betts

While a nurse in Indiana, was caring for an elderly married couple w/o any children or immediate relations whom owned a very large farm which they offered me if I'd take care of them at home till they passed on.

If only we could w/o feeling ashamed! I cared for an elderly resident that was also a retired professor and extremely wealthy. She had decided upon her release to go on a cruise to the Greek Isles and asked if I would go as her private nurse with all expenses paid,$5000.00 spending money, clothing allowance,etc... My husband said DO IT! GO! Have Fun! At which point I thought him trying to be rid of me(not the case)but alas.....Integrity prevailed.

Q. What does HMO stand for? A. This is actually a variation of the phrase, "Hey, Moe!" Its roots go back to a concept pioneered by Doctor Moe Howard, who discovered that a patient could be made to forget about the pain in his foot if he was poked hard enough in the eyes. Modern practice replaces the physical finger poke with hi-tech equivalents such as voice mail and referral slips, but the result remains the same. -------------------------------------------------------------------------------- Q. Do all diagnostic procedures require pre-certification? A. No. Only those you need. -------------------------------------------------------------------------------- Q. I just joined a new HMO. How difficult will it be to choose the doctor I want? A. Just slightly more difficult than choosing your parents. Your insurer will provide you with a book listing all the doctors who were participating in the plan at the time the information was gathered. These doctors basically fall into two categories -- those who are no longer accepting new patients, and those who will see you but are no longer part of the plan. But don't worry -- the remaining doctor who is still in the plan and accepting new patients has an office just a half day's drive away! -------------------------------------------------------------------------------- Q. What are pre-existing conditions? A. This is a phrase used by the grammatically challenged when they want to talk about existing conditions. Unfortunately, we appear to be pre-stuck with it. -------------------------------------------------------------------------------- Q. Well, can I get coverage for my pre-existing conditions? A. Certainly, as long as they don't require any treatment. -------------------------------------------------------------------------------- Q. What happens if I want to try alternative forms of medicine? A. You'll need to find alternative forms of payment. -------------------------------------------------------------------------------- Q. My pharmacy plan only covers generic drugs, but I need the name brand. I tried the generic medication, but it gave me a stomach ache. What should I do? A. Poke yourself in the eye. -------------------------------------------------------------------------------- Q. I have an 80/20 plan with a $200 deductible and a $2,000 yearly cap. My insurer reimbursed the doctor for my out-patient surgery, but I'd already paid my bill. What should I do? A. You have two choices. Your doctor can sign the reimbursement check over to you, or you can ask him to invest the money for you in one of those great offers that only doctors and dentists hear about, like windmill farms or frog hatcheries. -------------------------------------------------------------------------------- Q. What should I do if I get sick while traveling? A. Try sitting in a different part of the bus. -------------------------------------------------------------------------------- Q. No, I mean what if I'm away from home and I get sick? A. You really shouldn't do that. You'll have a hard time seeing your primary care physician. It's best to wait until you return, and then get sick. -------------------------------------------------------------------------------- Q. I think I need to see a specialist, but my doctor insists he can handle my problem. Can a general practitioner really perform a heart transplant right in his office? A. Hard to say, but considering that all you're risking is the $10 co-payment, there's no harm giving him a shot at it. -------------------------------------------------------------------------------- Q. What accounts for the largest portion of health care costs? A. Doctors trying to recoup their investment losses. -------------------------------------------------------------------------------- Q. Will health care be any different in the next century? A. No, but if you call right now, you might get an appointment by then.

