mercy1975

Does anyone have good orientation checkoff lists for nurses and nurses aides? Any other orientation info you have would be appreciated. Thanks so much.

Our nursing home has 42 residents. My ADON and myself are always available to help the nurses. We just ask them to let us know when they need help. Many times we offer. The staffing is 2 day nurses, 2 evening nurses, and one night nurse plus a suffi...

I also work the floor 8 hours every week plus when there are call ins.

We have no IVs, wound vacs, complicated treatments, or catheters. We have 5-6 treatments to be done daily. The ADON and I are constantly asking them if they need help, what can we do, what are your ideas. They never think we have our work too. The AD...

I hope some one can help me. New guideliness for the counting of controlled substances came out where you have to count more of the controlled substances. We've only been counting Schedule II. I think you're supposed to do one week out of the month o...

Try Briggs or Med-pass....

I'm a DON at a 40 bed facility. When I was hired I was told I would have assistance from the ADON/MDS coordinator. Currently she does 4-5 MDS a week. I've been told that an admission MDS takes 5 hours and others take 4 hours. The charge nurses do all...

I want to thank everyone who replied. It's very much appreciated. I'm sure we'll get along fine and work together . I think we both need a better understanding of each of our jobs! Thanks again.

She usually has 3-5 assessments. As I mentioned earlier the nurses do all the assessments, Braden, Fall, etc of each new admission.

She's only been doing them since March. She is doing a thorough job on them. Care plans last about an hour. I'm impressed how she has caught on. And she is very detailed. I've only been at the facility for a year and had to redo every system when I s...

I should add that we actually have 57 beds but always run around 40-45- beds. As DON I also have a 28 assisted living units.

We don't have a high turn over at all.

This is the situation. The ADON who is an LPN is waiting to become the DON. She has completed RN nursing school and has not passed her boards after three tries. A RN day charge nurse has been told that the facility is using her license to cover the f...

1. As a DON of LTC how often do you have to be the "company pool" for staff who call in. Right now I"m charge nurse for 4.5 hours per week not counting the call ins. I'm new to this position and have had to start from scratch since the facility was s...

I've been offerred a DON position at a a 57 bed facility which only has 37 residents. The Administrator has been there 14 years and does the staffing schedule. The staffing is as follows for 37 residents: The DON and ADON are not counted below. Da...

Thanks for your input. It is in a small town and run by a private owner. I'm not sure about the night yet, who who fill in. They say they have extra staffing otherwise the ADON and me would fill in.

I request the following: Skin log Fall /Incident Log Dietician's reports I review all of these to assure we are doing everything we can for the residents. I report to the owner who wants an update weekly.

Here's some items that should be inserviced before your upcoming survey. These are alot of the areas the surveyors will be reviewing. All staff to wear name tags Greet and smile at surveyors as appropriate. They are guests in the facility and sh...

i know several of you have seen this info, but i thought it would be helpful. survey preparation permalink here's some items that should be inserviced before your upcoming survey. these are alot of the areas the surveyors will be reviewing. al...

The risk benefit statements may be helpful in a lawsuit, but they will not save you from a tag. Even if a resident has mutiple falls, and you have exhausted all interventions, then start over. The resident's families wishes should not over ride what...

I'll be giving inservices on falls, leaving hazardous items available to residents, general issues with poor care. Do you have stories that would relate to these issues that may "shock" the nurses. Such as deaths from these things, serious injuries,...

Please contact me via the private message (pm) function on this website. I really appreciate it. I've read alot of your posting and have alot of respect for your knowledge and understanding of LTC. Thanks again. Connie

following is a listing of what should be included in a survey entrance manual. this is the information the surveyors will request upon entering into your facility.this will make the entrance go very well. this also will give the don more time to ...

As a former state surveyor, the guideline was that residents should not be gotten up before 6am. It's a resident rights issue. Anytime a situation like this occurs, ask yourself "would a resonable person want to be showered at 5am? Unless they are ea...

Try insurance companies. They need good case managers or medical review people. Some of them work out of their home.