Catsrule16

Catsrule16 RN

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All Content by Catsrule16

  1. Does "the state" visit your facility often?

    Catsrule16 replied to MelodyRNurse's topic in Geriatric, LTC

    There is no way to tell from a website which facilities are focus facilities. Facilities are supposed to put survey results readily accessible to anyone who may want to view them. You may want to look...

  2. Does "the state" visit your facility often?

    Catsrule16 replied to MelodyRNurse's topic in Geriatric, LTC

    State Survey Agencies have facilities that are known as "Special Focus Facilities" that are surveyed every 6 months. Usually a poor performaing facility. This has been happening since 1999. CMS issues...

  3. Volunteer Nurses Needed for Hurricane Emergency!

    Catsrule16 replied to glascow's topic in General Nursing

    check the this site for volunteering as an unpaid hhs employee eligible for workers comp coverage and reimbersement for some expenses. http://www.hhs.gov/katrina/ health care professionals and relief...

  4. pt sign POA against will

    Catsrule16 replied to merricat's topic in Geriatric, LTC

    It is a good practice for facility employees not to sign this kind of legal document because of the possible financial gains through mishandling of funds that could cause problems. A good attorney...

  5. Relationships between spouses

    Catsrule16 replied to CoffeeRTC's topic in Geriatric, LTC

    Sounds like this spouse needs to be involved in a dementia support group. Adult protective services should be contacted as well. Be the advocate for the resident. Try contacting your local Ombudsman...

  6. Do the state inspectors ever show up on noc shift?

    Catsrule16 replied to Blackcat99's topic in Geriatric, LTC

    The term body buddy is not one I have herad before. Sounds like you are refering to bolsters that keep a resident from rolling out of bed. If a resident doesn't want it, even if it is a physician's...

  7. What can be done??

    Catsrule16 replied to TexasPoodleMix's topic in Geriatric, LTC

    If the facility can't get the psyche back in to see her, file a complaint against him with the local Medical Association. Did he get paid by Medicare for his visit to her? if he didn't see her and...

  8. Do the state inspectors ever show up on noc shift?

    Catsrule16 replied to Blackcat99's topic in Geriatric, LTC

    As the info under my username implies, I am a State Surveyor. I have been known to enter a facility at 10:30 PM for a complaint investigation and stay till 2:00 AM to return at 9:00 AM. I've gone in...

  9. Is this understaffing (or is it me?)

    Catsrule16 replied to Town & Country's topic in Geriatric, LTC

    In SC this would be inadequate staffing. Minimum Staffing requirements: Nurses all shifts 1 for every 44 residents 1st shift (7-3) CNAs 1 for every 9 residents 2nd shift (3-11) CNAs 1 for every 13...

  10. Briefs at night???

    Catsrule16 replied to AlixCoastRN's topic in Geriatric, LTC

    This practice has also been known to reduce the incidence of UTIs. The wet brief may act as an incubator for the normal flora on the skin to grow in and cause an infection. Have to look at all the...

  11. Prioritizing "Medical" Diagnoses

    Catsrule16 replied to sparrowSN's topic in Geriatric, LTC

    Apparently your Clinical Instructor has no idea how a NH operates. Quality of Life and Quality of Care are the two most important areas of focus in a NH. Are they reaching the maximum potential for...

  12. Not me!

    Catsrule16 replied to Town & Country's topic in Geriatric, LTC

    LTC is not regulated by JCAHO. CMS contracts with each state to survey healthcare facilities. A LTC facility can be certified to receive Medicare/Medicaid funding without being JCAHO accredited. JCAHO...

  13. Not me!

    Catsrule16 replied to Town & Country's topic in Geriatric, LTC

    Does your state have staffing requirements? Every time I worked in a situation where I didn't have enough CNAs or enough Nurses to meet the minimum staffing requirements, I reported my facility to the...

  14. Manor Care

    Catsrule16 replied to Peggyd's topic in Geriatric, LTC

    Manor Care changed their name in South Carolina to Heartland. Jokingly refered to as Heartless. Lots of problems at one facility. VA pulled their contract with them as well as all their

  15. CNA Patient Ratios?

    Catsrule16 replied to StacyC417's topic in Geriatric, LTC

    Staffing ratios in SC 1st shift 1 CNA to 9 residents 2nd shift 1 CNA to 13 residents 3rd shift 1 CNA to 22 residents Nurses 1 - 44

  16. What are the Most Common Emergencies in Long-Term Care?

    Catsrule16 replied to dwoodruff's topic in Geriatric, LTC

    I think I answered this question in the Rehab Nursing Forum but here goes. As a State Surveyor, these are what I find in chart reviews as major causes for recent hospitalizations of residents in...

  17. "The View" insults nursing

    Catsrule16 replied to SandySummers's topic in General Nursing

    Sent this email to the Today Show. Maybe another broadcasting company may envoke a response. Hello; My name is Margaret. I am a nurse. Wanted to tell you guys of an incident that has many nurses...

  18. "The View" insults nursing

    Catsrule16 replied to SandySummers's topic in General Nursing

    Anyone ever wonder why the Asian-American cast member left the program? I believe that she wanted to do more serious reporting. I have seen her work on women's issues in the middle east. She's very...

  19. mds productivity

    Catsrule16 replied to scdon's topic in Geriatric, LTC

    I have been an MDS coordinator for a few years too. As is with the rest, the length of time required to complete depends totally on how much you know about the person, how long you have been doing...

  20. Mds Job

    Catsrule16 replied to Purple_RN's topic in Geriatric, LTC

    I worked as an MDS nurse. I liked the investigation part of the job but the case load was entirely too much. I worked in 2 different facilities as an MDS coordinator. A 44 bed hospital based unit and...

  21. Frequent Faller

    Catsrule16 replied to StormyCD's topic in Geriatric, LTC

    Wow, Night owl! Had they ever thought about getting a lazyboy type recliner to let him sleep in? Seemed like a logical option for this resident. I have seen a recliner used for someone who had...

  22. Legal Signature

    Catsrule16 replied to netrn's topic in Geriatric, LTC

    Your best bet would be to contact your local nursing board and get their opinion or advisory on the use of rubber stamp signatures as well as facility

  23. Frequent Faller

    Catsrule16 replied to StormyCD's topic in Geriatric, LTC

    Have you thought about using a bicycle helmet to reduce the risk of head injuries? I realize the resident has the "right" to be free of restraint but the resident also has the "responsibility" to...

  24. Nursing Home Activities

    Catsrule16 replied to Vicki30CNA's topic in Geriatric, LTC

    I travel to a lot of nursing home and I see a lot of activities. Recently saw a memory bag in use. The bag consisted of of things that dealt with a theme... boy's bag, baby bag, fishing bag, etc. I...

  25. Should I stay at this facility???!!

    Catsrule16 replied to wendyd's topic in Geriatric, LTC

    Sorry you had such a day. In South Carolina, there are some minimum staffing requirements set by the State. In SNF's for Nusres (RN/LPN) 1:44 1st shift CNA 1:9 2nd shift CNA 1:15 3rd shift CNA...