marthyellen

marthyellen

Geriatrics, Ambulatory Care

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All Content by marthyellen

  1. State Calculations

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

    F 309 is not a medication error, it is quality of care. There is no percentage rate. The surveyor only has to see a pattern to write it. He saying at least half the documentation he looked had errors...

  2. State Calculations

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

    It may depend under which tag the error was written. If it is f332, then it would be medication error rate calculation and the surveyor can choose whatever sample size he chooses, unfortunately. If it...

  3. New Grad starting LTC Monday

    marthyellen replied to jlynn2303's topic in Geriatric, LTC

    Wow I am so impressed with the all the responses. There is some great advice here. As for customer service:as the saying goes."No one cares how much you know until they know how much you care." LTC...

  4. After Interview Email/thank you note

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

    I like to receive an email or note after an interview. I feel it shows

  5. State Tags

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

    Skills check list for glucometer usage and cleaning. Surveyors will watch glucose checks to verify proper usage and cleaning. Make sure the check list includes manufactures recommendations for...

  6. what do you say when they are right?

    marthyellen replied to MelissaLPN's topic in Geriatric, LTC

    There is always a complaint/ concern form that can be filled out, We keep complain/ concern forms in a box outside the social workers office so the nurse, the resident or the family can fill them...

  7. DON fired during state survey

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

    You can file for unemployment whether you get it or not is up to whether the facility chooses to fight you. Obviously you did not have a good mentor and I am sorry your first experience in LTC...

  8. Holes in MARS

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

    No. No. No. And you've got to be

  9. can I lose my license...

    marthyellen replied to mRpeNa's topic in Geriatric, LTC

    The thing that is more concerning is why did the CNAs get a resident off of the floor without notifying the nurse and allowing the nurse to do a complete assessment? I would be concerned about what...

  10. How Many Residents Do You Care For On Your Unit?

    marthyellen replied to Nurse!Nurse!Hello?'s topic in Geriatric, LTC

    I am in TX and our Medicaid rate is

  11. Appalled at LTC standards of nursing care

    marthyellen replied to nightengalegoddess's topic in Geriatric, LTC

    Well said. no long term care facility can provide care if there in no team

  12. How Many Residents Do You Care For On Your Unit?

    marthyellen replied to Nurse!Nurse!Hello?'s topic in Geriatric, LTC

    When I worked acute care med/surg 3-11, we had 7-9 with no aide. I do not see 12 to one and 2 aids being viable. (of course this was 15 years ago. Staffing 134 beds Two Units. Each Unit: 6-2---- 2...

  13. Another Five Star Management Decision!

    marthyellen replied to Ruby Vee's topic in General Nursing

    We are a no lift facility. 134 bed 5 sit to stand 6 total lift. How could you possibly have 5 lifts and 500 beds? That is

  14. Texting staff to cover call off's

    marthyellen replied to madwife2002's topic in General Nursing

    This is how we do most of our staffing too and it works great. If they do not have unlimited text or do not text, we call. We know who prefers to

  15. What to do???

    marthyellen replied to MommaRN86's topic in Geriatric, LTC

    Only 7 states require 24 hour RN coverage in LTC -- California, Colorado, Connecticut, Hawaii, Maryland, Pennsylvania, Rhode Island. Although outcomes for the residents are better with more RNs it is...

  16. Nurse Kept my Great Grandfathers wedding Ring

    marthyellen replied to ladimandy's topic in Geriatric, LTC

    I am confused according to the op this is her great grand father and her grand mother is the POA? That means it is his daughter not his wife who said that the nurse could keep his ring. So he is not...

  17. What to do???

    marthyellen replied to MommaRN86's topic in Geriatric, LTC

    "Don't be so quick to turn it over to the DON. You will have to learn how to deal with this at some point in your career so why not now?! One thing I have always liked to do to get a "difficult" CNA...

  18. Why did you choose LTC?

    marthyellen replied to MouseMichelle's topic in Geriatric, LTC

    I started doing volunteer work in a nursing home when I was nine and continued for the next ten years. Where else can you go to work and be told EVERYDAY that you are young and beautiful? There are...

  19. activities assistant?

    marthyellen replied to clamtown's topic in Geriatric, LTC

    Do what makes you happy. I have worked with secretaries who had master degrees. If money is not a concern for you, do activities. Enjoy life it is too short to have a job you do not

  20. how do you chart your prn narcs

    marthyellen replied to mozella's topic in Geriatric, LTC

    I agree. An adequate note on the MAR should be sufficient. Every time you document in two places you set yourself up to make a mistake. As long as you go back and do follow up documentation on the...

  21. What is it like to be ADON

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

    Most of the questions you are asking have a lot to do with the individual building. Big buildings require more paperwork, small buildings require more hands on nursing. Every building is unique. You...

  22. Hopefully helpful advice!

    marthyellen replied to WittySarcasm's topic in Geriatric, LTC

    Ps- I especially loved your comment about using the CNA's. They are a wealth of info and since I did not know the patients, I went to them all the time. I tell new nurses to treat them right and they...

  23. Well I asked to learn MDS

    marthyellen replied to Schmoo1022's topic in MDS Coordinator Information

    Maybe your DON is afraid that if you learn it and she does not have a job for you , you will quit. I think it is sad that she does not want to train you. The more you understand what the assessment...

  24. No gloves ever?!?

    marthyellen replied to dizzyray822's topic in Patient Safety Issues

    If he is "old school" he better have been trained before 1870 when germ theory was validated. In 1843, Holmes published "The Contagiousness of Puerperal Fever" in the short-lived publication New...

  25. bird aviary

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

    We have two birds , a parakeet and a Cockatiel, in two separate cages . I personally hate them but the residents and visitors love them. One wolf whistles when people walk by the cage. They have...