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rondafan

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  1. I know this is an old post but I am currently having this problem in my unit. We have a pt that arrives in a geri chair, has both legs & 1 arm amputated, has full control of bowels but cant "hold it" for long. We have a staff of 3, myself & 2 techs & a bathroom the geri chair wont fit into. So when she has to go we call the NH staff to come get her, we have a no lift policy & honestly couldnt move her if we tried. (90 kg) The NH staff has threatened to report us to state for not taking her to br & ending tx early due to soiling herself. Now what do we do?? The other 2 NH pts we have the NH staff will come to the unit & clean up their residents & then they go back to tx, well this other one is total lift with a hoyer & in a geri chair, if I could get her to the br & assist to toilet I would but we cant even get her in there. My nurse manager & the DON of NH are really butting heads on this one right now. Copies of our policy have been sent to the NH.
  2. My clinic paid for a prep course at the local hospital for around 30 techs. They let them payroll deduct the cost of the test @ $20 a check & reimbursed all that passed. All took it last month & passed except 2. The ones that passed are gonna get together & prep the others that haven't taken it yet.
  3. I wonder if this means all the certified techs will be getting raises once they complete this? I sure would expect one. My bosses are "not sure yet"..lol
  4. I have heard this..........we supposedly have someone coming to our unit to administer the test to all the techs....haven't heard that licensed staff have to have it tho. Our nurse manager took a practice test & didn't pass........heard it was tough.
  5. Have to agree with the dialysis thing...... we have 4 Docs that round (1 per day) & so far they are all very pleasant. We mostly work on protocals & usually can handle anything that comes up....so far I'm absolutely loving my job!
  6. Just heard on Fox news that the owners of the nursing home are being charged with 34 counts of negligent homicide (I think thats the charge) & are in jail at this time. They also said that the owners were begged to evacuate the pt's & refused. It didn't say any nurses are being charged & also didn't say if any staff were found along with the pt's. This I would be curious to know. The name of the nursing home is St. Ritas in Chalmette La.
  7. My 1st year out of school I had an order for 25mg phenergan IV push on a pt with a central line well I diluted it in 10cc of saline ........did it real slow........then just slammed a 5cc saline flush. The pt immediatly fell back, eyes rolled back & I was sure I had killed her. Thank Gawd I had experienced nurses working with me that night, we trendelenburged her, called md started a liter of fluid, she was fine before shift was over........never ever slam a flush!!! lesson learned the hard way.
  8. You know both your parents are nurses when your kids are "triaging" a bicycle wreck & telling them "it's just a little blood.....you'll be fine" & coming to the house for sterile water,4 X 4's & tape.
  9. I heard on the news in the first few days after the storm that the staff evacuated nursing homes & most, if not all, of the residents passed away. Haven't heard anything else about it. Was just wondering if anyone else heard this or has heard anything further about it. I just can't believe that the WHOLE staff evacuated & left all the residents to fend for themselves.
  10. Amy...... I live in a town of 2500 people on the Louisiana border. lol...... Hubby is the new grad & he drives 27 miles to work @ 17.50/hr nights. I drive 15 miles for my 27.00/hr, very little driving for the money involved. We do live in a rural community but we do have a Wal-mart!! lol What else could I possibly need?
  11. Amy...... I live in a town of 2500 people on the Louisiana border. lol...... Hubby is the new grad & he drives 27 miles to work @ 17.50/hr nights. I drive 15 miles for my 27.00/hr, very little driving for the money involved. We do live in a rural community but we do have a Wal-mart!! lol What else could I possibly need?
  12. Starting salary here is $17.50 first shift, $2-3.00 for shift dif. I have 7 yrs experience & make 27.00/hr. Very good $$ for my part of town. I live in a 3 bedroom 2 bath brick home on 3 acres & pay $400./month house payment. Can't complain!!
  13. Starting salary here is $17.50 first shift, $2-3.00 for shift dif. I have 7 yrs experience & make 27.00/hr. Very good $$ for my part of town. I live in a 3 bedroom 2 bath brick home on 3 acres & pay $400./month house payment. Can't complain!!
  14. This is a hot topic @ my facility right now. We're a small hospital, we get lots of nursing home pt's so they have to have assit to get out of bed, most need to be fed, cleaned up etc. The RN's were getting their own VS while the CNA's were doing breakfast duty, we just looked @ it as part of the morning assessment, I balked @ first but some busy days this was the only time I spent with families answering questions, giving updates etc. I feel like the families/ pt's appreciate this time spent. I also look prepared when MD's ask VS questions. Well the new DON decided that the CNA's needed to get their own AM VS, now I see that breakfast is getting served cold if the pt is @ the end of the hall, I mean she can only do so much. My VS weren't getting posted till 0930 or later, or reports of abnormals weren't in a timely manner. I've now went back to getting my own when time permits or pt's with monitoring needs I at least get them. I really like the idea of changing the VS times to 0600- 1000- 1400- 1800 etc. The VS would be known @ 1st of shift, rechecks could be done if needed, this doesn't go along with meal time VS, & the CNA's would be free to do breakfast duty when we get out of report in the AM. I'm gonna suggest this to my new DON.
  15. This is a hot topic @ my facility right now. We're a small hospital, we get lots of nursing home pt's so they have to have assit to get out of bed, most need to be fed, cleaned up etc. The RN's were getting their own VS while the CNA's were doing breakfast duty, we just looked @ it as part of the morning assessment, I balked @ first but some busy days this was the only time I spent with families answering questions, giving updates etc. I feel like the families/ pt's appreciate this time spent. I also look prepared when MD's ask VS questions. Well the new DON decided that the CNA's needed to get their own AM VS, now I see that breakfast is getting served cold if the pt is @ the end of the hall, I mean she can only do so much. My VS weren't getting posted till 0930 or later, or reports of abnormals weren't in a timely manner. I've now went back to getting my own when time permits or pt's with monitoring needs I at least get them. I really like the idea of changing the VS times to 0600- 1000- 1400- 1800 etc. The VS would be known @ 1st of shift, rechecks could be done if needed, this doesn't go along with meal time VS, & the CNA's would be free to do breakfast duty when we get out of report in the AM. I'm gonna suggest this to my new DON.

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