If any of you DON's out there can help me out, I'd really appreciate it. I am currently the Nurse manager of a 30 bed dementia unit in a LTC facility in NY. We total 126 beds, there are 2 other Nurse Managers and a MDS coordinator, as well as a new...
whoamiRN replied to LVNwannaBE2007's topic in General Nursing
You did everything you thought was best for that resident at the time of the incident. This is how we ALL learn in the nursing field. good for you for taking the initiative. Just be careful increasing the 02 on a COPD'er. Some can tolerate, some c...
whoamiRN replied to changeofpaceRN's topic in General Nursing
I have worked all 3 shifts in both long term and acute care. I really liked 3-11 shift the best before my children were in school. i liked that it was still busy, but the management and "office" staff left at 4pm, so there wasn't the mad rush to ge...
We have a resident like this on my unit. After r/o all possible physiologic problems (masses, constipation, hemmorhoids, etc) we now just give her some surgi-lube and a glove. Gross, but she did it at home for years prior to admission. You can't t...
I think LTC would definately win this one. We have those who push it in their sleep, those who pull it from the wall and wander around with it and those who use it like a microphone or a telephone, holding the button up to their mouth and talking in...
Some pet peeves from LTC: 1) Not cleaning up after your self on the med cart or in the med room., and leaving it empty and unstocked for me when I come on duty. 2) "Forgetting" that someone fell or that the MD is away and the PA is on call this wee...
I guess that's my job, except I don't have to train staff or have them do "groups". This seems almost contraindicated to me as many Alzheimer's do very poorly when there are more than a few people involved. We do a lot of 1:1 interaction, sensory s...
I'm not sure what an "Alzheimer's Director" is. Is that like the Nurse Manager? I manage a 30 bed Alzheimer's and dementia unit, but I'm not sure if it's the same thing.
whoamiRN replied to Inquisitive one's topic in Geriatric
At my facility, wecome up with a theme for Nursing Home Week and develop Activities for staff and residents arouond that. For example, we had "Around the World", and each unit was a different country, with decorations and food and costumes. We also...
Pretty much like greenjanell said, we do CPR and call 911, and it doesn't happen too often because 90% of our residents are DNR! ACLS cert. isn't really an option as LTC has different regs than acute care and we would be unable to initiate some of th...
whoamiRN replied to TraumaInTheSlot's topic in Emergency
No from the ER, but an elderly woman called on a Saturday at my LTC telling me her husband had "Oldtimer's", so he needed to come to the nursing home. along the same lines, we live in a rural area, and many of the CNAs know each other and get their ...