PammyRN,CEN

90k in ohio... I wouldn't take a dime less

me too! I am in the start up and cannot seem to get any guidance..any help is appreciated

I sent you a pm

Ask 911 what time their strip says if they call the code at the facility, this will be the time of death. In ltc we are only allowed to document that their is no bp, pulse or respirations usually validated by 2 nurses. Remember scope of practice!

If their code status is full code you must start CPR notify 911 that you have someone in cardiac /cardiopulmonary arrest AND CPR is in progress. Even if it appears that they are very dead you must start CPR. Some facilities have received Immediate Jeopardies because nurses did not start CPR upon finding someone who was a full code. This is very bad for you and the facility. Read your policy well. Some policies state that someone remains with the patient, a facility was cited because staff did not start CPR and they dud nit follow policy on starting CPR nor did they have the nurse stay with the patient. Know who on your assignment is a full code make knowing this a priority for your daily practice. Ensure you know that the crash cart is ready to go on your shift! I have entered a facility and began checking crash carts and the first one took me an hour to clean and then oxygen didn't work went thru 2 tanks before getting it to work. No yaunkers or French sx caths on cart. know where stuff is and ensure it works!

I'd like a copy to :) thanks

Thank You!

I am begining to review for this exam and am using ANCC Gerontological Nursing Review Book. Not sure when I am going to set a test date.

I think it's important that all entities enter their own information. Some places like to dibtheires on paper and hand it tobrhe mds nurse to input. I dropouts that, mds nurse thanked me... She didn't realize how thin she was spread nor how much time she spent doing others work.

Exceksior is a college Rue, Chancellors and College Network are publishing companies... you do not get a degree from a publisher and you can get the study items second hand much cheaper imho. I am an excelsior student.

Do you have this type of spreadsheet that you can share?

Well I am still on call 24/7 M -F for staffing. There is a weekend on call rotation in place so that helps. I am also in the on call Holiday rotation. I have been doing this for about a year and I am tired. I usually have 2 MDS nurse but am down 1 and have been for 3 months. Big load generally 25-35 Medicare. It is crazy right now. I think when our MDS coordinator comes back it will be able to implement an on call rotation for staffing. I am implementing something. Any suggestions?

Do you have a 24 Hour report sheet that a supervisor could use to track changes for the building? Need things such as I&A, skin, deaths, IV's, weight loss, abnormal labs, bruises, unknown origins, state reportables, ....etc... if anyone has anything to share I would appreciate it.

I am in the process of removing alarms from our list of fall interventions. As they don't really prevent falls but alert us to the unassisted ambulation attempt. I am just reviewing first the ones that haven't fallen in the recent past and even for those who have..obviously this intervention is not effective. IMHO it seems to confuse the resident even more.

Oh I hear you loud and clear... we had 2 on fluid restriction... yes only 2 for clarity it was two....we were cited inserived by corporate, corrected and inserviced by me...they still didn't do what they were inserviced on...bang your head.....luckily we hadn't reached date certain yet...grrrrrrrrrrrr you can lead em to water but can't make em drink it.