Rnltc

HI, Can any ine help find publications oif you are to float heels when they are on an alternating air mattress. I have tried two bed companies and they reall do not address floating of heels. HELP

I have seen and used it several times in the elderly to appieite stimulant. If it is going to work for the resident it does well. Not all states will allow it useage in this manner for the elderly.

CMA is a certified medication aide. Not all states have them.

:rotfl: I have said it for years now it really happened. I live in WA close to the Seattle area. Moved here from the Midwest about 5 years ago and I even said it back then. You can flip hamburgers for the same hourly wage and not have to put up with all the CRAP... :chuckle An excellent CNA who has worked at the same nursing home for the last 6-8 years. Just quit and went to work at Mc Donalds for the same amount of money. This is very said and makes me angry. How does everyone else feel? Does this happen in your areas as well?

That is a great question. Is there?

It depends on which type of procdure they had. Plus why do they need nursing home care and not at home with home health. You should be able to get something from the center who did the surgery. I am sorry I did not understand your first posting as into the Bariatric procdure. I read it to mean bariatric resident in general on P&P for caring for Bariatric residents.

It depends on which type of procdure they had. Plus why do they need nursing home care and not at home with home health. You should be able to get something from the center who did the surgery. I am sorry I did not understand your first posting as into the Bariatric procdure. I read it to mean bariatric resident in general on P&P for caring for Bariatric residents.

I did leave they fired me. Which was the best thing as I worried 24/7 about the resident and staff as well as lic. It is a sad case when you are forced to take residents who you can not provide the care for as there is not enough staff. Of course you are not going to see any Corp. support from the home office to come out and work as a NAC or a LN. They would just swope in on their brooms and tell you everything you were doing wrong and what you HAD to do to fix it NOW. Nothing you didn't already know. Just takes bodies to fix them. Residetn and family complaints run wild and they have every reason to complain but there are no fixing their concerns or complaints.

I did leave they fired me. Which was the best thing as I worried 24/7 about the resident and staff as well as lic. It is a sad case when you are forced to take residents who you can not provide the care for as there is not enough staff. Of course you are not going to see any Corp. support from the home office to come out and work as a NAC or a LN. They would just swope in on their brooms and tell you everything you were doing wrong and what you HAD to do to fix it NOW. Nothing you didn't already know. Just takes bodies to fix them. Residetn and family complaints run wild and they have every reason to complain but there are no fixing their concerns or complaints.

Of course it is after the resident has arrived. Will the bed fit through the room door. Let me guess they are medicaid as well. As well, they will be on the call light 24/7 wanting every thing done for them and NOW.

Of course it is after the resident has arrived. Will the bed fit through the room door. Let me guess they are medicaid as well. As well, they will be on the call light 24/7 wanting every thing done for them and NOW.

This is in all states this company is in not isolated to one state. It is a Corp policy.

Iam not sure how to PM. Your right. With doesn't matter if we can meet the residents needs. Little alone dose the staffing matter. Just say yes! It is crazy... I am just waiting to see who gets a lawsuit first and where will those people be that are making this ploicy and truly have no lic. to loose. I have seen the 20 facilties take some really scary things that has nothing to do with their medical needs. Residents who are homless and need a bed, but also need a fix. And we have all those narc. The new question the survey team are askingout here is what would you do if someone walked up with a gun and demanded all the drugs...the scarey thing that is so close to being a fact out here with all the CHem. people they take who are still activily using. I have staff being abused by these residents and the missing of objects go up. I have seen residents demand to move because of these types of residents. I would not to put my loved in a facility where there were multiple of these types of residents.

Yes I agree. The releace of stress has been wounderful. Still worry about the good people left behind, but I am sure they will get around to them also. In a years time the new VP has either fired or asked to resign 13 people out of 20. Guess the Mother Corp. doesn't care as long as census stays up.

This Corp owns 350+ LTC across the US. I use to work for them until the fired me on 12-29. THey are firing people right and left cause they do not agree with this admission process. It is scarey and so uneithcal. 60% of the time LN and NAC do not even know the resident is being admitted till they arrive at the door. NO equipment ready, let alone the room and bed being cleaned. It is so embarssing. I worked at the regional level so I can say I have seen and witnessed this in at least 20 homes. I have seen buildings being told by the area V.P. and president of the company you will take them... WOrry about meeting their needs later, I have seen sex offends level 3 admitted felony. Drug dealers. Not to even mention the resident who were so clinical ill their needs could not be met due to the equipment, meds and staffing.

