squaw nurse

squaw nurse

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About squaw nurse

20+ years in nursing, love nursing and have thoroughly enjoyed the challenges of my career

Latest Activity

  1. Pros & Cons of LTC physician standing orders

    We have always used standing orders at our facility and they have been wonderful. They were developed by the LTC nurses and the team of physicians in our community and are updated annually. However, the Louisiana State Board of Nursing recently issu...
  2. DNR? Why not?

    I don't know about other states but in Louisiana the major problem is lack of education about end of life issues and the DNR. Many people are familiar with advanced directives such as the famous "Living Will", and think this is all they will need. In...
  3. MRSA policy

    Never heard of this before Kimmyjc. It's not in our P&P.
  4. MDS/PPS nurses... a roll call

    I'm looking forward to the MDS Q&A's. I'll be sure to forward them on to my MDS nurse. We need all the help we can get in today's age.
  5. MDS/PPS nurses... a roll call

    I'm not an MDS nurse but am a DON and work closely with the MDS nurse at my facility. I am also very involved with the care planning process and would love to be involved in Q&A concerning the MDS process. We are not a Medicare facility so I have...
  6. Sounds like she needs lots of love and reassurance. Was this patient previously abused? Can you tell us more about her age and history? Wish I were there to help. Sounds like a real challenge.
  7. Any LTC DONs out there??

    Spudflake, I have found that I receive the respect I demand. Not only does my administrator respect me, but he also values me, as I do him and every member of the health care team at our facility. LTC has gone through many changes during the last few...
  8. Any LTC DONs out there??

    We also have had the problem with CNA's documentation on ADL flow sheets. When I searched the HCFA guidelines for direction on what had to be documented I was surprised to find there is no regulation stating the CNA must document. The only things I f...
  9. MDS info sources

    Good luck with your new position! I'm sure you will enjoy the challenge. Ask your DON to let you train a few days with another MDS cordinator. Most are great people and willing to share their ideas. This could get you off on the right foot until you ...
  10. Input Needed for software

    I like the name "Interim Orders" also. But what in the world would you do with them?? Could they possibly be used as a phone order form with a signature line?
  11. nurse aides rules

    I am a DON who values all my staff- charge nurses as well as CNA's. I am very familiar some of the above situations. The facility where I work was once labeled as one of the facilities where CNA's rule. As a previous CNA I understood the philosophy o...
  12. Bowel Protocol

    We also had a problem in our facility with constipation/ fecal impactions. Part of the problem was inaccurate documentation by the CNA's and the nurses not taking time to review the daily documentation by the CNA's. To resolve the problem I changed t...
  13. Any LTC DONs out there??

    Hey Guys! I just found this site tonight and am so glad to see some communication between LTC DON's. I've been in LTC for 20+ years and have always felt the need for a way to communicate with other DON's to share information and ideas. I'm glad to se...