated it. never chart told resident to go to room, or put in room to calm down. this is considered isolation. Never chart med errors. And never include in the note any staff's qu...

3. Help!!

   jaimemds replied to banditrn's topic in Geriatric

   what must be looked at with skin breakdown is checking/changing Q2H and whether or not ALL shifts do this. Also look at how often they are being washed. Just one shift failing to properly cclense and wash a resident can result in skin breakdown. Clot...

4. C-diff

   jaimemds replied to Inquisitive one's topic in Geriatric

   My facility makes it a practice to give yogurt at least BID w/anyone on ATB's. If they will not eat it, we have the MD order acidophillus QID. We also have the person with C-diff use a BSC. A word of caution though, alcohol hand wash DOES NOT kill th...

5. Excelsior Tests

   jaimemds replied to studyn247's topic in Online Learning

   I am using the directed learning system through Rue. I know my learning style, and I cant just dowwnload an outline and go. I know there is a lot of debate about publishing companies, but it works for me. Got a B on my first exam. i know I didn't stu...

6. I feel I'm being sabotaged

   jaimemds replied to cleo's topic in Management

   Take it from someone who was sabotaged. If you feel you are being sabotaged, you are. LEAVE, ASAP!!!!!!!!!!!! I had the feeling for months, but did nothing and ended up fired. Shortened version of the story, The nurse I replaces on the unit, came bac...

7. Sick Time

   jaimemds replied to Pepper The Cat's topic in General Nursing

   management must follow facilty P&P, starting at step one. They cannot jump to termination. Management must also look at everyone for the amount of calloffs, because if they just go after her, it can be seen as favoritism. there may also be speci...

8. High fall risk

   jaimemds replied to Inquisitive one's topic in Geriatric

   I usually put "resident will not receive serious injury r/t accidents" or "resident will utilize all safety equipment (i.e. body alarm, walker, etc) with staff supervision and education daily" sometimes you have to get very creative. I have also put ...

9. Mds-rugs

   jaimemds replied to RondaS's topic in MDS

   I think we need a forum just for MDS/PPS. There are so many times when I would love to bounce info off another coordinator and there is noone else in my facility who knows anything about it. There are so many knowledgable MDS people in this forum!!!

10. Insulin

    jaimemds replied to Momto2Boys's topic in LPN/LVN

    You have to have two nurses sign for insulin before you give. Is this just in Texas or other places too??

11. MDS Questions???????????

    jaimemds replied to sassyASC's topic in MDS

    I started my own MDS QA which I turned in at the monthly QA meeting. At my facility we go around to each department and bring up any problems. So I would rattle off, Activities was late on 19 out 0f 20 ax's this month. SS late 15 times, etc. After a...

12. LPN, MDS coordinator/care planning

    jaimemds replied to OK-LPN-MDS's topic in LPN/LVN

    I am also an LPN/MDS coordinator and do it all!!! i love what I do and love care planning. My DON signs R2b, but I do all the scheduling, care plans, raps, pain and restraints ax's, etc, etc, etc!!! Not to mention keeping my Administrator in line. I ...

13. Low beds, falls and incident reports...

    jaimemds replied to night owl's topic in Geriatric

    Being an MDS coordinator for years, I have to say that ANY time a resident rolls oob, even if to a blue matt or blue matt to floor, is a fall. Any time a resident stumbles or trips and needs staff assistance to prevent them from falling to the floor,...

14. Activities for Dementia Unit

    jaimemds replied to Betty_SPN_KS's topic in Geriatric

    OUr act. dept. talks to pts. about past events. They try to stimulate their long term memory. Say, the depression, games they played as children. Dementia pts. usually remember events of LONG ago. Try asking them about their first job/life's work, f...

15. Med error: what would you do here?

    jaimemds replied to perfectbluebuildings's topic in General Nursing

    If I were you, I would report the med error per policy. You don't want it to look like you are trying to covering anything up.