PammyRN,CEN

PammyRN,CEN

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All Content by PammyRN,CEN

  1. Salary

    PammyRN,CEN replied to CapeCodMermaid's topic in LTC: Directors, Assistant

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

  2. Started the agency, now what?

    PammyRN,CEN replied to LJ85's topic in Nurse Entrepreneurs, Innovators

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

  3. Started the agency, now what?

    PammyRN,CEN replied to LJ85's topic in Nurse Entrepreneurs, Innovators

    I sent you a

  4. Coding patient in LTC

    PammyRN,CEN replied to username33's topic in LTC: Directors, Assistant

    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...

  5. Coding patient in LTC

    PammyRN,CEN replied to username33's topic in LTC: Directors, Assistant

    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...

  6. Infection control logs

    PammyRN,CEN replied to texastea's topic in LTC: Directors, Assistant

    I'd like a copy to :)

  7. ANCC gerontology exam

    PammyRN,CEN replied to Freedom42's topic in Geriatric, LTC

    Thank

  8. ANCC gerontology exam

    PammyRN,CEN replied to Freedom42's topic in Geriatric, LTC

    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

  9. how to be an efficient MDS coordinator

    PammyRN,CEN replied to the_alchemist's topic in MDS Coordinator Information

    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...

  10. College Network vs. Rue vs. Excelsior

    PammyRN,CEN replied to Lockcuff's topic in Online Distance Learning

    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...

  11. how to be an efficient MDS coordinator

    PammyRN,CEN replied to the_alchemist's topic in MDS Coordinator Information

    Do you have this type of spreadsheet that you can

  12. Call schedule

    PammyRN,CEN replied to americanTrain's topic in LTC: Directors, Assistant

    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...

  13. New DON

    PammyRN,CEN replied to doitallnurse's topic in LTC: Directors, Assistant

    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...

  14. discontinuing pressure alarms

    PammyRN,CEN replied to sls73's topic in Geriatric, LTC

    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...

  15. Don't You Just Want To Scream?

    PammyRN,CEN replied to CapeCodMermaid's topic in LTC: Directors, Assistant

    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...

  16. Frequent Faller

    PammyRN,CEN replied to txdon's topic in LTC: Directors, Assistant

    has anyone went bed/chair alarm free? That is my task now to complete... Just wondering how some of you completed this? Please share your plan. Thanks,

  17. UPHD's

    PammyRN,CEN replied to txdon's topic in LTC: Directors, Assistant

    Capecod can you share your sheet? This was just discussed in my building this am and I need an action plan. Thanks for any

  18. State~!

    PammyRN,CEN replied to nghtfltguy's topic in LTC: Directors, Assistant

    BACK IN

  19. Please help setting up auditing tools

    PammyRN,CEN replied to teejayrn's topic in Quality Improvement

    I need help in this area also. Thanks to anyone who can

  20. State Tags

    PammyRN,CEN replied to txdon's topic in LTC: Directors, Assistant

    State and Feds. Okay we avoided the G and or IJ they were looking at citing harm but we escaped that. I have worked so hard since coming to this new building and received 11 F TAGS !!! It was a...

  21. State Tags

    PammyRN,CEN replied to txdon's topic in LTC: Directors, Assistant

    CapeCod is there a place for DON's to discuss tags and POC's? I know each state has different rules and regulations, just wondered if there was a place for to get help with writing the POC. Thanks....

  22. a state resurvey for an F tag?

    PammyRN,CEN replied to aiker31's topic in LTC: Directors, Assistant

    Is there a place to discuss cites and

  23. Bruits and Thrills??

    PammyRN,CEN replied to starr234's topic in Dialysis, Renal, Urology

    That is what I said... the surveyor asked me this question 3x... I told her the same thing each time... then later I think was she trying to lead me or trip me up??? Then I began to question my own...

  24. Bruits and Thrills??

    PammyRN,CEN replied to starr234's topic in Dialysis, Renal, Urology

    I would like to know if anyone has the answer to I know the dialysis patient has a bruit and thrill in the av fistula and this is to be assessed every shift. How about the patient that gets dialysis...

  25. DON Needs Suggestions

    PammyRN,CEN posted a topic in LTC: Directors, Assistant

    I am a fairly new DON been at it for a little over a year now. I have a large campus. My problem is we have had several falls with fractures. The fx's have occurred in various areas of the campus...