Q. What does HMO stand for? A. This is actually a variation of the phrase, "Hey, Moe!" Its roots go back to a concept pioneered by Doctor Moe Howard, who discovered that a patient could be made to forget about the pain in his foot if he was poked hard enough in the eyes. Modern practice replaces the physical finger poke with hi-tech equivalents such as voice mail and referral slips, but the result remains the same. -------------------------------------------------------------------------------- Q. Do all diagnostic procedures require pre-certification? A. No. Only those you need. -------------------------------------------------------------------------------- Q. I just joined a new HMO. How difficult will it be to choose the doctor I want? A. Just slightly more difficult than choosing your parents. Your insurer will provide you with a book listing all the doctors who were participating in the plan at the time the information was gathered. These doctors basically fall into two categories -- those who are no longer accepting new patients, and those who will see you but are no longer part of the plan. But don't worry -- the remaining doctor who is still in the plan and accepting new patients has an office just a half day's drive away! -------------------------------------------------------------------------------- Q. What are pre-existing conditions? A. This is a phrase used by the grammatically challenged when they want to talk about existing conditions. Unfortunately, we appear to be pre-stuck with it. -------------------------------------------------------------------------------- Q. Well, can I get coverage for my pre-existing conditions? A. Certainly, as long as they don't require any treatment. -------------------------------------------------------------------------------- Q. What happens if I want to try alternative forms of medicine? A. You'll need to find alternative forms of payment. -------------------------------------------------------------------------------- Q. My pharmacy plan only covers generic drugs, but I need the name brand. I tried the generic medication, but it gave me a stomach ache. What should I do? A. Poke yourself in the eye. -------------------------------------------------------------------------------- Q. I have an 80/20 plan with a $200 deductible and a $2,000 yearly cap. My insurer reimbursed the doctor for my out-patient surgery, but I'd already paid my bill. What should I do? A. You have two choices. Your doctor can sign the reimbursement check over to you, or you can ask him to invest the money for you in one of those great offers that only doctors and dentists hear about, like windmill farms or frog hatcheries. -------------------------------------------------------------------------------- Q. What should I do if I get sick while traveling? A. Try sitting in a different part of the bus. -------------------------------------------------------------------------------- Q. No, I mean what if I'm away from home and I get sick? A. You really shouldn't do that. You'll have a hard time seeing your primary care physician. It's best to wait until you return, and then get sick. -------------------------------------------------------------------------------- Q. I think I need to see a specialist, but my doctor insists he can handle my problem. Can a general practitioner really perform a heart transplant right in his office? A. Hard to say, but considering that all you're risking is the $10 co-payment, there's no harm giving him a shot at it. -------------------------------------------------------------------------------- Q. What accounts for the largest portion of health care costs? A. Doctors trying to recoup their investment losses. -------------------------------------------------------------------------------- Q. Will health care be any different in the next century? A. No, but if you call right now, you might get an appointment by then.

Mood and Emotional Behavior. Alzheimer's patients display abrupt mood swings and many become aggressive and angry. Some of this erratic behavior is caused by chemical changes in the brain. But certainly, it can also be attributed to the terrible and real experience of losing the knowledge and understanding of one's surroundings, causing fear and frustration that they can no longer express verbally. The following recommendations for caregivers may help reduce agitation: Keep environmental distractions and noise at a minimum if possible. (Even normal noises, such as people talking outside a room, may seem threatening and trigger agitation or aggression.) Speak clearly. Most experts recommend speaking slowly to an Alzheimer's patient, but some caregivers report that Alzheimer's patients respond better to clear, quickly spoken, short sentences that they can more easily remember. Limit choices (such as clothing selection). Offer a diversion, such as a snack or car ride, if the patient starts shouting or exhibiting other disruptive behavior. Simply touching and talking may also help. Maintain as natural an attitude as possible. Alzheimer's patients can be highly sensitive to the caregiver's underlying emotions and react negatively to patronization or signals of anger and frustration. Showing movies or videos of family members and events from the patient's past may be comforting. Although much attention is given to the negative emotions of Alzheimer's patients, some become extremely gentle, retaining an ability to laugh at themselves or appreciate simple visual jokes even after their verbal abilities have disappeared. Some appear not unhappy, but to be in a drug-like or "mystical" state focusing on the present experience as their past and future slip away. Encouraging and even enjoying such states may bring some comfort to a caregiver. There is no single Alzheimer's personality, just as there is no single human personality. All patients must be treated as the individuals they continue to be, even after the social selves have vanished. Appearance and Cleanliness. For the caregiver, grooming the Alzheimer's patient may be an alienating experience. For one thing, many patients resist bathing or taking a shower. Some spouses find that showering with their afflicted mate can solve the problem for a while. Often the Alzheimer's patient loses the sense of color and design and will put on odd or mismatched clothing. This may be very frustrating to a loved one, particularly since (certainly in the beginning) embarrassment is a common and painful emotion experienced by the caregiver. It is important to maintain a sense of humor and perspective and to learn which battles are worth fighting and which ones are best abandoned.

