Catsrule16

Catsrule16 RN

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All Content by Catsrule16

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

    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 at those results to see how often the state comes...
  2. Does "the state" visit your facility often?

    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 an Action Plan for Quality Improvement yearly. Th...
  3. Volunteer Nurses Needed for Hurricane Emergency!

    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 personnel worker page the office of the surgeon ge...
  4. pt sign POA against will

    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 would see a signature from an employee and imply that...
  5. Relationships between spouses

    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 for suggestions. If you don't protect the resident,...
  6. Yikes! Another bad observation at an LTC facility

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

    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 order.... DOCUMENT everything! Document on the cogni...
  8. What can be done??

    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 charged for it, that is fraud. Has the facility had t...
  9. Do the state inspectors ever show up on noc shift?

    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 on a sunday at 9:30 AM and extended a survey throug...
  10. Is this understaffing (or is it me?)

    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 residents 3rd shift (11-7) CNAs 1 to every 22 residen...
  11. Briefs at night???

    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 outcomes, good or bad from leaving briefs off while i...
  12. Prioritizing "Medical" Diagnoses

    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 what is going on with the resident? Is there life in...
  13. Not me!

    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 Accreditation for LTC facilites are good fro mark...
  14. Not me!

    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 Certification and Licensure Agencies. I also kept...
  15. Manor Care

    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 resident
  16. CNA Patient Ratios?

    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 residents
  17. Here's a link to what ANA has done. http://www.nursingworld.org/news/ananews.htm#overtime
  18. I DON"T WANT COMP TIME. I have two jobs, one with the state enforcing health regulations in LTC , the other at a local hospital keeping my clinical skills up to date every other weekend. For the state, anything I work over 37.5 hours a week is given ...
  19. Overtime rules pass House

    OK... Here is the letter I sent to my Senators. Don't know if it will help... "A bill recently passed in the House regarding overtime. I am a member of a group of people that was included in those that should be excempt from being eligble for overti...
  20. What are the Most Common Emergencies in Long-Term Care?

    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 Skilled Nursing Facilities. Falls with injuries, COPD ...
  21. greenwood, south carolina

    Guess you need to live there for a while to learn to appreciate the charm this town has. While I don't live there, I have a friend who does, on the lake nearby. RN2007, I included a link to Greenwood Today website. Maybe you can catch up on what has...
  22. greenwood, south carolina

    Greenwood is a COLLEGE TOWN. Lander University. Started out as a liberal arts college. It now has a BSN program. While it may only have the one hospital, it's near a major lake. The historic downtown area is really nice. Wonderful places to eat as we...
  23. Check out this site. 8 pages of drug calculations books came up on the search for me. http://www.fetchbook.info/
  24. "The View" insults 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 offended that a rival broadcasting company did. Copied...
  25. "The View" insults 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 good. Leaving the show was a great move for her. Her...