marthyellen

marthyellen has 16 years experience and specializes in Geriatrics, Ambulatory Care.

Latest Activity

1. Alert & Oriented & I want to go home

   marthyellen replied to HannahLeah's topic in Geriatric, LTC

   Sorry you do not like LTC. I personally love it. It is not the perfect work environment, but what is? Thing I love about nursing is that there is something for everyone. I hope you find the job for...

2. Documentation "No-No's"?

   marthyellen replied to elb252's topic in Geriatric, LTC

   Always chart objective not subjective information. If a resident is cursing write what was said. I hate to pick up a chart and read "inappropriate behavior." What does that mean? Moral values play...

3. New Grad in LTC - Feeling Overwhelmed (21 pts)

   marthyellen replied to simpreza2's topic in Geriatric, LTC

   I think three days orientation is ridiculous for a new

4. How many residents is too many for one nurse?

   marthyellen replied to arabstarRN's topic in Geriatric, LTC

   I am in Texas which has the second lowest Medicaid rate in the US AND just had a 3% cut BUT we are taking higher acuity residents. BTW I had a 105 y/o full code. When we explained what would happen...

5. Need some advice please...

   marthyellen replied to arabstarRN's topic in Geriatric, LTC

   If you know psych nursing is not for you have every right to sat so within your first 90 days. There is no reason to feel bad about that. There are so many specialties in nursing even within LTC. You...

6. Abuse Allegations

   marthyellen replied to txdon's topic in LTC: Directors, Assistant

   Unless the self report is substantiated and sited they are not listed on the Department of Aging website only consumer complaints

7. Nursing home administrator

   marthyellen replied to Milijs's topic in Geriatric, LTC

   In TX you must have a BS in any subject attend 15 hours in long term care administration and 1000 hour AIT program. In Colorado you must successfully completed an associate's degree or higher degree...

8. How to handle suspected med error?

   marthyellen replied to tokebi's topic in Geriatric, LTC

   The nurse in question needs to understand that EVERY nurse makes a med error at some point in her career. Any nurse who says they have never made a med error is either a liar or too stupid to know she...

9. Signing a nurses note for another nurse

   marthyellen replied to CoffeeRTC's topic in LTC: Directors, Assistant

   Why would he sign someone else's name and not his

10. You're Kidding..........

    marthyellen replied to CapeCodMermaid's topic in LTC: Directors, Assistant

    Wow that is the problem. I have work with administrators like that and will never do it

11. You're Kidding..........

    marthyellen replied to CapeCodMermaid's topic in LTC: Directors, Assistant

    Thank God I have a great administrator. Luckily my administrator agrees about alcoholics and alcohol related dementia. Not drinking for 30 days does not guarantee that someone does not have alcohol...

12. You're Kidding..........

    marthyellen replied to CapeCodMermaid's topic in LTC: Directors, Assistant

    He had no payer source which is why the hospital was willing to pay us to take him. I like when corp tell you that you should be the employer of choice. If you take residents like this you will NOT be...

13. You're Kidding..........

    marthyellen replied to CapeCodMermaid's topic in LTC: Directors, Assistant

    I feel your pain. There are buildings that specialize in morbid obesity. You know it is trouble when the fax cover page says that the hospital will pay for the patient's stay at your facility. Stop...

14. Samples of Kardex or other communication tool

    marthyellen replied to afteralltheseyears's topic in LTC: Directors, Assistant

    Care Cards for CNAs can be placed inside the residents closet. One page with basic info like ADLs, food preferences, diet, etc. We also have a CNA 24 hour report they can fill out themselves and pass...

15. Hourly rounding logs

    marthyellen replied to afteralltheseyears's topic in Geriatric, LTC

    I thought the same thing about "potty" I think rounding sheets hourly sounds like is a great idea. Unfortunately, there is no way possible to do it. They barely have time to the minimal...