fultzymom

You won't lose your license for anything that happened to get the facility in trouble unless you are the one who caused the problem and the board deems you responsible. Employeers shoud not be threatening you for anything. I would get out of there as soon as possible. Don't let them guilt them into staying if you truly feel the place isn't good.

Our facility allows families to stay as long as they are respectful of other residents/roommates. It seems to work out well for us. We have a young woman (20ish) whose father comes every night after he gets off work (2-10 at the prision). He comes in and checks on her, sits out with the night shift staff visiting, and may go back in and nap in his daughters room. We told him this is ok as long as he doesn't disturb the roommates and they don't mind. He did become belligerent with staff one night but reinforced that behavior like that will not be tolerated and haven't had problems since.

Budget cuts, budget cuts, and more budget cuts. Deciding what staff will be cut with the next budget cut.......also it's hard to keep good staff when there haven't been raises in 3 years due to the budget cuts. Oh BTW did I mention the budget???? Medicare/Medicaid expect the same excellent care year after year while cutting money to the nursing homes year after year

We use a temporary face sheet the hospital sends us with all their information and our facility face sheet is on the chart the next working day of the admission.

WOW! That's horrible and I would think twice about working for a place who stocked supplies like that.

If my parent were in an abusive situation in a nursing home I wouldn't leave the facility until my parent was on a gurney heading out the door to a new facility. As a DON I have asked a couple of families how they can leave their parent/loved one in a facility where they think they have been taken such poor care of. In my opinion if you leave your loved one in a neglectful or abusive situation you are just as guilty as the person who is actually doing the abusing or neglecting.

sounds right the other day i came home late and heard "Mom you are late!" from my 11 year old, "Babe did you bring anything home for supper" from my hubs, and "where have you been and what were you doing" from my 7 year oild. at least the dog was happy to see me

that sounds familiar. i was late the other night and heard this: mom you are late...babe did you bring home supper...and from my 7 year old......where have you been and what were you doing.....

I would not want the responsiblity of being in charge of a medication aide. Ohio does utilize them some I think but we do not in the town I am from. And if I am giving all injections, PRNs, and anything that requires an assessment I might as well be doing the whole med pass and then I know what was given

We currently have a resident who does not chew. But she will drink any liquid given to her through a straw. We obtained an order from the ST to add milk to her pureed foods. Just enought that she can drink it through a straw. It might be worth a shot to try this. It works really well for my resident.

I do not work in a hospital but a nursing home. We once had an experience where a family had not made any arrangements and could not decide what funeral home to use. The lady passes away around midnight and did not end up leaving our facility until 7am. All we did was put her in a room with no one else in it, shut the door and put on the air conditioner since it was late summer. Everything worked ok.

for me it was realizing that i was holding people's lives in my hands with each decision that i made. that is a huge responsibility. so not only are you adjusting to a new job, you have that to worry about. also getting used to dealing with families when their loved one is at a bad place in their life is difficult. nursing is hard work and a big adjustment. another thing is that you only learn the basics in nursing school. i did not realize how basic until i got out there and was practicing on my own!!!

At work I am an extrovert. At home and in other public situations I am an introvent. Besides work, I would rather just be at home with my family. I hate get togethers!!

I work M-F but I am a unit manager and ADON at a nursing home. I have been here for six years. Before that I was a MDS nurse but had been here 4 years before I took that job too. Not a lot of nursing jobs are M-F.

Facility owns the chart. Patients or POA's have access. You don't just hand it over for them to pick through. We have them sign a letter of release et write on it all they want. Then medical records copy the pages they want and mail it to the person. Our facility states we have, I believe, one week to get it copied and sent to whomever requested it. Leslie

Our facility policy and my nursing school taught us to wear gloves whenever we are doing bathing. I think it is gross to think about giving someone a bath without gloves. The only person I bathe without gloves is myself and my kids, neice, ect. Maybe I am just weird but when I give a patient a bath, I am wearing gloves. Think about how many patients have BM's and urinate when they are in the shower. I want no part of that getting on me while I am bathing them. YUCK!!

I have never diluted to give it IM. I have for IV because that it what it says to do. I can testify that it does burn when given IM because I had it one time. It burned for a long time. I guess it might not hurt to dilute with NS as long as you don't exceed that MLs for your injection site but I don't know if I would do it without asking a Pharm or the doc.

Well the whole thing bothers me because I thought you always wear gloves when doing patient care.......MRSA or not. I remember doing patient baths and wearing gloves no matter what. Sounds like she needs some re-education badly.

I now live 40 minutes from work. I am not given any special treatment because I live far away. I am expected to be at work on time and it does not matter what weather, roads, ect are like. I hate it when workers use that as an excuse. I am one of the farthest away. If I can make it in and do my share so can everyone else.

I am from Ohio and work in LTC. I worked as a nursing assistant while I finished up my LPN. I did not have to go to CNA classes because of how far along I was in the nursing program.

i think there are several reasons for med errors. first, we are human and none are perfect. if there is a nurse who tells you they have never made one, then they have either always had a desk job or they are lying to you. i think a lot get made when people get in a hurry and are not paying enough attention. sometimes they are made because someone is tired/did not sleep enough before coming into work. some people do not do their checks to make sure they are checking the meds like you are supposed to. there are also many distractions around you. i do not like people bothering me when i am passing meds. if there is an emergency, stop me. if it can wait, please wait. if i think of anything else, i will add. leslie

We gave a PRN night nurse where I work who uses his PDA to alert him of meds due at strange hours. For instance, when meds are due evenly spaced around the clock et end up needing to be given at 2 am. That way if he gets busy he doesn't miss giving something. He sits down looks through everyone's MARS and then programs in who needs what at any odd time.

When I worked the floor I brought a big bag too. It had reference books because ours always grow feet and walk away. I had my own BP cuff, stethoscope, a box with goodies (pens, pen light, scissors, sticky note pads, ect), spare change for the vending machines, a book for break (if I got one). They always laughed at me too.

I have never worked in a hospital but I have been a RN in LTC for 6 years. I would say the stress is the same levels but just different. You will have more patients, less help, longer med passes. Ask what is your nurse to pt ratio. Ask what is the aide to pt ratio. Our n/p ratio is 1:25 and our a/p ratio is 1:10. If you have good co-workers and aides, it is a good day. If you are working with lazy people, your day is hard. What you are responsible for depends on what shift you are working. More meds, treatments, ect. on day shift. More cleaning/stocking/ordering meds on nights. Then on days you have to deal with docs, families, hospitals, ect. Also on day shift is admissions. On nights of course, you have less staff. We have one nurse to 50 patients and three aides for 50 patients. So if you have problems at night, you are busy with so much less staff. And it can be more difficult with the sundowners if there are any. Hope this helps some! Leslie

I have been in LTC for 6 years now. I remember feeling like everything was overwhelming and I would not get the hang of it. Now I think I could be on auto-pilot when I am doing those things. It becomes second nature to you. Give yourself some time and it will all come together for you. Hang in there. Everyone is slow when they first start. Good luck. Leslie