KlareRN

KlareRN

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All Content by KlareRN

  1. QMA Scary Practice

    KlareRN posted a topic in Geriatric, LTC

    The state of Indiana has passed a new scope of practice for QMAs. Under the new guidelines; a QMA can administer G-Tube meds, do glucochecks for BS, and some more critical dressing changes. In the...

  2. For DON about regulations

    KlareRN replied to nursbaybie's topic in Geriatric, LTC

    Hi! All states have their own "state regs" that you have to follow within your state- and EVERYONE has to follow the "federal regs" throughout the US. Some states have taken some of the federal regs...

  3. same station burnout?

    KlareRN replied to kaynolees's topic in Geriatric, LTC

    I am currently working as DON in a facility similiar to the one you are working in. We keep the same staff on our dementia/alzheimers unit to help reduce confusion for our residents. Out on the other...

  4. CPR after rigor mortis

    KlareRN replied to HealinghandsRN's topic in Geriatric, LTC

    I have worked in management in long term care for several years and every facility I have worked in has the same policy: If a person is not a DNR- you are to initiate CPR and you send them out 9-1-1...

  5. Frequent Faller

    KlareRN replied to StormyCD's topic in Geriatric, LTC

    At the facilities I consult in we use low beds, bed and chair alarms,baby monitors, and motion sensors. If you choose a baby monitor- make sure that you do not call it that. The state may cite you...

  6. tips for dealing with dementia

    KlareRN replied to ktwlpn's topic in Geriatric, LTC

    ktwlpn- You are the kind of nurse most of us would like to clone to work on our dementia units. Too many are too quick to pop a pill than to take the time to be human. I agree that if a person...

  7. Sick call policy

    KlareRN replied to goldgram's topic in Nurse Management

    ACNORN- Thank you for telling it like it really is but be prepared...you are bound to get alot of flack for what you said. The truth is- staff nurses say "that is why you make the big bucks" not...

  8. Sick call policy

    KlareRN replied to goldgram's topic in Nurse Management

    I am not frightened to defend myself...what I am is frustrated. Some nurses just continue to justify their poor behavior. Remember I never said ALL call-ins were avoidable. What we are talking...

  9. Sick call policy

    KlareRN replied to goldgram's topic in Nurse Management

    We also use the "if you call in sick on the weekend you are required to work the next weekend" policy. The catch is that the staff are informed upon hire that when they work the following weekend- it...

  10. Legal Signature

    KlareRN replied to netrn's topic in Geriatric, LTC

    I agree with bandaidexpert. Most facilities in northern Indiana are having the nurses sign a "Master Signature Log". (Our pharmacy supplies our forms). A rubber stamp is used to stamp the back of...

  11. Hourly Rate For LPNS

    KlareRN replied to thundercat LPN's topic in Geriatric, LTC

    I am in northern Indiana (about 125 miles north of Indy). I think the pay here is pretty good. In long term care- LPNs right out of school can start at $16.00-$18.00/hr. Shift diff is usually $1.00...

  12. Agency nurses in LTC settings

    KlareRN replied to PBU's topic in Geriatric, LTC

    The state surveyors are now asking for "proof" that agency staff have been oriented. They especially want to see that agency staff know things like where fire extinguishers are, crash carts, how to...

  13. Nurses week Cheap gifts from admin.

    KlareRN replied to nilepoc's topic in General Nursing

    I have obviously hit a nerve that I did not intend to hit. From my side of the desk- yes- I have my job to do. I guess what makes my job different is that in the position I am in; if we are "short"...

  14. Nurses week Cheap gifts from admin.

    KlareRN replied to nilepoc's topic in General Nursing

    Interesting thread but I am torn...been on both sides. But- I am shocked at the response of the nurses who receive the "junk" stuff you all are mentioning. What do you expect? In most companies-...

  15. Bubble gum myth or truth?

    KlareRN replied to proud2bme's topic in General Nursing

    My mom also told me the bubblegum story. I once was making cookies and ate a large portion of the raw cookie dough. My mom told me that the ingredients in the dough that cause it to rise (baking...