BHolliRNMS

Latest Activity

1. MDS Submission Question

   BHolliRNMS replied to SheWulfwynn's topic in Geriatric

   I don't think you will be fined monetarily for late submissions. However, if it is a widespread ongoing problem, state surveyors can give you a tag on it during your survey. I would write the problem up and take it to QA committee with a plan of cor...

2. Late entries and legality

   BHolliRNMS replied to michelle95's topic in General Nursing

   I think most boards of nursing will tell you that you can make a late entry on anything that you can factually remember without a doubt. I think anyone would have a difficult time convincing a bon they can remember a month ago. In MS the bon doesn'...

3. Is This Illegal?

   BHolliRNMS replied to HannahRN24's topic in Geriatric

   The DON clocking in and leaving is as illegal as any other employee. Federal regulations require nursing homes to have RN coverage at least 8 consecutive hours everyday. If the nursing home does not provide this coverage, they are not meeting federa...

4. ltc infection control nurses

   BHolliRNMS replied to panurse101's topic in Geriatric

   Track location of the infections per your facility floor plan. Could there be a px with hydration and/or incontinence care in a particular area? Track UTIs with catheters...is there a px with catheter care? Track organisms....which are widespread?...

5. Ambulation in Long Term Care

   BHolliRNMS replied to ComicRN's topic in Geriatric

   i work in a 120 bed ltc and we just dc'd our last restraint. It takes a lot of creativity to keep people safe. you have to learn what each individual likes. Ex...we have one lady who liked to read...she is very demented...but she will sit and "rea...

6. would you be mad at your CNA?

   BHolliRNMS replied to lovingtheunloved's topic in Geriatric

   I think it is great that you recognized the acute change in your patient. Usually a cna is the first person to notice a change in a LTC resident. However, taking the time to go get a pulse oximeter machine and "assess" the patient yourself BEFORE s...

7. skillable services

   BHolliRNMS replied to dysont's topic in Geriatric

   in order to be a "skilled" patient under Med A, the patient must need care that requires the skill of a licensed nurse or therapist daily. Daily wound care, IV therapy, observation and assessment of many diseases, etc. The key to getting paid is in...

8. Help....i almost puked in clinicals

   BHolliRNMS replied to Valwolf's topic in General Students

   after sixteen years, some days I still want to puke...

9. More Strange Baby Names

   BHolliRNMS replied to RNLaborNurse4U's topic in Ob/Gyn

   I work in a LTC in the rural south. We see rather unusual names, too. If the person is from smith county, you have to pronounce the ending of every name as "er." Clytie, Clemie, Bertie, Pecola, Pocohantas, Rosie, Cola, Mable, Tiny, EW, Cleotha, L...

10. More Strange Baby Names

    BHolliRNMS replied to RNLaborNurse4U's topic in Ob/Gyn

    My daughter was born on Christmas Day and on during the holiday season we all call her Merry Christina Angelica Noel.

11. Ready for full-code residents?

    BHolliRNMS replied to Betty_SPN_KS's topic in Geriatric

    Not ALL crash carts in long term care are a joke. As a nurse, I feel it is my responsibility to check the crash cart at the beginning of the shift to be sure O2 etc is on it. Let's face it. People come to LTC to stay til they die. The families say...

12. Bailing out of LTC

    BHolliRNMS replied to RN4ustat's topic in Geriatric

    It sounds to me like it was already getting better under your leadership. I have been a don in two different facilities. The first year in each, I was at work more than I was at home. I have been at the place I am now for four years. It is a than...

13. Do more forms = better pt. care

    BHolliRNMS replied to Destinystar's topic in Geriatric

    I don't believe in unnecessary charting or duplicate charting. I do think sometimes forms help nurses to document important information in a quick way. Our company doesn't require monthly summaries for instance. We do acute charting, MDS charting a...

14. Just had survey...need advice on correction plan

    BHolliRNMS replied to FrazzledRN's topic in Geriatric

    I agree, it is necessary. I just think I would appeal the G tag on an alert and oriented resident who fell. She has rights to refuse restraints and alarms can be restraining. I get tired of everyone saying you have to have a new intervention with ...

15. Do more forms = better pt. care

    BHolliRNMS replied to Destinystar's topic in Geriatric

    ask the lawyers.