theleader

Latest Activity

1. Calling all HH Nurses, roll call

   theleader replied to hoolahan's topic in Home Health

   Was a acute care nurse (RN) for 13 years and the directors position opened up at my agency. Have now been in Home Health since 1998. Love every minute of it. Like to go the extra mile for my clients and not get made fun of or looked down upon lik...

2. cna says thank you

   theleader replied to jeannie's topic in Geriatric

   I too appreciate the CNA's I have. sometimes I forget to tell them.

3. Director of Nursing seeks support from other D.O.N.'s

   theleader replied to readnour's topic in Geriatric

   Hi! I too am a DON in a LTC. I took the position without any or very little orientation. Most of my changes came by trial and error. Some have worked and some have not. Staffing was my biggest problem. Overtime was at 1000 hours per month, mora...

4. employee incentives

   theleader posted a topic in Geriatric

   I want to start some employee recognition programs in my LTC. Besides employee of the month, what are other facilities doing. I have a great bunch of people and feel they deserve more than monetary rewards once a year.They don't seem to have any id...

5. Patient Rights vs nursing care

   theleader replied to kkidd's topic in Geriatric

   In our facility, we put resident rights first until their wishes have a negative impact on their health or violate a regulation. Then we go to the care plan and sometimes a behavior mod program. Hope this helps.

6. Entering Management

   theleader replied to shee1a's topic in Management

   I entered management 2 years ago, coming from a staff nurse position. First I managed our hospital based HHA then when HH was impacted by BBA and business fell off sharply took over management of our LTC. My benefits did not change, only my hourly...

7. Staffing

   theleader replied to Jeanne Marie's topic in Home Health

   A year ago I employed 7 full time nurses in my HHA. Now due to the cutbacks and lower reimbursement, I am the only fulltime nurse. I am responsible for all the admissions as well as scheduling for the 2 parttime LPN's that I employ. And you are r...

8. resident falls in a long term care facility

   theleader replied to Buffy's topic in Geriatric

   We had a high percentage pf falls in the LTC where i work over a year ago, but have gradually reduced it to less than 5% now. Our greatest people at risk for falls were those on the med Remeron. Our consulting pharmacist helped me convince our docs...

9. staffing patterns

   theleader replied to PsychLady123's topic in Geriatric

   I too am interested in staffing patterns in LTC. I work in a 45 bed intermediate care facility and try to staff 1 cna for every 9 or 10 residents. We also employ a bath aide and a restoriative aide. I have 2 LPN's per shift with the exception of 1...

10. resident falls in a long term care facility

    theleader replied to Buffy's topic in Geriatric