sls73

sls73

Geriatrics

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All Content by sls73

  1. SigmaCare

    sls73 replied to CapeCodMermaid's topic in LTC: Directors, Assistant

    That's exactly what I am doing....daily, morning, evening, at bedtime, twice a day ect..... In my policy I am having spelled out that daily can be given from 12:00 AM to 11:59 PM, Morning can be from...

  2. SigmaCare

    sls73 replied to CapeCodMermaid's topic in LTC: Directors, Assistant

    We don't use Sigma Care, but I do use EMR for our med pass. In reference to survey- watch the infection control with the computers if you are taking them into the rooms. We treat it as equipment, but...

  3. what is the difference between a nurse manager and a nsg supervisor in nursing home?

    sls73 replied to lily1289's topic in Geriatric, LTC

    I have a Nurse Manager who handles the unit events(audits, staffing, admissions, families), and then a Nursing Supervisor/Charge Nurse for each shift. The Nurse Manager could be AKA a ADON(although we...

  4. Advise for new job at SNF , new grad RN

    sls73 replied to AngRN6726's topic in Geriatric, LTC

    Give yourself time to learn everything....you are not going to get it overnight. I have seen good nurses give up on themselves because they think they have to have it all down by the end of...

  5. Code Blue Drills

    sls73 replied to CapeCodMermaid's topic in Geriatric, LTC

    Sorry we have never had one either. We have our fire drills, but not code blues. Hey, but this was the first year we had a tornado drill so maybe there is hope for us yet. Uhh....but that would...

  6. What kind of staffing do you have?

    sls73 replied to TiredRN-momto4's topic in LTC: Directors, Assistant

    Census 59- Our PPD is in the high 3's and even in the 4's most days. Dayshift: 1 RN 3 LPN 1 Rest Nurse 8 CNA 2 Restorative Aides Evenings: 1 RN 2 LPN 6 CNA Nights: 1 LPN 4

  7. Inhaler Cleaning

    sls73 posted a topic in LTC: Directors, Assistant

    How do other facilities clean their inhalers for residents? Please and Thank-you in response for your

  8. Inhaler Cleaning

    sls73 replied to sls73's topic in LTC: Directors, Assistant

    Thanks! These are those multi-dose inhalers that the residents use. Do you use a tissue just to wipe them off or a alcohol pad. Hearing different

  9. discontinuing pressure alarms

    sls73 posted a topic in Geriatric, LTC

    I am trying to discontinue pressure alarms in our facility. I am having a hard time getting the staff to buy into this concept despite the fact that pressure alarms do not prevent falls. Has anyone...

  10. Computarized Med Pass in a LTC facility????????

    sls73 replied to pretty70's topic in Geriatric, LTC

    I like it too, been using computerized med pass since 2005 at our facility. I can't imagine going back to

  11. Don't You Just Want To Scream?

    sls73 replied to CapeCodMermaid's topic in LTC: Directors, Assistant

    Must have been the full moon this week- my two incidents: 1. Resident is on lovenox with Coumadin at 6 mg from hospital. The lovenox is one of those kg/mg so I have the RN ask the MD about it just...

  12. Unit Manager/RN Supervisor Responsibilities

    sls73 replied to txdon's topic in LTC: Directors, Assistant

    We are a 59 bed facility and on dayshift have 1 RN and 3 LPN's(1 does tx and 2 do meds) and on 3-11 we have 1 RN and 2 LPNs. I hired a Nurse Manager a little over a year ago and decided to make them...

  13. CMS Forms 672 and 802

    sls73 replied to wyogypsy's topic in MDS Coordinator Information

    In my facility it is the RNAC that keeps it up to date with input from SS, Restorative, and Dietary. Our MDS software can print one out for us, but it's not as accurate. We keep an excel spreadsheet...

  14. Call schedule

    sls73 replied to americanTrain's topic in LTC: Directors, Assistant

    There are good and lazy MDS nurses. I have one now that is only working 24 to 32 of her schedule 40 hrs per week(of her own admittance) and questions why I am asking her to cut her hours. We are a...

  15. DON passing trays in dining room

    sls73 replied to americanTrain's topic in LTC: Directors, Assistant

    We used to do something like this where administration took turns staying to cover the dining room. Friday nights were the pits. I decided to hire a ADON that works over the supper hour so that is...

  16. New Grad RN as new DON?

    sls73 replied to rainbowsandsunshine's topic in LTC: Directors, Assistant

    Please listen to what the others are saying and dont walk but run from this. I know the money and support they are willing to give you up front seems wonderful- it's not and most times it's not true....

  17. DON interview

    sls73 replied to Nascar nurse's topic in LTC: Directors, Assistant

    Congratulations!

  18. DON interview

    sls73 replied to Nascar nurse's topic in LTC: Directors, Assistant

    I am in PA and the ADON makes about 10% less then me. Hope this helps! Good

  19. New Hire

    sls73 posted a topic in LTC: Directors, Assistant

    I have an opening on one of my shifts. There was a nurse that put in for it from with in the facility and so far one that has put in for it outside of the facility. Here lies the problem. This is a...

  20. Medical Records

    sls73 posted a topic in Geriatric, LTC

    We are looking at starting to go electronic with charting documentation. We currently use a computerized medication pass and charting for the nursing assistants(caretracker). What we are looking at is...

  21. Call schedule

    sls73 replied to americanTrain's topic in LTC: Directors, Assistant

    My census is 59.....UGH! I think it says something about a FT DON working 35 hours a week- well I dont know about most DON's but I have that beat and then

  22. When is enough enough?

    sls73 replied to CapeCodMermaid's topic in LTC: Directors, Assistant

    It must be the time of the year- at least the area I live in. Nothing but ice and snow. I have been in LTC for about 20 years and the DNS for a little over a year. Prior to that I was the RNAC at the...

  23. Call schedule

    sls73 replied to americanTrain's topic in LTC: Directors, Assistant

    I take on-call once a month with three other administrative staff. They call me if needed on events of the unit and troubleshooting call-offs. If I am below the staffing levels then I go in(but its...

  24. Medicare Meeting

    sls73 posted a topic in LTC: Directors, Assistant

    I am trying to revamp our medicare meeting. It's still being done the way it has always been which is primarily a narrative or recap of how the residents doing in therapy ie- how many steps they are...

  25. Facebook

    sls73 posted a topic in LTC: Directors, Assistant

    are there any other folks out there having staff come to you about what others have posted on fb? it is more so what staff are saying(some being borderline inappropriate) and what they are saying...