marthyellen

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 you. I asked my admin one day why he chose LTC and ...

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 into what someone thinks is inappropriate. Be specifi...

I think three days orientation is ridiculous for a new grad.

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 if we performed CPR, the daughter stated "she is ...

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 said you enjoyed rehab and the other LTC units. I...

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

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 in a health care-related field and have a minimum ...

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 made an error. You found the error and you repor...

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

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

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 related dementia. They are VERY different from other...

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 the employer of choice. CNAs and staff do not wan...

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 reading and call them back and say "No, thank you" ...

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 report to each other

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 documentation. CNA's and nurses became CNA's and nurses to ca...

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

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 going to stand up and I am going to pull up your pants...

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 residents then she had not authority to allow that aid...

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 play along or tell the resident the baby is breath...

[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 (male and female). We dress them according to the s...

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 repeating "nurse" I did not ask her again

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 nurse until she was in her 50s) I would rather have a...

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

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 a reasonable assignment is grounds for immediate ...

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 them could be filmed so they could see how they r...