mercy1975

mercy1975

Long term care, pediatrics, orthopedics,

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All Content by mercy1975

  1. Can a person be a nurse w/ mobility problems?

    mercy1975 replied to student1000's topic in Nurse Disabilities

    I had polio when I went to nursing school and i'm sure I was alittle bit slower, but it never stopped me. You may have been a few steps behind but what is important is how you acted once you got...

  2. Scheduled toileting not being done by certain CNAs

    mercy1975 replied to old rural nurse's topic in Geriatric, LTC

    It would be only with residents who are incabable of telling you themselves if they have been taken to the toilet or the attends changed. They don't know it's there. At least the same aide won't be...

  3. Scheduled toileting not being done by certain CNAs

    mercy1975 replied to old rural nurse's topic in Geriatric, LTC

    Here's a tip to help you see if the residents are being toileted. Put a small piece of paper under the residents' belt or waistband . After the toileted time is past, you check to see if it's still...

  4. Survey begins

    mercy1975 replied to ktwlpn's topic in Geriatric, LTC

    In reality if something major did happen we'd probably all be on our own! If your state doesn't accept a contract, how do you comply with the regulation? It's funny how the states can be so different...

  5. Survey begins

    mercy1975 replied to ktwlpn's topic in Geriatric, LTC

    Just another heads up...another facility who just had their survey stated state are closely reviewing incident reports, all followups, and timely care

  6. Survey begins

    mercy1975 replied to ktwlpn's topic in Geriatric, LTC

    I'm in Iowa and we were told 5 gallons of water per day per resident. You have to have a signed contract available to show that a business, etc has promised to provide you with that amount if you need...

  7. showers on nightshift and time for residents to get up in the morning?

    mercy1975 replied to FROGGYLEGS's topic in Geriatric, LTC

    State Surveyors will tag you if you are getting residents up before 6 am unless they are early risers, etc. If they are being gotten up before 6 am, there better be good reasons and care planned. Ask...

  8. Culture Change In LTC?

    mercy1975 replied to RN 4 Life's topic in Geriatric, LTC

    I was responding to the quote that stated management did not respond to staff's concern regarding getting residents up at 5am. I agree you should be working with management. But when management fails...

  9. OMG!! You guys are right!

    mercy1975 replied to banditrn's topic in Geriatric, LTC

    Hopefully she documented that she reported it to the next shift and DON. The incident report should also relflect that this info was passed on. You have to remember to always cover

  10. Culture Change In LTC?

    mercy1975 replied to RN 4 Life's topic in Geriatric, LTC

    State surveyours would have a big problem with residents being gotten up an 5:00 to shower (unless the resident was up or restless, etc and care planned.) They shoud not be awaken before 6 AM just to...

  11. Culture Change In LTC?

    mercy1975 replied to RN 4 Life's topic in Geriatric, LTC

    I think even though the residents did not grow up with certain "luxuries,I'm sure we all feel that they deserve all we can give them now. Most residents would love the idea once they had the bathing...

  12. Culture Change In LTC?

    mercy1975 replied to RN 4 Life's topic in Geriatric, LTC

    Maybe you still have to have bathing on a schedule but one thing you can do for bathing is to make the experience more holistic. Make the bathing areas into spa like area. Lots of plants, nice...

  13. Anyone been through major state problems?

    mercy1975 replied to WickedRedRN's topic in Geriatric, LTC

    Picture this, my first job as a DON, first experience ever, 2 weeks later state walks in. The facility was in big trouble!! Anyway 1 year later we are still struggling (no money or backup from...

  14. Sexually Active Residents

    mercy1975 replied to CapeCodMermaid's topic in LTC: Directors, Assistant

    Sexual Expression of Elders in the nursing home is an area which we will all need to have guidelines and assessments soon. The baby boomer generation is coming!! Residents have the same rights as all...

  15. Monthly summaries

    mercy1975 replied to dianette's topic in Geriatric, LTC

    One of the state regs for Iowa was to do the monthly summary. Iowa then sent out a memo that these were not necessary. The nursing home I consult for do weekly summaries which is more time consuming....

  16. more survey tips

    mercy1975 posted a topic in Geriatric, LTC

    Please refer to the thread Influenza and Pneumococcal Vaccinations for additional survey

  17. 3-11 shift any suggestions on how to change?

    mercy1975 replied to JentheRN05's topic in Geriatric, LTC

    I'm sorry to hear you are struggling. Life can be so emotionally draining when you are raising a family and also working. Getting enough sleep helped me. I've also had to use antidepression drugs to...

  18. state surveys tips

    mercy1975 replied to loveleyday's topic in Geriatric, LTC

    Please check out "Influenza and Pneumococcal vaccine" thread. I included several survey tips however forgot to include "survey tips" in my posting

  19. I Am Afraid

    mercy1975 replied to walk6miles's topic in Nurse Disabilities

    I'm sorry to hear of your situation. I'm 53 and have post polio syndrome. This is a contining weakness of muscles. I contracted polio at age 6 months, 6 months before the vaccine came out. I've worn...

  20. Another pet peeve....ER nurses who treat us like idiots

    mercy1975 replied to CapeCodMermaid's topic in Geriatric, LTC

    Were you using a Hoyer Lift on her? We had a resident with osteoporosis. Her femur broke while the staff was using the Hoyer lift. She was that

  21. Giving Baths At Night. Agree Or Disagree?

    mercy1975 replied to kmwlpn's topic in Geriatric, LTC

    State surveyors will not want to see baths given at night from hs through 6 am unless it is due to a specific reason and care

  22. More survey tips including Influenza and Pneumococcal Vaccine

    mercy1975 posted a topic in Geriatric, LTC

    Just a reminder that documentation must be given to the resident or family for signature approval for influenza and pneumococcal vaccination. The regulation now notes that the family and/or resident...

  23. state surveys tips

    mercy1975 replied to loveleyday's topic in Geriatric, LTC

    The surveyor who looked up this poor residents skirt was totally out of line!:angryfire. This is a dignity and sexual issue. You can report this type of activity to the team leader (unless it was the...

  24. state surveys tips

    mercy1975 replied to loveleyday's topic in Geriatric, LTC

    State surveyors will pick residents with falls, fractures, weight loss, uti, pressure sores, restraints, catheters, and psyhcotics including hypnotics, hospice ,and diaylisis. Take your 802 and...

  25. state surveys tips

    mercy1975 replied to loveleyday's topic in Geriatric, LTC

    Make sure you use handcleaner every time after giving meds (unless you know you are not contaminated) and wash your hands every 5th time after giving