Mood and Emotional Behavior. Alzheimer's patients display abrupt mood swings and many become aggressive and angry. Some of this erratic behavior is caused by chemical changes in the brain. But certainly, it can also be attributed to the terrible and real experience of losing the knowledge and understanding of one's surroundings, causing fear and frustration that they can no longer express verbally. The following recommendations for caregivers may help reduce agitation: Keep environmental distractions and noise at a minimum if possible. (Even normal noises, such as people talking outside a room, may seem threatening and trigger agitation or aggression.) Speak clearly. Most experts recommend speaking slowly to an Alzheimer's patient, but some caregivers report that Alzheimer's patients respond better to clear, quickly spoken, short sentences that they can more easily remember. Limit choices (such as clothing selection). Offer a diversion, such as a snack or car ride, if the patient starts shouting or exhibiting other disruptive behavior. Simply touching and talking may also help. Maintain as natural an attitude as possible. Alzheimer's patients can be highly sensitive to the caregiver's underlying emotions and react negatively to patronization or signals of anger and frustration. Showing movies or videos of family members and events from the patient's past may be comforting. Although much attention is given to the negative emotions of Alzheimer's patients, some become extremely gentle, retaining an ability to laugh at themselves or appreciate simple visual jokes even after their verbal abilities have disappeared. Some appear not unhappy, but to be in a drug-like or "mystical" state focusing on the present experience as their past and future slip away. Encouraging and even enjoying such states may bring some comfort to a caregiver. There is no single Alzheimer's personality, just as there is no single human personality. All patients must be treated as the individuals they continue to be, even after the social selves have vanished. Appearance and Cleanliness. For the caregiver, grooming the Alzheimer's patient may be an alienating experience. For one thing, many patients resist bathing or taking a shower. Some spouses find that showering with their afflicted mate can solve the problem for a while. Often the Alzheimer's patient loses the sense of color and design and will put on odd or mismatched clothing. This may be very frustrating to a loved one, particularly since (certainly in the beginning) embarrassment is a common and painful emotion experienced by the caregiver. It is important to maintain a sense of humor and perspective and to learn which battles are worth fighting and which ones are best abandoned.

passing thru, What I've got posted at the nurses station: This is the story about four people named Everybody, Somebody, Anybody, and Nobody: There was an important job to be done and Everybody was sure that Somebody would do it. Anybody could have done it, but Nobody did it. Somebody got angry with that, because it was Everybody's job. Everybody thought that Anybody could do it, but Nobody realized that Everybody wouldn't do it. It ended up that Everybody blamed Somebody, when Nobody did what Anybody could of done.

passing thru, What I've got posted at the nurses station: This is the story about four people named Everybody, Somebody, Anybody, and Nobody: There was an important job to be done and Everybody was sure that Somebody would do it. Anybody could have done it, but Nobody did it. Somebody got angry with that, because it was Everybody's job. Everybody thought that Anybody could do it, but Nobody realized that Everybody wouldn't do it. It ended up that Everybody blamed Somebody, when Nobody did what Anybody could of done.

FAQ's Q. What is Nursing? A. Nursing is the fine art of caring for patients who know everything. Nurses spend years of their life honing their clinical skills and expanding their knowledge base so that when presented with a clinical problem, the patient can tell them not to worry, they have something in the medicine cabinet at home to take care of that.... Nursing also requires tremendous skill in filling water pitchers and adjusting bedside televisions. Q. Do nurses always respect the Doctor? A. Absolutely (Tee-hee) Q. Nursing School is all about making beds and emptying bedpans, right? A. Yes. The primary function of nursing school is to instill a sense of pride in forming *perfect* corners at the bottom of the bed. In my years of nursing practice I've also taken pride in my bedpan emptying skills. All those lectures on physiology, biochemistry, anatomy, pharmacology, psychology and etc. were primarily to kill time between bed bath classes. Q. How do nurses keep their uniforms so white? A. I'd tell you but I'd have to kill you. Q. Are women in hospitals all nurses? Are all men Doctors? A. Yes. We do that so you'll know the difference. Q. Will the nurse fluff my pillow? A. Yes, he will. Q. Why do I always have to wait for the nurse to come into my room? A. There are two possible causes for the nurse not coming to the room immediately. First, you may not be using the call bell enough. Try hitting the call bell as soon as the nurse leaves the room. Nurses love the feeling of being needed that this evokes. Second, the nurse may not have enough patients to keep his/her attention focused solely on you. Please let the nurse know that you'd like his/her undivided attention for the entire shift. Q. How do nurses read Doctor's handwriting? A. Years of meditation and incantations. Experience in reading sheep entrails is helpful before trying our skills on Doctors' handwriting. Q. Nurse...what should I do? It hurts when I do this. A. Don't do that. Q. Why are Nurses frequently seen with pizza boxes at the Nurses Station? A. A Pepperoni Pizza supplies all of the four basic food groups, the dairy group, the bread group, vegetable group and the meat group. Q. Why are Nurses never actually seen eating the pizza? A. Nurses don't actually have time to eat; they just wish to be good role models for Healthy Nutrition. This FAQ is based on years of unscientific research and in no way should be taken seriously.

