nursenikki928

nursenikki928

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All Content by nursenikki928

  1. Point Click

    Has anyone used Point Click Care?? Any problems or advantages anyone has noticed? The LTC facility I work at is starting this program very soon and I was just wondering what to expect.
  2. case mix question

    Northeast Ohio, Ashtabula
  3. case mix question

    I am also in Ohio and our goal is a 2.0 for both Medicare and Medicaid. Im usually at about 1.9 on the Medicaid and 2.1 on the Medicare. We have 115 beds, and average about 20 part A's per day. Im...
  4. Wine Debate

    When I completed nursing school and started in a ltc facility i was only 19. I had a resident that got 6oz. of wine every night. I had to have another nurse give the wine to him because I was not...
  5. Incident Report Documentation

    Your incident report is considered an internal investigation document. You should never document in your nurses notes that an incident report was completed. If you do, your report may be used in...
  6. interested in becoming a CNA/STNA

    Call around to nursing homes in your area. A lot of them offer the nurses aid training course and if they hire you to work for them they will pay for your training and the test. You just have to...
  7. Collecting urine sample

    Usualy our 2nd shift nurses obtain the urine specimens because the patient is laying down and has had hs care. Day shift is just too busy. If 2nd shift doesnt get to it then the 3rd shift nurse may...
  8. Survey begins

    Thanks for that info.. I definatly will not be looking forward to a survey like that. They usually do go through some Dc'd charts at our facility but nowhere near 100
  9. Survey begins

    I also live in Ohio and we do not get any type of advanced warning for survey. Just the 3 months before and 3 months after last years survey window. We just had ours in December and did well. I...
  10. Did we fluid overload her?

    These are very difficult and also very sad. They seem to be constantly fighting the renal failure vs. the cardiopulmonary
  11. Point Click

    I work at a 116 bed facility and I am the MDS coordinator. About 7 of us were trained to input all the information. At first it took about 4 hours to do each patient but after a couple days it took...
  12. Point Click

    we stared using point click last week. we started by inputing all of our physicians orders and will begin using the program march 1st. we will be using it for charting, mars, tars, physicians...
  13. Which is correct method admin meds via GT

    This is how we do it at my facility also. We are supposed to give each med one at a time but most nurses "cocktail" the meds and just give them all together to save time. All of our T.F. patients...
  14. What Is A Shift Like?

    i worked nights for 2 years in a ltc facility 7p - 7a. i did this right out of nursing school and it was a great place to start. usually you take report, check your patients, change and hang new...
  15. Humorous Introspection

    I too have the cursing problem. My mother calls it the "Nurses Potty Mouth" I have her convinced that all nurses talk that way. It just comes with the
  16. Family members that run the facility!

    i also have this problem where i work and i am sure everyone else does. some of these patients and their families think they are at the hilton and not a skilled nursing home. hang in there and...
  17. What is excelsior?

    does this program qualify for student
  18. NCLEX Test, 75 questions cut off

    Congrats on passing!! I also took the NCLEX PN 3 1/2 years ago. It also stopped after 75 question. I left the testing center in tears sure that I had failed. But happily I had passed. The test...
  19. To increase case mix I try to ask every morning in our staff meeting if any of the residents have has any additional services meaning IV, suctioning, O2, or fever and emesis. This has helped many...
  20. straight caths and students

    i work in a ltc facility that is a clinical site for both lpn and rn students and they both insert foley caths and perform straight caths with supervision from their