afteralltheseyears

Latest Activity

1. knowing how to maintain a PICC line

   afteralltheseyears posted a topic in Infusion, Intravenous

   Since proper maintenance of PICC lines vary depending upon whether it is an open or closed end catheter, how do you know how to care for it if the patient doesn't know what type of catheter they have...

2. communication of PT recommendations to nursing staff

   afteralltheseyears posted a topic in General Nursing

   At your facilities--do the therapists (PT, OT or ST) give their recommendations to the Dr and the Dr then writes them as orders for the nursing staff or does your nursing staff follow their...

3. communication of PT recommendations to nursing staff

   afteralltheseyears posted a topic in Rehabilitation

   At your facilities--How do the recommendations of Physical,Occupational or Speech Therapy become part of what the nursing staff follows when giving care? Do the therapists give the recommendations...

4. Samples of Kardex or other communication tool

   afteralltheseyears posted a topic in LTC: Directors, Assistant

   We are interested in implementing some sort of a communication tool that will inform staff of care needs of specific LTC patients. I don't know what to call this tool but I envision it to be like a...

5. flag outside room door so staff can be found

   afteralltheseyears posted a topic in General Nursing

   We are a small hospital with limited funds to purchase staff tracking technology (device that turns on a light above the room door so you can see when a staff member is in the room). Anyone have any...

6. Staffing/NHPPD

   afteralltheseyears posted a topic in LTC: Directors, Assistant

   In my CAH right now, I have 18 unskilled, custodial-type patients who reside here (for the state they are categorized as unskilled swing patients but they are basically nursing home pts). In addition...

7. Hourly rounding logs

   afteralltheseyears replied to afteralltheseyears's topic in Geriatric, LTC

   I'm shocked at the staffing ratios I hear on here-1 nurse and 4 aides for 60 patients. HMMM, if you do 12 hour shifts that comes to about 1 NHPPD. That sure doesn't come close to the 3.2 NHPPD that...

8. Hourly rounding logs

   afteralltheseyears posted a topic in Geriatric, LTC

   Is anyone utilizing the practice of hourly rounding to assess the 4 Ps (position, pain, personal needs and potty) and if so do you have a log up in the room for staff to document it? This practice...

9. CNA training program, manual

   afteralltheseyears posted a topic in Geriatric, LTC

   I am considering starting a CNA training program in my community. Where can I find a good training manual/curriculum? What is the ratio of LPNs to residents at your facilities?

10. shift report, CNA/pt ratio

    afteralltheseyears posted a topic in Geriatric, LTC

    In your nursing homes I'd like to hear how the change of shift routine goes. Specifically: who sits in on report--all oncoming nurses and CNAs hearing the same report from offgoing staff? OR nurses...

11. kardex

    afteralltheseyears replied to afteralltheseyears's topic in Geriatric, LTC

    We are the only hospital in our state that has been given the designation of CAH with extended swing patients who permanently reside here (in other words-we have 20 nursing home patients in our...

12. kardex

    afteralltheseyears replied to afteralltheseyears's topic in Geriatric, LTC

    I wanted to add: to whoever said they love Kardexes I say AMEN. I'm an old nurse too and Kardexes were what we used to give report with and I guarantee nothing important got left out of the report...

13. kardex

    afteralltheseyears replied to afteralltheseyears's topic in Geriatric, LTC

    Thanks so much for all your feedback. The system that exists here is alittle flawed I think as the RN on duty keeps to her ER/Acute care patients and has little to do with the LTC patients and the...

14. kardex

    afteralltheseyears replied to afteralltheseyears's topic in Geriatric, LTC

    Sorry, I'm not explaining my thoughts well. The care plans in use now are ones that have been "copied and pasted" from a care plan template. I don't think they are very meaningfully personalized...

15. kardex

    afteralltheseyears replied to afteralltheseyears's topic in Geriatric, LTC

    Good question. Like I mentioned, there are 19-20 residents. They are cared for by 1 LPN and 2 CNAs. What is a good ratio of nurse to patients that will allow adequate time to do care planning and...