http://cctc.commnet.edu/grammar/spelling.htm

1. Has to work hard. 2. Has to work at great depths. 3. Has to work upside down. 4. Has no ventilation or air conditioned work environment. 5. Has to work in a high humidity environment. 6. Has to work at high temperatures. 7. Does not get weekends and holidays off. 8. Does not get time off after extra hours of work. 9. Has a hazardous work environment that often causes illness. Management Reply. Request denied for the following reasons. 1. Does not work 8 hours straight during any work period. 2. Does not answer immediately to all requests. 3. Co-workers often unsatisfied by job performance. 4. After a short activity period, falls asleep. 5. Shows no evidence of fidelity at the workplace. 6. Works better alone than with others. 7. Does not work at all unless pushed from behind. 8. Does not leave the workplace clean after finishing work. 9. Sometimes leaves work too early.

Removal of Arterial/Venous Catheter Sheaths by Registered Nurses This statement was adopted by the Board Of Nursing: A registered nurse may perform functions beyond the basic educational preparation, provided the functions are recognized by the Board as being within the legal scope of nursing practice and the nurse has successfully completed an organized program of study, including clinical practice. It is the position of the Board of Nursing that it is within the scope of practice of qualified registered nurses to remove arterial/venous catheter sheaths as directed by the physician in accordance with the following guidelines: 1. Authorization to perform the procedure limited to RNs certifed in ACLS (Advanced Cardiac Life Support) or comparable course, and with experience and documented competency in critical care nursing. 2. Successful completion of an organized program of study which includes didactic classroom instruction followed by supervised clinical practice. 3. Continuous electrocardiographic monitoring of the patient. 4. Physician physically present in the agency to respond to emergency codes.

http://www.ashevillechamber.org/ http://www.asheville-nc.com/ Virginia is beautiful but,being the ONLY 'Employment at Will State'; which means you can be fired for any reason or no reason at all...Asheville,Hendersonville,Jacksonville,Cherryville,Lake Lure,etc...excellent!

Reforms in Place? Remember, this has been several years in coming to the attention of the public and courts,what if anything did they do to assure "Quality of Care"? One thing is fire nurses that weren't "Game Players" or any caregiver that reported problems with their policies and procedures. https://allnurses.com/forums/showthread.php?s=&threadid=16925&perpage=20&display=&pagenumber=1

Read my post; https://allnurses.com/forums/showthread.php?s=&threadid=16925

This occured in South Africa, and no-doubt in an impoverished facility. I've listed the Doctor's email,ask him.

