jacesmom2

Latest Activity

1. Identifying Patients during a Disaster

   jacesmom2 posted a topic in LTC Directors

   I am writing a new Emergency Preparedness Plan for our Adult Day facility due to our current policy being non-compliant after our recent survey. Can you give me suggestions how to maintain the proper identification of each client to ensure that care...

2. Staff discussing money issues with patient

   jacesmom2 posted a topic in LTC Directors

   I am a Director at an Adult Daycare and have a staff member who has had several performance issues. The most recent complaint is from a family member who informed me that this particular employee has been asking her mother many personal financial que...

3. List of Narcotics to be Double Locked

   jacesmom2 posted a topic in Geriatric

   Can anyone give me a website that lists Scheduled II Narcotics that need to be double locked and counted? Could you tell me if the following are categorized as Narcotics? 1. Propo-N/APAP 2. Diazepam 3. Lorazepam Thank you for all your help!

4. New Aide with No Common Sense!

   jacesmom2 posted a topic in LTC Directors

   I am the Director at an Adult Daycare and just hired a CNA 2 months ago. She is having difficulties catching on and just doesn't seem to have any common sense whatsoever. For instance, I have trained her several times how to transfer an 80 pound girl...

5. Med Aides giving PRN meds

   jacesmom2 posted a topic in General Nursing

   One of my tasks as an LPN at my facility is to oversee the medication aides at an Adult Daycare which is at an off site location from mine. Once a month (go figure) I'm required to visit their center to make sure they are passing medications correctl...

6. Medication Changes

   jacesmom2 posted a topic in Geriatric

   I have a new order to increase a medication to 4 times p/day instead of 3 times p/day. Do I need to D/C the original order and then add a new order in the MAR? Please help I'm having a brain "fart!" Thank You!

7. Sue Facility For Broken Hip??

   jacesmom2 posted a topic in Geriatric

   I am a nurse at an Adult Daycare and we had a Client fall while in our care and break his hip. The family specifically said he is independent while ambulating with his cane but he became unsteady while standing and fell. The aide was within 15ft from...

8. Need Outside Opinion

   jacesmom2 replied to jacesmom2's topic in Geriatric

   Yes, the adults and children are in separate parts of the building so the children do not even know we get candy. But the childcare staff wants the same rules on the adult side which I don't agree with. At lunch time, the 3 staff eat with 20 Clients ...

9. Need Outside Opinion

   jacesmom2 posted a topic in Geriatric

   I work at an Adult Daycare at an Intergenerational Center as the Director/Nurse. There is continuous conflict with the Childcare side since there is a different Director who has different rules than I do. The teachers are constantly comparing their s...

10. HIPAA Law

    jacesmom2 posted a topic in General Nursing

    I am a new nurse at an Adult Daycare and I want to hang a bulletin board in our center with pictures of our clients and list their names (first names only), age, where they were born, number of children, hobbies, prior work history, etc.. But is thi...

11. Terminating client for Adult Daycare

    jacesmom2 posted a topic in Geriatric

    I've been a nurse at an Adult daycare for 3 months and Upper Management wants me to terminate a client because he no longer fits our admission criteria. He's got Parkinson's and he's unable to stand at all. Most days it takes 2-3 max assist to lift ...

12. Pediatric Trach Tips

    jacesmom2 replied to jacesmom2's topic in General Nursing

    Thank You so much for your words of advice! You don't know how much that means to me to have encouragement from a much more experience nurse than I. I definitely will try your technique tomorrow. I never thought of using hemostats to help getting the...

13. Pediatric Trach Tips

    jacesmom2 posted a topic in General Nursing

    I'm a new nurse working in home-health and I have 2 pediatric patients who have trachs. Each day I have to do trach cares which involves changing trach ties. What is the easiest way to change (velcro) trach ties on a child who won't sit still. Is it ...

14. pediatric clinic to agency?

    jacesmom2 posted a topic in General Nursing

    This is my first year as a nurse and I have been working at a pediatric clinic for the past 9 months and I'm extremely "bored" with my job! Each day is the same; I greet patients, get vitals and find out what is wrong with the child. Besides giving a...

15. Infant Weight Question

    jacesmom2 posted a topic in Pediatric

    I just started working at a Pediatric clinic and I need some help with figuring out an infants weight gain/loss per day. I've had a few nurses try to explain it to me but I am a sucker at math and I need a formula in order for it to make sense. OK, s...