ChainedChaosRN

ChainedChaosRN

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All Content by ChainedChaosRN

  1. monthly summaries in LTC

    ChainedChaosRN replied to ktwlpn's topic in Geriatric, LTC

    I'm a DON in a 160 bed facility and I did away with monthly summaries. I too found them redundant and not helpful. The patient is reassessed quarterly or with significant change. I'd rather have...

  2. CNA Patient Ratios?

    ChainedChaosRN replied to StacyC417's topic in Geriatric, LTC

    Depends on the type of resident being cared for. Totally dependent with all ADL's will require more staffing, more independent less. Care levels and layout of a facility are big factors in

  3. infection control LTC

    ChainedChaosRN replied to Used and abused's topic in Nurse Management

    In our facility we keep a bag full of small bags on the double hamper (laundry and trash) tied to it. Laundry stocks the linen carts for each shift and unit: adding the briefs, some gloves and the...

  4. incident reporting

    ChainedChaosRN replied to tigger2sassy's topic in General Nursing

    I believe each institution or corporation has their own policy regarding it. Our companies policy is that it is a facility document. You do not chart that an "incident report is completed" and it...

  5. dementia patients

    ChainedChaosRN replied to ava'smomRN's topic in General Nursing

    MissJKM...please do not be hesitant to work with the dementia resident. They are our mothers, fathers, grandmothers, grandfathers, aunts and uncles. You may encounter all types, slightly confused...

  6. Mds Job

    ChainedChaosRN replied to Purple_RN's topic in Geriatric, LTC

    Thank you DisabledNurse, it probably comes from having a strong back ground in MDS myself. I'm a firm believer that the MDS nurses are the ones that drive and coordinate the residents care. They are...

  7. Mds Job

    ChainedChaosRN replied to Purple_RN's topic in Geriatric, LTC

    Thank you DisabledNurse, it probably comes from having a strong back ground in MDS myself. I'm a firm believer that the MDS nurses are the ones that drive and coordinate the residents care. They are...

  8. sleeping staff

    ChainedChaosRN replied to night owl's topic in Patient Safety Issues

    The thing about policies is that they usually develop to "assist" the employee in understanding what is right and wrong at a job situation, because people sometimes leave the common sense factor at...

  9. sleeping staff

    ChainedChaosRN replied to night owl's topic in Patient Safety Issues

    If you are on your break, punched out, off the unit...sleep away. I could care less. If you are on company time be awake or be fired. If you are not on the clock...what could anyone possibly say...

  10. How hard is college level Chemistry?

    ChainedChaosRN replied to marilynmom's topic in General Students

    I thought it was harder then h*ll. I had to take Chemistry I and BioChem I and II for my program. After a year and a half of Chem...it was no wonder I grayed early. If you have good retention you...

  11. sleeping staff

    ChainedChaosRN replied to night owl's topic in Patient Safety Issues

    Here here traumaRUs....unprofessional and they all need fired. If you have to sleep at night....get a day

  12. mds productivity

    ChainedChaosRN replied to scdon's topic in Geriatric, LTC

    That is a tough question with alot of variables. Alot depends on how well you know the patient and how good of job you do. How many disciplines actually do the MDS. How many computer terminals are...

  13. Transition from restraint to restraint free facility

    ChainedChaosRN replied to Ric's topic in Patient Safety Issues

    We use alot of low bed with the bedside mats. A roll off of a low bed to a mat is considered a "fall". Any change in surfaces. That is not our policy...that is the current law, at least for LTC...

  14. sleeping staff

    ChainedChaosRN replied to night owl's topic in Patient Safety Issues

    I'm a DON in a LTC facility. I went in one night and found 5 people sleeping including the supervisor. I fired all 5. The patients are paying people to take care of them...and there is always...

  15. Shaky hands

    ChainedChaosRN replied to suzy253's topic in Nursing Career

    Hi Suzy, I have always had shaky hands, it seems to be a heriditary thing. It did make my patients nervous, and i would give the "heriditary speech"..it would ease their fears some. Would go on...

  16. Mds Job

    ChainedChaosRN replied to Purple_RN's topic in Geriatric, LTC

    Hi Frazzled, My facility is 160 bed skilled. I have 2 MDS Coordinators, and I NEVER pull them. We usually run 30-35 skilled residents. They work 40 hour weeks and rarely work overtime. You...

  17. Mds Job

    ChainedChaosRN replied to Purple_RN's topic in Geriatric, LTC

    Hellllo Nurse...sorry we are full up, but if you come to MI come see me, you never know. I agree good ones are hard to find, but they are out there. Revamping the whole industry will never work as...

  18. sleeping staff

    ChainedChaosRN replied to night owl's topic in Patient Safety Issues

    Thank you ACNORN for saying it with flair and a little fire

  19. sleeping staff

    ChainedChaosRN replied to night owl's topic in Patient Safety Issues

    Can't see anything wrong with sleeping? Getting paid while you are sleeping? Does the terms embezzlement and negligence ring a bell? I'm sure there is not a thing wrong with sleeping if it is...

  20. sleeping staff

    ChainedChaosRN replied to night owl's topic in Patient Safety Issues

    A year ago, almost to the date, I paid a "surprise" visit at 3:30am to my LTC facility. I found 5 people sleeping, the first I found was the nursing supervisor sleeping at the nurses station. I had...

  21. Mds Job

    ChainedChaosRN replied to Purple_RN's topic in Geriatric, LTC

    HellllloNurse, sounds like you had the shift from hell. LTC is not all like that...thank God. My advice for anyone taking a job ANYWHERE...do some research. For LTC, check past surveys, check the...