Dr. Jason Wolfe... Continued: EMPLOYMENT HISTORY Dates Description Aug 1993 - Jan 1994 HO General Surgery. The Royal London Hospital, Whitechapel. (3 Months Cardiothoracic Surgery with Messrs Wood and Magee, and 3 months General and Plastic Surgery with Messrs Earlam and Niranjan). Feb 1994 - July 1994 HO General Medicine. Princess Alexandra Hospital, Harlow, Essex. (3 Months Chest Medicine & Care of the Elderly with Drs Waller and Morgan, and 3 months Cardiology and Care of the Elderly with Drs Milne and Ambepitiya). Aug 1994 - Dec 1994 Motorcycle tour of Europe. A six month trip travelling on my motorbike, taking in all the major sites of France, Spain, Portugal, Italy, Austria and the Czech Republic. I wrote a book about my adventures during these travels. Feb 1995 - July 1995 SHO Accident & Emergency Department. Princess Alexandra Hospital, Harlow, Essex. Consultant: Mr Keith Harvey. Aug 1995 - Jan 1996 Locum SHO posts in Accident & Emergency and Medicine. This was following a motorcycle accident which injured my thumb and prevented me from taking up a surgical post whilst it healed. 1 Year Surgical Rotation at Hammersmith Hospital, London. Feb 1996 - July 1996 SHO in Trauma & Orthopaedics. Hammersmith Hospital Rotation. Consultants: Messrs Evans, England, Coombs & Strachan. Aug 1996 - Jan 1997 SHO in General & Hepatopancreaticobiliary Surgery. Hammersmith Hospital Rotation. Consultants: Professor RCN Williamson & Mr NA Habib 2 Year Surgical Rotation at Princess Alexandra Hospital, Harlow. Feb 1997 - July 1997 SHO in Orthopaedics & Back Surgery at PAH. (Consultant - Mr Hussein) Aug 1997 - Jan 1998 SHO in Orthopaedics & Plastics at PAH. Orthopaedic Consultant - Mr Hill, Plastics Consultant - Mr Alvarez Feb 1998 - July 1998 SHO Accident & Emergency Dept at PAH. Consultants - Mr Keith Harvey & Mrs Judith Fisher Aug 1998 - Jan 1999 SHO Ophthalmology at PAH. Consultants - Mr Fawcett, Miss Flaye & Mr Vempali Following that :- Feb 1999 - May 1999 Locum SHO posts in Surgery, Plastics, Orthopaedics, A&E and Ophthalmology. June 1999 - Feb 2000 SHO Plastic Surgery at the St Andrew's Unit, Broomfield Hospital, Chelmsford. (Including various elements of General Plastics, Burns Unit, and Hand Surgery). Feb 2000 - May 2000 Full time work producing a commercial medical application called 'MediNotes'. This program is already a best seller on the EPOC platform. June 2000 - Nov 2000 Locum Specialist Registrar (LAS) in Accident & Emergency Medicine at Southampton General Hospital. Consultants - Mr Heyworth & Mr Clancy. Nov 2000 - July 2001 SHO Anaesthetics at Southend General Hospital. Many consultants, including Dr Woodham (Postgraduate Clinical Tutor) July 2001 - Sept 2001 SHO Intensive Care at University Hospital Lewisham. Consultants - Dr Van Heerden, Dr Barrera, & Dr Mostert. -------------------------------------------------------------------------------- SUMMARY OF EXPERIENCE AND FUTURE AIMS My future career intention is to specialise in Accident & Emergency Medicine. At the moment I am working as an Intensive Care SHO at University Hospital Lewisham. I have always enjoyed the wide variety of cases which can be seen in the A&E setting and relish the speciality's proclivity for acute cases. I am a member of the British Association for Accident & Emergency Medicine. Up to this point, I have pursued a higher qualification in surgery as a stepping stone to the registrar grade in A&E. I have nevertheless aimed to make my surgical training as relevant to a career in A&E as possible. I have already completed 15 months as an SHO in Accident & Emergency (plus 5 months as a registrar), as well as 18 months total doing Orthopaedics and Trauma. I consider my training in Ophthalmology to be particularly relevant to my future experience and feel in general that the aptitude of SHO's in dealing with acute eye conditions is one aspect which could be greatly improved in many A&E departments. I have 14 months training in Plastic Surgery (6 months of which was allied with Orthopaedics) and from this I have attained not only an appreciation of the methods and aesthetics of closing wounds well, but also have gained substantial experience in the management of burns and hand injuries. The St. Andrews Unit in Broomfield, Chelmsford has the largest burns unit in Europe, and as the burns SHO, I was responsible for presenting the daily ward rounds and also in general for the day to day management of patients on the ward. Eight of the beds on the burns unit are intensive care beds, and so in conjunction with the anaesthetists on the unit, I was able to gain an appreciation of the management of these critically ill patients. Most recently, I have completed eight months of training in Anaesthetics as a SHO. This post was to give me a familiarity with the care of the unconscious patient and the opportunity to become fluent at airway management and intubation. My ultimate aim is to obtain a numbered registrar training post in Accident & Emergency Medicine. Whilst I do have substantial experience in many aspects of A&E medicine, I fully realise that because I have taken the surgical route, there are still some gaps in my training. In the time before I join a training rotation, I would especially like to gain some extra experience in General Medicine, Cardiology, or Paediatrics and so if any such posts are advertised, I will endeavour to take up one of these posts in the knowledge that it will contribute to my overall training.

