Thanks Doodlemom, Doc upped them to 3 times a day at the higher dose for now. Slow and steady is his advise. You can do 4 times a day, but shouldn't go
Right now we have one nurse who does the 7 day on 7 day off thing for on call. On her week off we share on call. There are 2 of us who are full time, one is part time (4 days a week, who for a while...
The B & O suppositories, at 15mg opium, helped at first, but then seemed to not work as well. She continues to have the spasms and still has underlying pain. I talked to my medical director and...
curiousauntie replied to remched's topic in Geriatric, LTC
And that is the reason the I left LTC and now work Hospice. I LOVED my residents. But as a unit manager, all of my time was doind MDSs, care plans and reports that Corp. wanted done, following up of...
curiousauntie replied to ktwlpn's topic in Geriatric, LTC
I had a state survayor tell me that a one piece jumpsuit with a zipper in the back with a velcro cover over the zipper pull was a restraint...because it stopped the resident from taking off her...
curiousauntie replied to ktwlpn's topic in Geriatric, LTC
Boy, I wish I had worked at those facilities...We always had a bit of an idea when the survey was due, but since there is a 3 month window before and after the date they came last year, we never knew....
After 24 years in LTC, I know a lot about the federal regs, medication use etc. I am now working in hospice and most of the nurses that I work with have never done LTC nursing in any type of facility....
Where I work if the case managers take call, they get $50 a night, and $100 for Sat or Sun plus mileage door to door. I just started as the only "on-call" nurse. I work 5pm to 8:30am Mon-thur then...
curiousauntie replied to wefdm21's topic in Geriatric, LTC
PLEASE...Do not think this is a "normal" long term care facility. This is a HORRIBLE place and you should, as another post said, run, do not walk, out of there. I have work LTC for 21+ years, and...
curiousauntie replied to Inquisitive one's topic in Geriatric, LTC
Our shifts are a bit different...6-2 2-10 10-6, so the evening shift comes in at 2, so they take dinner break before the residents eat. We also have what is called desk duty. The cnas take 15 minute...
curiousauntie replied to RNOTODAY's topic in Geriatric, LTC
In the LTC factility where I work, we have an AED and all of the nurses are AED/CPR certified. But we have at least 50% of the residents with DNR orders and at least half of those also have DNH (do...
curiousauntie replied to TheCommuter's topic in Geriatric, LTC
In the area that I live and work, most "rehab" units are in long term care facilities with either a hall or district that is kept for the "short-termers", the rest of the unit being long-term care....