marthyellen

marthyellen

Geriatrics, Ambulatory Care

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All Content by marthyellen

  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...

  16. Loving my new job

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

    Yea! for you. Good Luck. I hope you have great success with your new

  17. A Funny Moment in LTC...

    marthyellen replied to westieluv's topic in Geriatric, LTC

    I was toileting a resident one day, and as usually I was talking her through the process. While she was seating I changed the incontinence pad and explained what I was doing. I said "now you are...

  18. Do you have any authority in your LTC facility?

    marthyellen replied to NurseLoveJoy88's topic in Geriatric, LTC

    Isn't that the truth. The Charge nurse has the last word if someone who is already clocked-in can leave. IMHO. If the supervisor is not going to take the aids section and provide the care to the...

  19. A Funny Moment in LTC...

    marthyellen replied to westieluv's topic in Geriatric, LTC

    We had a life like doll for a dementia resident and she woke up in the middle of the night and wanted the nurse to call 911 because her baby was not breathing. And what ended up happening? Did they...

  20. A Funny Moment in LTC...

    marthyellen replied to westieluv's topic in Geriatric, LTC

    [WIKI][/WIKI]Actually we buy dolls that were created for use as "doll therapy" for our Alzheimer's patients, they feel and weigh and smell like the real thing, This really calms many of our patients...

  21. A Funny Moment in LTC...

    marthyellen replied to westieluv's topic in Geriatric, LTC

    I had a resident who constantly said "nurse, nurse, nurse, nurse". One day I said " Madge what do you need?" without missing a beat she said " A million dollars." Five minutes later she returned to...

  22. LPNs as Unit Managers?

    marthyellen replied to westieluv's topic in Geriatric, LTC

    Both my unit managers are LVNs. One became a unit manager with only 2 years experience as an LVN. She had leadership skills from a previous job experience in another industry (she did not become a...

  23. LTC State survey checklist

    marthyellen replied to LissaLynn's topic in Geriatric, LTC

    To add to med pass advice: Read out loud to the surveyor what you are giving, including dosage, time, medication, resident

  24. Not sure what to do in ltc

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

    If you say no, be ready to look for another job. She is not asking you to anything beyond your license. I am sure that like most long term facilities that your employee handbook states that refusal of...

  25. corporate nurse nightmare!

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

    I know corporate nurses like that. They come in swinging and screaming and acting like Hitler. Then in the next breath talks about treating people with respect. Do as I say not as I do. I wish some of...