litbitblack

litbitblack ASN, RN

Member

  • Content

    596

  • Visitors

    9,756

  • Followers

    0

  • Likes

    47

All Content by litbitblack

  1. Showers in nursing home

    litbitblack replied to Vonique's topic in Geriatric, LTC

    It is what the residents wants no matter the facility policy. I would ask the facility if there is a policy stating how often and let them know he is reporting he hasn't gotten one and what staff...

  2. DCRA assessment needed?

    litbitblack replied to melissak.mds's topic in MDS Coordinator Information

    I understand out of the facility 2r hours results in discharge

  3. continuous glucose monitoring in long term care

    litbitblack posted a topic in LTC: Directors, Assistant

    I am looking for others experiences with the dexcom use in nursing homes-specifically with family members monitoring them as well as staff. We have someone who is a brittle diabetic that prior to her...

  4. Incontinent care

    litbitblack posted a topic in LTC: Directors, Assistant

    Is there a new practice for double gloving for incontinent care? We received a tag for infection control incont. care and are doing inservices. Our sister facilities infection control nurse is...

  5. Insurance assessments

    litbitblack posted a topic in General Specialties

    I complete insurance assessments as a 2 nd job and was wanting to see if anyone else completes assessments for

  6. Scheduling person that manages 2 separate buildings

    litbitblack posted a topic in LTC: Directors, Assistant

    So I was informed today that the administrator is looking at getting a person to do staffing so the don and I do not have to manage it and take Calvin ect. At first it sounds awesome- but then I...

  7. Scheduling person that manages 2 separate buildings

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

    So to followup after my original post. The scheduling person is awesome. Of course it took some getting used to and changing habits that we had gotten into but to not have to deal with the schedule is...

  8. Care Plans-In person or telephonic

    litbitblack posted a topic in LTC: Directors, Assistant

    Prior to COVID we were doing in person Care Plans every week. Now after doing telephonic ones for 3 years we do not want to go back to in person. Residents families have started asking about it (not...

  9. Help! Paraplegic residents wanting to have sex. What are the legal requirements here?

    litbitblack replied to MrsLPN1983's topic in Geriatric, LTC

    check with your

  10. Section GG Beyond Frustrated

    litbitblack posted a topic in MDS Coordinator Information

    So Nov. 1st we were told we had to start completing Section GG on the MDS and next October is when Section G will be going away. I am in a private pay facility. We do not bill Medicare. Therapy is...

  11. Should I take the risk on a new job or keep my state pension ?

    litbitblack replied to Nurse Beth's topic in Career Advice Column

    I am an ADON at my long term care facility and sometimes feel used and abused LOL. And it’s probably my own fault because of a sense of duty. I have been there 14 years and just the last 3 have been...

  12. Not getting paid to chart?

    litbitblack replied to paramedic-RN's topic in General Specialties

    I got in the habit of charting as I go so I rarely had to stay hover but yes you should get paid for

  13. Staffing Shortages

    litbitblack replied to LTCRN4LIFE's topic in Geriatric, LTC

    Honestly it has been a struggle. We are private pay so notoriously have a lower rate than others. We are the only one in town or I'll say in this area for of our kind and are managing to stay a float....

  14. Resources?  Tips?  

    litbitblack replied to Glycerine82's topic in LTC: Directors, Assistant

    Are you able to run a monthly report on labs that are

  15. Making schedules and tools

    litbitblack posted a topic in LTC: Directors, Assistant

    We currently use an excel form to do our nurse/CNA schedules and manually mark the xxxx/ooo’s every month and it takes for ever. What are some secrets some of you use to make it easier. It is...

  16. Biden announced nursing homes must require employee COVID vaccination to get federal Medicare+Medicaid funding

    litbitblack replied to NRSKarenRN's topic in Disaster Preparation

    Sadly I agree with this recommendation. But I also work in a private pay facility. I am the one that does the Covid testing for everybody and we have 43 out of 100 staff not vaccinated. Some of the...

  17. Do Dept head meetings violate patient privacy ?

    litbitblack replied to downsouthlaff's topic in Geriatric, LTC

    We have a admin staff meeting then a clinical meeting right after so the ones not involved in care do not get the patient

  18. Computer Systems

    litbitblack replied to Glycerine82's topic in Geriatric, LTC

    Do any you have a sample neuro check form that was built within

  19. Staffing and covid

    litbitblack posted a topic in LTC: Directors, Assistant

    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...

  20. Long term care medical director is a jerk!

    litbitblack replied to missourinurse2b's topic in LTC: Directors, Assistant

    I see it as he gets paid for his position and it is his job. I have documented exactly what is said. They will cover their *** if *** hits the fan later on so you have to cover yours. I happen to now...

  21. Staffing and covid

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

    My DON does our staffing and it is crazy. We have a separate COVID unit and staffing that has shorted us else where. We are set up where we can get some part time nurses to even just come in for med...

  22. Doctors not assessing COVID patients?

    litbitblack replied to orchidflower's topic in Disaster Preparation

    The doctors do visit non covid patients so I could see this as a way to decrease exposure. Not really a benefit to the other staff

  23. How is covid in your area?

    litbitblack replied to johnjohn1981's topic in Disaster Preparation

    We had been having very low numbers until recently then this last week had over 500 positives and the hospital is 75% capacity and had to open more covid beds. I work long term care and we managed to...

  24. Interview when in isolation for Covid

    litbitblack posted a topic in MDS Coordinator Information

    I am the MDS coordinator/ADON for a private pay facility. We had to open our COVID unit for 2 of our residents. This unit is isolated from the rest of the facility with an outside entrance and has...

  25. Significant Change- Hospice

    litbitblack replied to GenaP's topic in MDS Coordinator Information

    I schedule 14 days after discharge from