Hey - My name is Cathy - preparing to go to my fifth summer at Camp Sea Gull, a sailing YMCA camp along the NC seaboard. We take care of >1000 campers/counselors at a time, it is really alot of...
When a child comes in complaining of a tummy ache/head ache, immediately check temp and pulse - great indicators of heat exhaustion. Remember that the pulse will elevate faster than the temp, so it's...
CoachCathy replied to iLovemyJackRT's topic in Camp
Camp nursing is great! I've worked at a YMCA camp for the past four years, and look forward to the summers every year. It's a great bridge for school nurses. I work at Camp Sea Gull. We have 800+...
CoachCathy replied to nrsnangel's topic in Geriatric, LTC
A better idea than to try to back track like your facility did is to "freeze" the chart after an unexpected death. We do that at our facility - we use a dummy nurses note for the charge nurse that...
CoachCathy replied to Vicki30CNA's topic in Geriatric, LTC
In addition to the activities listed above, we try to have a "major" activity each month. (Our activity department is wonderful) We have a "senior prom" in May, where the local single Marines escort...
Rhona - you also have to remember that on night shift, most of the residents are asleep and may not need to be changed q2h. If the resident is dry, then only turning and repositioning is needed. Back...
In our area, you can see staffing at 8-12 patients on days, 12-15 patients on evenings and 15-20 patients on nights. We strongly inform our staff to use the "lift alerts" to protect their backs....
CoachCathy replied to caring worker's topic in Geriatric, LTC
I agree with the earlier post that you might have a meeting to help sort through some of the "issues". I would suggest (and this is from experience) that you make sure - if you have a meeting- that...
CoachCathy replied to moonshadeau's topic in General Nursing
I TOTALLY understand about crazy family members. I, too, work in long-term care. Many nurses at the hospital turn up their noses at LTC nurses, but truly the stresses are of the same level, just a...
Wow, sounds like you had one heckuva night! What you may want to first see, when looking at the staffing, is were there call-outs, etc. Once in a while working with less-than-minimal staffing can...
In our facility, the QI must be an RN with two years LTC experience. We have training within our corporation for QI, but most of it is OJT. UR is primarily handled by our Medical Records Dept, with...