afteralltheseyears

afteralltheseyears

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  1. knowing how to maintain a PICC line

    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 and the catheter was placed at another facility? ...
  2. 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 recommendations directly?
  3. 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 to the Dr and the Dr then writes orders for nursing...
  4. Samples of Kardex or other communication tool

    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 Kardex. Our care plans have good, pt-specific info...
  5. flag outside room door so staff can be found

    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 ways of "flagging" a room so it is easy to see fro...
  6. Critical Access Hospital-NHPPD

    In my CAH right now, I have 18 unskilled, custodial-type patients who reside here (according to the state they are categorized as unskilled swing patients but they are basically nursing home pts). In addition, right now we have 4 skilled swing patie...
  7. Staffing/NHPPD

    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 we have 4 unskilled swing patients. We are staff...
  8. Hourly rounding logs

    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 I believe I read somewhere was legislated (somewhe...
  9. Hourly rounding logs

    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 has been found by research to decrease falls, callli...
  10. Can LPNs develop care plans

    Are LPNs expected or allowed to independantly develop care plans on LTC patients at your workplace
  11. CNA training program, manual

    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? Thx
  12. CNA training program, manual

    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? Thx
  13. shift report, CNA/pt ratio

    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 give report to nurses while CNAs report to CNA? If...
  14. kardex

    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 hospital who are permanent residents). We don't have to...
  15. kardex

    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 since the items we needed to cover were all right t...