RGuadagna

Latest Activity

1. Staff Ratios at Nursing Homes

   RGuadagna replied to pat8585's topic in Geriatric

   Reading these replies makes me even more thankful for my place of employment. We have a max census of 30 residents (we're usually at 29-30) and day shift usually runs with total staff of 8 including 1-2 RN, 1-2LPN, rest CNAs. Eve shift runs with 7:...

2. How to introduce change to the ward?

   RGuadagna replied to KaeAskavi's topic in General Nursing

   Change is difficult and you've probably learned that it comes very slowly in the healthcare field. Many long-time healthcare workers are very attached to the way things have "always been done." You might try looking in healthcare management texts ...

3. Turning q2h, any ideas?

   RGuadagna replied to smarti15's topic in General Nursing

   I agree with a lot of what's been posted. I worked as an NA for a couple years before getting my BSN, and I actually supervise co-workers that I used to work with on the same level. I attribute the fact that each one of them said they'd be comforta...

4. Night shift: let residents sleep?

   RGuadagna replied to RGuadagna's topic in Geriatric

   Thanks to all who commented and understood that I am trying to find the best procedure for the comfort and good care of our residents. Clearly I was tired and should have been more explanatory about the "letting them sleep." I was not implying that ...

5. Night shift: let residents sleep?

   RGuadagna posted a topic in Geriatric

   I am currently filling in for our regular night RN who is on vacation (read: new to the night shift). Our facility is really focussing on patient-centered care etc, and I was just curious what the routine is out there in other ltc homes with regard ...