catskillrn

Latest Activity

1. ltc surveyor as a job

   catskillrn posted a topic in Geriatric

   I have spent my nursing career in LTC, having spent the past 4 years as a DNS. I am considering re-locating to a new state. and wonder about working as a surveyor. Does anyone know how surveyors are paid for travel, meals, lodging? Does it really ...

2. minimum fluid needs

   catskillrn posted a topic in Geriatric

   We have established minimum fluid needs for all our residents. (wt. in kg x 25 0r 30cc depending on diagnosis) For those residents who weigh less than average, this formula may indicate a fluid need below 1500cc/day. Dietician believes if the formu...

3. Any LTC DONs out there??

   catskillrn replied to MaineNurse67's topic in Geriatric

   I am a DNS in NYS. I belong the the National Association NADONA. They publish a magazine called the DIRECTOR. They also have local chapters. I live in a rural area so it is difficult to attend the local chapter meetings. We just started survey y...

4. NYC LTCF: Surveyed yet?

   catskillrn replied to Talino's topic in Geriatric

   We have been waiting survey. Our 15 months is up on Friday. Have heard the hot topics from the central office are pain management, hydration and always fire drills. Deficiency free is rare- I only know 1 facility in my 3 county area who managed tha...

5. shift to shift report/staff assignments

   catskillrn posted a topic in Geriatric

   At our facility, everyone (aides and nurses) listen to a verbal report from the out-going shift charge nurse. Sometimes, this can be time consuming. How do other facilities handle report time? Also, the process of CNA assignments seems very time c...

6. staffing

   catskillrn replied to SYDNEY's topic in Geriatric

   I am a DNS in NYS. We have "minimum" staffing of 11 CNA's for day shift, 9 for evenings and 5 for nights.(These numbers are for the whole house- divided between the 2 units) We have 85 residents. It is becoming increasingly difficult to maintain t...

7. staging pressure ulcers

   catskillrn posted a topic in Geriatric

   how are you all staging your pressure ulcers? Is a stage 3 always a healing stage 3 until resolved? or is it a 3, then a 2, then a 1, then resolved? thanks!

8. cna assignments

   catskillrn posted a topic in Geriatric

   I am a DNS in an 85 bed facility. CNA recruitment and retainment is difficult. We practice primary caregivers- cluster assignments. This means a senior CNA has the same residents every day. Previously this meant quality, efficient care. However,...