ANy one heard of a Corp doing a Green light on admissions. This means you say NO to NO admits. DOesn't matter what their payor source or condition is. Let alone what the staff is for the buildings. I have never worked for a LTC before who does not allow the Administator or the DNS have some say about the admissions and types of admits. Insulin Drip and dopiame when there is only one nurse on for 60-80 residents. NAC ratio 1-20 on opm's and 1-15 on days. NIghts will be 1-30,35. LN have 40 residents no matter what. What happens to the LC of the administrator and DNS. NOt to mention the poor staff on the floor.

Shelton, is a good town. I have lived here for two years.I moved to WA almost 5 years ago from the midwest. I first lived in the Seattle area and then moved down to Cetraila. My sig-other is from Shelton. I like it hear as it is kinda of in the middle of every where. 20 minutes to Olympia, 30 to Bremerton, 2 hours from the beaches. YOu can see the moutians here and the sound. I do not think the crime rate is higher than any other small city.

Great comment donmomofnine. You said a LOT in few short words.

As I stated it is all for the Corp. and not for the little employees. I work just above you in the WA. It is so scarey to read about these things and then end-up being part of what your reading about. Corp are what back and support our goverment. It seems that our taxes never really count for anything only making goverment and Corp bank account bigger.

Just wondering how many other nurses there are out there that is ready to give up on LTC and change to smething else because of all the COrp. bull and crap they jam down our throats. :angryfire I was just let go from a LTC Corp of about 300+ homes across the U.S. Worked for them for 4 years as DNS and then as a consultant. One of the facilites I have been asigned did not have a good survey and was placed in a stop placement. The area V.P. needed to come up with someone to blame and that was ME the lonley "just a consultant" as the VP keeps telling the us. I have seen this V.P. who has been with the company just a little over a year continue to do this. It seems Corps. do NOT care about resident care anymore. They do not follow their own mission statement. So many LTC facilites are in a crisis for staff and they treat staff like they are the scum off their shoes. It has always amazed me people of power can not do my job as they are not a nurse they are bean counters. They make the rules and the P&P and then shove them on us and inform us if you do not follow their rules they will go after your LN lic. Now wait a minute I have a standard of care and nurse practice act to follow. I pass a federal state exam. They graudated from a college and that is IT. They took no state exam. So what right do they have to threaten my lic. Can they be charged with abuse and neglect of a resident? They are the ones that come up with staffing grids and numbers and budgets that are so low there is no way anyone could even begin to give decent care. So sorry... I am just really tied of the politics that seems to go with giving patient care. I must have missed that day in nursing school. I sure do not remeber having any classes relatred to this type of crap. The really sad thing is I am a great nurse and love old poeple and the deadicated staff in nursing homes, but can not handle it anymore after this. 15 + of working in Long Term Care from LN to DNS to consultant. It is time to stand up for the rights of the elderly and their needs and not the bean counter needs and the profits of their pockets so they can drive cars fancy cars and live in big fancy houses and big salaries. Anyone else feel my pain...

It just seems like Corp. can make up the rules as they go. They do wounder why they can not keep nurses around. You are not worth less. In your heart and the halo over your head is gold. What Company is this. Sounds like the same company that just let me go.

I liked the way it read. With a little change you could have measurable goals with in the content. The format you use to put a POC into is up to you. The only thing the Fedral regulattion state is a problem, goal, and interventions and evaluation. I am not so sure that I agree that you are wrong in using the "I". If the resident or DPOA agrees and signs off there should be no big issue if using "I". The Fedral Regulations also state the resident must agree with their care and be infomred. The must be part of their own POC. IT is acceptable to use to POC for a resident. A very short and direct one and then a very detailed one. We call them POC A and POC B. THe POC A is one page and posted with the residents closet and their ADL books. It is a short recap of the Care Plan B.

WOW...then people wounder why no one wants to work LTC. I know that I have days I ask myself WHY? Did you get to see this blister? Was truly a burn blister or pressure? HAve you asked to see your employee file? You have a right to inspect your file. This way you know what they are putting in your file. What did the physician have to say? Yes we need order for EVERYTHING in LTC. Some days I am even afraid to wipe a running nose without an order. Do not give up on this.....You need to talk with an attorney....you might have been wrongly discharge......DId the facility receive a citation from the state?

I use to work for them in the state of Washington and I can undersand why they are in this type of trouble. THe need to be investigated in more states.

Hope I do not end up under that nurses care. I take my hat off to your for questioning this. What is COMFORT? I have supervised nurses who think comfort means doing nothing. Letting a person choke on their own fluids. Making a person walk post hip with no pain medication. I do not agree and it is my LIC. COMFORT means just what it says.