litbitblack ASN, RN

Can you clamp the catheter for a short time right before changing it then you would get some urine flow in the tubing?

IF they are going to share a room you might as well treat the other person for cdiff as well because they are going to get it. They should have private room with staff using contact isolation

Long term care and CNA's collect all of the water pitchers and bring them out to the nutrition center to refill and replace ice water then deliver them back to the room q shift. Water pitchers are changed out with clean ones on 10-6 shift

I don't have enough information to decide if she should be charged or not. The hospital is not going to support her because if she can get charged and convicted they would be released from liability. The family needs to sue the hospital for fail safe...

I know the feeling of being boxed in a position. For a while I was led to believe after one ADON retired I was going to be placed in an office position as well. When the time came for that person to retire the staff developement nurse moved up to the...

I would tell them there is to much room for error with that order and if this person needs to be managed acutely then she needs to return to acute care for continued monitoring. This is a med error waiting to happen. Maybe make a PRN order based on d...

Ltcg is the name of the company

Is there anyone here anymore that does assessments for lifeplans, ltcg ect? Recently lifeplans sold - part went to ltcg and the other part ended up with a company called Matrix Health. When they first took over it was for the united health ship asses...

I just dont' understand why these people that don't want to work and don't have time are still working?

I would definitely talk to her and if it did not change then I will take it to my manager

If she is starting to have aggressive behaviors that are progressively getting worse does the doctor know about it? She may be on medications for dementia that she no longer needs but causes her brain to be overactive (previous experience with this)....

Same here. I took stats twice and just couldnt get it when the test came around

Why not try to look at the charting to see if it has even been addressed. Maybe there are behaviors that are preventing it. Change the dressing your self. Document what it looks like then write a note to the person in charge of the unit.

Dementia is psych as well

What regular medications does she take?

what kind of medication is she on? I would have the MD due a med review as she may be on something that could cause increased behaviors as she continues to decline with her dementia. We have had to send a few of ours to inpt. psych for stabilization ...

Everyone involved can be held liable - the attorneys just need to add your name to it. If you documented what you observed you should be fine. All head injuries are not sent to the ER. There have been times when the MD's do not call back and I usual...

You did what you were supposed to. It irresponsible for the NP to ask you to compare EKG readings. She needs to review and compare and decide what to do with it. You really only need basic knowledge of the life threatening rhythms

How often is he requiring a supp? If it is pretty frequent and he takes po meds ok then I would ask for a routine laxative..

Generally its up to each specific MD

Are you taking medication for your ADHD? I took concerta and I could tell when it started to wear off. Maybe if your not you need to look into it....I now take my meal breaks in peace and quiet where I won't be disturbed just to get away from the con...

I feel its a personal choice. You have an obligation to family first or least thats the way I see it. your employer isn't going to support your child if your alive. and every one saying these buildings were made for these things yeah there were alot ...

Is your contract to that floor or can you change dept? Take an extra day off, rest, try to organize your time if you think you can- i hate that saying but sometimes you can still organize it a bit better. Its a year or $4000. what about PTO? Do you h...

first i would check to see if the background check is completed prior to getting in the program. The board isn't really going to do anything until your applying for application in which there is process where you can send paperwork in for them to inv...

When applying for liability insurance -its required for an independent contractor position- do I put my status as my regular full time job which is long term care or answer the questions pertaining to the independent contract position?