zuchRN

zuchRN

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All Content by zuchRN

  1. New Grad-RN just hired into PACU

    zuchRN replied to RN*06's topic in PACU

    I think you will love recovery. I have been working it for a year now after working in long term care for 13 years. If I can adjust, anyone can!!! I was really apprehensive about extubating...

  2. post op blood pressures

    zuchRN posted a topic in Operating Room

    I was just wondering what your thoughts are on BP post op. I work in stage one PACU. Some of our patients have low bp's for various reasons. The last 2 days, I have had 3 ortho nurses not want to...

  3. put me on ccu

    zuchRN posted a topic in Agency Nurses

    I picked up a night shift at our local hospital. I was placed on CCU. The agency told the hospital that I was able to do Coronary Care.....WELL, I have been a DON in LTC for the last 7 years, this...

  4. opinions on in-services

    zuchRN posted a topic in Geriatric, LTC

    What is it that people like or dislike about in-services? I frequently do the in-servicing and have been experimenting with different types of presenting styles and activities. I would appreciate...

  5. What can we do to improve working conditions in Nursing homes?

    zuchRN replied to Destinystar's topic in Geriatric, LTC

    Well said Triage and southern. I agree whole heartedly that professional nursing staff does not demand the respect they deserve. I have had to talk with nurses about gossiping and not liking each...

  6. What can we do to improve working conditions in Nursing homes?

    zuchRN replied to Destinystar's topic in Geriatric, LTC

    In reading the replies to this post, I am hearing that mandated staffing ratio's are the "answer" to our problems. I encourage everyone to ask what their facility ppd is. We have a ppd in our...

  7. CSM guidelines for Pressure Ulcers

    zuchRN replied to CapeCodMermaid's topic in Geriatric, LTC

    Right now, we do weekly skin assessments on all residents. We rare;y deve;ope in-house pressure ulcers. I think we have had one in the last 6-months. obviously, our focus is prevention, because it...

  8. Do DON,Adminis.,Admissions get bonuses?

    zuchRN replied to Shell5's topic in Geriatric, LTC

    would you feel the same way if bonus's were based on clinical factors rather than keeping costs down? What if the measurement for bonus was a percentage of prussure ulcers, weight loss, restraints,...

  9. Fall Prevention

    zuchRN replied to oceanblue's topic in Geriatric, LTC

    we have now implemented a walk to dine program for appropriate individuals. I was also just reading a study from medscape that was saying that balance activities in restorative decreased falls more...

  10. I.V. flow sheets

    zuchRN replied to dmrn722's topic in Geriatric, LTC

    I have a good sheet. it is for site assessment. If you would like a faxed copy, you can e-msil me @ [email protected]. I am a DON and have seen and utilized many different forms. This one seems...

  11. Not me!

    zuchRN replied to Town & Country's topic in Geriatric, LTC

    I know that if you ask your DON for a copy of the regs and tell her that you just wanted a copy so you can make sure you are following the rules...or you want to brush up for survey to be sure that...

  12. Advice please!!

    zuchRN replied to sashibeak's topic in Geriatric, LTC

    I would also like to point out that this resident may be on depakote for behavior management issues. We are using depakote and klonopin more and more for behaviors, this may explain the low dose and...

  13. Nursing Retention/Award Ideas

    zuchRN replied to Colorado1's topic in General Nursing

    The "money" is printed on our copy machine. The funds for the Treasure chest come from petty cash and whatever other budget the administrator sees fit. We also are able to buy the dvd players...

  14. Nursing Retention/Award Ideas

    zuchRN replied to Colorado1's topic in General Nursing

    We have implemented a program that actually has worked wonders at the facility I work at. I work in long term care. This program benefits all employees and not just nursing. The staff...

  15. Mds Job

    zuchRN replied to Purple_RN's topic in Geriatric, LTC

    oregon--- MDS is a minimum data set. The MDS is ahuge thing for long term care. basically you have a huge amount of questions to answer...everything from does the resident wear glasses, is there...

  16. Charting/Nurses Notes

    zuchRN replied to StormyCD's topic in Geriatric, LTC

    At my facility I have a program in place called aler charting --I have found that no matter how much inservicing I do on charting accurately and thouroughly it doesn't happen. I know that it doesn't...

  17. Pre-setting meds....

    zuchRN replied to mtgirl63's topic in Geriatric, LTC

    Pre-setting meds is always a bad idea. It is the cause of more med errors. For those of you unable to complete a med pass in the allotted time, have you talked to your DON about changing med pass...

  18. nurse aides rules

    zuchRN replied to reylem's topic in Geriatric, LTC

    I have been reading the posts here and felt compelled to reply to what everyone has said. I have a slightly different perspective than some of the others who have poated. I can look at this...