zuchRN

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 patients, but as it turns out, it is the easy part. I wo...

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 take patients because of decreased bp, despite bein...

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 is my first week doing agency...I have never worked...

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 any good suggestions on things that really capture y...

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 other and he said she said stuff. What a collosal w...

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 facility which is higher than the proposed state minimum...

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 is obviously too much work if one does develop!!! ...

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, antipsychotics, CMI?

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 than strengthening or endurance exercises. we have...

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 to satisfy the needs for surveys and is the least t...

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 you are doing things correctly...some bs like that, ...

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 being used in combination...Just anopther thought...

let me try again. Deadend, It sounds like to me that you and the don do not have a good working relationship. I am a DON. I have an ADON, SDC, Wound specialist, medical records and redstorative nurse. I have very set parameters for everyone. My...

deadend:

I was wondering if anyone is involved with a facility that practices self scheduling? If so, can someone tell me how it works?

Thank you for all of the wonderfule ideas! I appreciate it. If you have any others, please let me know

Does anyone have any creative and fun ways to encourage and enforce good turning and repositioning in a long term care facility. I want to do something that is fun and really gets all staff involved. Any ideas or thoughts woul;d be welcome.

We have a similar program already in place. It is called "you're one in a million." I have thoroughly explained it in another thread entitled "retention/awards" (or something similar to that). I just want everyone to be on board with the signi...

I know that it is not exactly fun. I know that it is serious and part of the job. The in-services have been done and the pictures have been shown. I am the DON of a 104 bed facility and we have 1 pressure ulcer. The aids and nurses do a good job f...

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 through HH gregg for 49$. I love it and it works well. ...

We do not check personal references as this is a "fluff" reference. who in the world is going to list a personal reference that is going to say negative things? It is not an EEOC violation to choose who I inteview based on the application. The...

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 development cordinator and myself have developed a program ...

Wow- all this discussion stemming from the question of where did the work ethic go. Even though there are at will laws... there really is no such thing. When someone is termed, you have to go through multiple scenarios. The last DON position ...

l.rae: at no point did I say I cannot handle my staff. It is not about "handling " staff. It is about working together to create a better outcome. I only want the best for the residents. That is why I audit the charts, check treatments and educ...

I hear you Chained. I just started at my facility about 6 months ago. It is tough going. No matter what I do, there are those people who say, "she can just get on the floor and do it herself." Or you have those who ask for help....CONTINUALLY. ...