I am interested in what some facilities are doing with thier staffing and people going out of town when there are hot spots. We initially had a travel ban. Texas also had mandatory testing so we had some refuse to take it and had to be off 14 days without pay. So the travel ban is somewhat lifted except you have to fill out a form and depending if your going near a hotspot you understand that you will have to self quarantine for 7 days then take a covid test prior to returning to work. Some are taking it seriously some are not and it’s messing with staffing. Ideas?
Suggestions on a care plan for our residents needing to wear a mask when ever they are out of their room as rec. by the CDC. Just need a shove in the right way to word it. Thanks in advance!
litbitblack replied to Newgurl17's topic in Geriatric
I disagree with the restlessness. It can definately be a pain issue but does this resident have a hx of restlessness? How long has she been on that medication? The medication can cause restlessneses. There is nothing wrong with giving a PRN dose if its been adequate time for the routine one to work. I have given scheduled and Prn together for my hospice patients. The PRN is considered break thru. The routine isn't working. It may need to be increased or even have a time change. There are a few things to look into for your answer.
I have a question from the MDS experts on here LOL. When coding function where you choose equipment ( walker, cane, WC) How do you code the use of a Broda Chair? I see where it says do code specialty chairs in this section but where would you code it at.
So I am really new at MDS's and learning as I go. The first 2 weeks in the position I worked the floor as well as learning in the office. Well I thought I was doing good lol and found a MDS re- entry that had not been finalized. We use Matrix care. So I finalized it and transmitted it but it was marked late. This resident passed away a day or two later so I had to do a death one. When I run report it shows that the death one is late but has been processed and accepted. I don't know why it is showing up like that or if its going to show up like that forever. We are in our state window what does state usually do with late MDS's?
Hi I am new to the ADON/MDS world and am learning as I go. I do have a question about careplanning the use of Hoyers for transfers. Is there a specific requirement or a sample one can send to me. We are a private pay facility in texas and in our state window. We have a new DON/ADON. The ADON moved up to DON and then I moved up....Ready to the state survey over ( there is a new team of new surveyors so they are going to be very specific to some things ) Thanks in advance.
litbitblack replied to litbitblack's topic in LTC Directors
.75 an hour for having my phone on then time and a half for calls and text. I’m still trying to figure out how to document those correctly. It doesn’t seem like a big deal to claim 30 seconds for a phone call lol
litbitblack replied to litbitblack's topic in LTC Directors
I applied and accepted the position. It was 1.50 hr raise plus pay for being on call and extra if I respond to text or calls ect. Im learning the ropes.
So I have wanted m-f for a long time at my job in ltc. I currently work 6-2 every other weekend off with my days off consistently being every other Tuesday and every other Thursday. I have been waiting for a office position to open and our don is now leaving so the adon has taken the don position. I was all happy about applying for this job because I knew I had a good chance of getting it but I found out it’s going to be the same hourly rate as I’m currently getting with 830-5 and call every other weekend. I have a side job which would be significantly decreased if I took the position and there isn’t a raise so I did let them know I would not be applying but I kinda feel deflated because I had really wanted it. Do adon positions usually make the same as a charge nurse?
It took me forever to transition to the way orders were written in long term care versus the hospital. We would write tylenol 500 mg tabs give 2 tabs = 1000 mg....I would read yours as 1000 mg total but thats after 10 years in LTC. it takes some getting used to so just call and clarify.
litbitblack replied to Nurse Beth's topic in Nurse Beth
I took all but 3 classes for my bsn at UTA. No clinical hours as you could use your work experience to count. yes lots of paper writing.. The only thing holding me up is stats and I took it 3 times online with no luck..
litbitblack replied to iconicqueen's topic in General Career
Congrats on graduation and landing a job. Earning your RN doesn't mean you know everything you are supposed to know to take care of your patients. Its a start, a base of knowledge. Companies are aware of that and that is why they do offer such long orientations and preceptors. It sounds like they notice you are struggling and are trying to help you. How is your preceptor? Do you take half the patients as your own and build up to the full load? i would make sure your manager is aware of your concerns and can give you feedback.
litbitblack replied to linda1959's topic in School
I work in long term care and have not had that come up yet although i may ask our medical director about for future reference. We do administer drinks of alcohol with a doctors order or administer supplements with a doctors order. If the cbd is legal in your state and you can get a doctors order then why not administer it....Unless of course it is against policy.
litbitblack replied to Goaldigger80's topic in Professionalism
What did the lady say in her email? you were asking to many questions? Maybe she implied that the school did not give you the information you needed to be prepared and it made them look like they were not doing their part they are responsible for.
