panurse101

I, too, am new to this and would GREATLY appreciate any tracking forms; cheat sheets, hint, tid bits etc. Please PM to me

I just started doing MDS' recently, but I still do the staff education. I am looking for any tips, tricks, etc on getting the aides to understand how to code correctly on their 7 day assessments. ( We do not have the caretracker..yet) Thanks... pa...

i am wondering what kind of patient alarms everyone is using? do you use a variety of alarms, different brands, or do you stick to one brand. right now, we mostly use posey bed and chair alarms. but we are trying to stay away from them, since the sta...

in our facility, we have found that using unifiber, works really well. this is day one of our bowel protocol, and like i said usually works. the protocol is started on day 3, unlike most facilities. this is given on the 7-3 shift, with breakfast and ...

Thank you to those that replied. We are using basically the same kinds. The mat ones are terrible. With them constantly going off. The state told us to be careful with alarms, not to jump right to them. which is what our nurses were doing. Also, if a...

Does anyone have any good websites or books or anything that can help me learn the qa process, how it should work, how to go about it, team meetings, etc. There are so many issues in ltc, how do you get started? What do you do? What is your process? ...

I LOVE this ideas.. Im already working on schelduling a communication one for October. We too, have a BIG problem with that... it just doesnt happen. I really believe that if you make the inservice fun, interesting, etc, the staff get more out of it...

For anyone out there that has been in staff dev. in ltc. I am looking for ideas for inservices/ meetings that would make it fun and interesting. I know from my own experience that to sit in a room listening to someone talk and talk and talk or put on...

I work in a ltc facility. Some days the facility ends up mandating a nursing assistant to work another shift. There are times when every nursing assistant refuses to stay. Can they be held liable for abandonment if they were to leave without permissi...

I am expected to give up more of my time for qa's, state survey time, etc. I did make less money yearly when I first took this job. However, thanks to our recent raise, Im finally making more. There are good points and bad, just like anything else. I...

I am the "risk manager" in our facility. I finally got the DON and NHA to give my idea's a try re: investigation unknown injuries ie: bruises, skin tears, etc. The state DOH requires an investigation to prove that abuse did not occur, and that requi...

My question is regarding Calcium alginate and duoderm. I know a wound bed needs to be moist to heal, although, not wet or it will macerate. I understand the use of calcium alginate. However, our facility has begun using cal. alginate and duoderm on t...

I just want to thank you.. you have made me realize .. Im not "crazy". Everything I have learned.. this just doesnt seem appropriate. However, I just cant seem to get through to anyone, except ones that don't have a say in the matter. I recently orde...

I can sympathize with you. I worked as an aide in my facility for 9 years, then came back as an RN. I worked as a charge nurse, became a supervisor, and now in an adminstrative position. I still have some problems, when, for example, "management" is ...

Our facility doesn't place anything re: DNR status in the resident's rooms. We only have the code sheet on the front of the chart. Because there really isn't alot of full code residents, this really isn't a problem.

I know exactly what your saying. I was a cna for about 9 years before becoming a RN. I have never forgot what it was like to be a cna. They are the ones that work physically the hardest. If it wasnt for them, nurses wouldnt be able to do their jobs, ...

Anyone out there involved with DOH surveys.. we had our annual about 2 weeks ago.. unfort. we had a complaint visit in April which was unfounded, but they found other things and cited us..then in May.. we had a follow up visit from a submission we ha...

This is exactly what the facility would do..prior to our survey. However, they no longer feel that we should do the investigations, they will. I just cant understand, how it all boils down to, one persons interpretation of a reg. Next time.. it can ...

i would like a copy of that form as well.. please PM me

I cannot believe a salesperson would tell you she wont sell you what you want????? I would speak to a manager... its one thing to "offer suggestions", but, she didnt just "suggest" not buying a littman. My mom bought a littman when I graduated nursi...

I am looking for a certification class/ seminar on inserting picc lines in Pa. I was told by one of the IV nurses that work for the pharmacy company that my facility uses, that there is one in the allentown, Pa. area. Does anyone know anything about ...

I am in charge of "risk management" in our ltc facility. I have heard of the falling leaf program, or other programs similar to this. If anyone has any information, on how this works, how to start it, is it for those residents that are "high" risk fo...

has anyone heard of the new guidelines that were supposed to be out last week, but hasnt as of yet, on wound care. i know of the ones that came out in nov 2004, but one of our rnac's came back from a anac conf. in chicago, and they were told that mo...

I was provided the wrong infromation of what was coming out.. she is an RNAC..and that is what she was waiting for... the new RAI updates. Not much for me right now.. sometime in the future, right now.. I need to get my facility moving with new dress...

I want to thank everyone for all their suggestions. It is just what I am looking for. I need to start at awarness first. Any more suggestions.. Im still open to any.. thank you, Tracy RN