Summer69 replied to CapeCodMermaid's topic in Geriatric, LTC
Update on Haldol. I recently went to a seminar on F329(unnecessary drugs). Hospice is allowed to give Haldol for endstage COPD. Could the Haldol somehow be connected to the pnuemothoax and some...
Hi, Just wanted to say congratulations on your grad from Excelsior. I am working the program now. Dig in and start reading the RAI manual Look at MDS's already done(if the prior person was good)....
Summer69 replied to laurenbella24's topic in Geriatric, LTC
OH GOOD GRIEF!!! You are correct about care conferences. You have really stepped into a mess. Is it the administration who feels care conferences are not necessary or did things just get...
I have added pages in the ADL books that are drug category specific. (purple for antipsychotic, yellow for antidepressant etc). Side effects are generic and I add the specifiec medication and...
Go to Craigs list for housing-some reasonalble apartments are listed there. As for jobs-Bishop Drumm in Johnston is wonderful. Also there is the Madrid Home in Madrid Iowa about 20 miles for DM....
I have been a nurse for 36 years and was a NA for 3 years before that. Hve only done LTC. Yes I have been in the good and the bad. The bad places have made me a better nurse(more vocal about...
Our pharmacy comes in quarterly and offers a CMA inservice. Since they are in our facility monthly they see what our errors are, what new meds we are using and what interactions(such as TF to be...
Smile, be polite, and do not answer more than they ask for!!!!(kind of like being questioned in a trial). Do not try to avoid them(as in sneak around and do dressing changes that they have asked to...
Graduated in 1970. Have been in long term care the entire time. My goal is to become the PERFECT old lady. All kidding aside, I have never regretted not having hospital
Some of my coworkers do not need help in the "look stupid" dept. They are doing a fine job all on their own!. One nurse told an MD that we did not offer special diets(diabetic in
Hi, We are preparing for survey so, of course, people from corporate have decided to decend upon us to "make us better" overnite! Well any was with our quaterly assessments we have to do a bowel and...
Summer69 replied to javanurse2000's topic in Geriatric, LTC
I am not sure of the actually site but if you go to the Medicare web site you should be able to navigate thru that to get to the survey site. Please note thou surveys may be 6-8 months
Hi, I currenly live in Oregon but call Iowa home(kids still live there). I am doing the RUE plan LPN to RN. The text thru Rue (the $125/month payment) is not the real expense but rather the 220 (or...
FYI Smoking Aprons are available thru Briggs or Direct Supply. Another "Hot" item regarding the smokers where I work is "Who supplies the lighters?" Families complain that they bring them in and...
Summer69 replied to knockandhello's topic in Geriatric, LTC
Wow!! I thought I was alone. New employees have different rules than our reliable ones(or at least they think so). Cell Phones, walking by call lights, dressing residents in PJ's during the day and...
Summer69 replied to knockandhello's topic in Geriatric, LTC
My facility, also has new management. The previous one had just started understanding the nurses problem with the CNA/wanna be nurse and then left. This CNA listens to direction but then calmy tells...
Hi, I was iniated by fire so to speak. MDS coordinator for ICF residents (basic call me if you need help training) but well acquainted with the residents and MDS issues. Facility fired the...