Reported in the Cape Times. The paper reports that every Friday over a period of months a couple of years ago, hospital staff found the patient occupying a certain bed in intensive care lying dead with no apparent cause. At first it seemed coincidental. Then doctors feared a 'killer disease'. Deaths continued. Finally, a nurse noticed the Friday cleaning lady doing her weekly chores. This maid would enter the ward, unplug the life-support system beside the bed, plug in her floor polisher, clean the ward, and once again plug in the patient, leaving no trace of the cause of the patient's death. How many died in the South African Floor Polisher Massacre? Possibly several. The Free State health and welfare department won't comment but is investigating.

Abnormal sounds include the absence of sound and the presence of bronchial or bronchovesicular sounds in the peripheral areas where you should hear only vesicular sounds. Possible causes for abnormalities include consolidation of secretions in the airways, compression of an airway by a mass, and the presence of a pleural effusion. If you don't find a particular breath sound where you expect to hear it, the airway may be occluded, all or part of a lung may be collapsed (as in pneumothorax), or the patient may have a large effusion that compresses the alveoli. Adventitious lung sounds--crackles and wheezes--are abnormal sounds heard over normal lung sounds. Crackles are discrete sounds that may resemble static or the sound made by rubbing a few strands of hair together close to your ear. Caused by atelectasis or fluid in the small airways, they may be audible on inspiration or expiration. Crackles that don't clear with coughing are more significant and may indicate pulmonary edema or fluid in the alveoli because of heart failure or acute respiratory distress syndrome. The more widespread the crackles, the more likely they're related to a serious problem. Detection of crackles is facilitated when patients take slow, deep breaths that generate little breath sounds. Crackles can also be described, as fine, medium, and coorifice. * You'll hear fine crackles in end inspiration or early expiration. * Medium crackles are louder and more widespread and may sound moist. * Coorifice crackles are loud; you typically hear them in early inspiration or during expiration.

For 32 years it's still the same line in every card,flowers,or gifts from my husband. "When we first met I couldn't get you out of my mind,now I can't get you out of my heart."

Whats the big deal here? Didn't we as students or while considering nursing ask questions or read all that we could? I have nothing to hide and if anything I post helps even one person then thats a plus not a minus.

Intelligence Test Instructions: Write each of your answers down, it makes a difference! You will be allowed 10 minutes to complete the test. Write your answers in the spaces provided. Are you ready ? What is the time? Start. 1) Some months have 30 days,some months have 31 days. How many months have 28 days? ____________________ 2) If a doctor gives you 3 pills and tells you to take one pill every half hour, how long would it be before all the pills had been taken? ____________________ 3) I went to bed at eight o'clock in the evening and wound up my clock and set the alarm to sound at nine o'clock in the morning. How many hours sleep would I get before being awoken by the alarm? ____________________ 4) Divide 30 by half and add ten. What do you get?____________________ 5) A farmer had 17 sheep. All but 9 died. How many live sheep were left? ___________________ 6) If you had only one match and entered a COLD and DARK room, where there was an oil heater, an oil lamp and a candle, which would you light first? ____________________ 7) A man builds a house with four sides of rectangular construction, each side having a southern exposure. A big bear comes along. What color is the bear? ____________________ 8) Take 2 apples from 3 apples. What do you have? ___________________ 9) How many animals of each species did Moses take with him in the Ark? ____________________ 10) If you drove a bus with 43 people on board from Chicago and stopped at Pittsburg to pick up 7 more people and drop off 5 passengers and at Cleveland to drop off 8 passengers and pick up 4 more and eventually arrive at Philadelphia 20 hours later, what's the name of the driver? ____________________ Answers in the following article - no cheating now! GOOD LUCK! Send answers to me @> [email protected] for answers...Really!

http://www.nadona.org/educational%20needs.htm read above,and GOOD LUCK.

I've been in Geriatrics since 1969,am a DON,a member of NADONA and FADONA(Florida Chapter) and agree with most of the posters but, being a DON doesn't mean that you don't have direct resident(it's there home)contact. DONS are responsible for not only the caregivers but,the caregiven. I'm in a facility of 160 residents and see each and everyone of them daily. When any of my nurses or CNA's have a question or problem with a procedure,I demonstrate or perform that procedure too the resident in question. When we schedule inservices on new equipment,resident care,etc...,it's demonstrated with the resident needing that specific care,or treatment. Yes, we have many responsibilities but,our first responsibility is still too the resident; we are still nurses. Want too see the list of what a DONS job functions are? What we're supposed too know? Look for a thread titled DONS Knowledge of...

Read how it all started... Designing for the Dynamics of Cooperative Work Activities http://www.daimi.aau.dk/~bardram/CSCW98.html