litbitblack

litbitblack ASN, RN

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All Content by litbitblack

  1. New ADON feeling overwhelmed

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

    The way the job market is i bet you can find some nurses that really care and are job

  2. orienting: have different "opinions" on holding insulin. who do I listen to?

    litbitblack replied to gigi918's topic in Geriatric, LTC

    The dose ordered should not be changed just because the nurse felt like it. Routine long acting insulin should be given as ordered. If you find that bs are dropping throughout the day or are lower at...

  3. Weekly Weights

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

    I have excellent aids and they know the routine. Have never had a problem. THe wts are scheduled on a certain day of the week per hall to be completed right after breakfast and the sheet with all the...

  4. Death Notification

    litbitblack replied to guest042302019's topic in Geriatric, LTC

    Maybe say has passed away instead of has died. Otherwise it sounds

  5. Resident seating arrangement dilema

    litbitblack posted a topic in Geriatric, LTC

    Hello all. I have a little dilema with seating arrangements in the dining room between two ladies. They both want the same seat. The problem is one of them only comes out for the evening meal the...

  6. Question on the ambulation part of mds

    litbitblack posted a topic in MDS Coordinator Information

    Hey all First of let me say I am not an MDS nurse. I am a bit confused on what our facility mds nurse is telling us to chart on our monthly summaries. This concerns the ambulation part of the mds. We...

  7. Patient personal items

    litbitblack posted a topic in LTC: Directors, Assistant

    I work in a Certified Alz. facility and need to find some information on a resident having possession of a hair dryer in his room. IT is of course sunday so no one is here for me to ask but I know we...

  8. Patient personal items

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

    Thanks for the replies. Our patient population of course feel nothing is wrong with them so in addition to "Not needing a bath because I already took one" we also get "Im an adult I can dry my own...

  9. Question on the ambulation part of mds

    litbitblack replied to litbitblack's topic in MDS Coordinator Information

    Ok so I can see where if they propel themselves with thier feet how it can be considered somewhat of a walk but she (mds nurse) has said that if they are in a wc we mark ambulation also. How is that...

  10. Distraction activities

    litbitblack replied to JBMmom's topic in Geriatric, LTC

    Talking to them, Folding bags,towels, playing dominoes, putting together puzzles, trivia, Bingo, painting with water colors, magazines, hmmm lets see Im sure I could think of more I work dementia

  11. Serious staff shortage. Any ideas?

    litbitblack replied to Datev's topic in Geriatric, LTC

    Until management realizes that they are the problem Im afraid those poor residents are going to continue to be mistreated by understaffing and the high potential for injury r/t short staffing. What is...

  12. Am I being unrealistic?

    litbitblack replied to ryleighsmommy's topic in Online Distance Learning

    UTA can be done in 13 months depending on your credits you already

  13. Constantly stays late

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

    Does the facility have a policy on overtime? That is something that will have to be addressed before you can start disciplining. I would start with observation and conversation. Is there enough staff...

  14. Culture Change in a Secured Dementia Unit

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

    I work in a cert alz. long term care. We do have scheduled meal times and staff does encourage the residents to get up before breakfast but the ones who do not want to or who might start having...

  15. evidence based practice in long term care

    litbitblack posted a topic in Geriatric, LTC

    I am interested in some examples of evidence based practice in long term care some of you may have been involved in.

  16. evidence based practice in long term care

    litbitblack replied to litbitblack's topic in Geriatric, LTC

    Well I'm glad not everyone feels that way. I am fortunate to work in a certified dementia facility that is private pay so yes there are different things to do than give medicine and shovel food. Sad...

  17. Bad day... looks like it's everything I dreamed it would be.

    litbitblack replied to NurseCard's topic in Geriatric, LTC

    Private pay facilities are sooo much

  18. evidence based practice in long term care

    litbitblack replied to litbitblack's topic in Geriatric, LTC

    Thanks for your response. I am actually in school doing my bsn and this is one of the assignments. I work cert alz. so if there is anyone who has any ideas i am up for them. My first ebp assignment...

  19. Should I Apply for Management??

    litbitblack replied to NurseAnnie123's topic in Nurse Management

    While your manager may be upset that she would be losing an excellent employee if she is a good manager she will be delighted to see you advance in your

  20. Help! Want to be Staff developer?

    litbitblack replied to BrookeeLou_RN's topic in Nursing Educators, Faculty

    maybe try to place yourself in a facility that doesn't have one then you can encourage the making of the position. Or at least get experience while looking for your wanted

  21. State is coming, random medication questions

    litbitblack replied to WorkinMama's topic in Geriatric, LTC

    I would definately try to get the difficult ones out of the way prior to them arriving if at all possible. Heck sometimes I would only have 3-5 more to

  22. Will I ever get out of LTC or am I doomed?

    litbitblack replied to JZ_RN's topic in Geriatric, LTC

    Rather than feel like you are doomed look for oppurtunities to obtain the experience you are looking for in an acute care facility. Nursing is nursing and you WILL find those same type of patients...

  23. Asking family not to visit for a week or two to help a dementia resident adjust?

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

    Our facility has never suggested families stay away. Is there a better time that she is less anxious than not? We had one resident whos husband would come at a certain time and just agitate her for no...

  24. I need ADVICE!!!

    litbitblack replied to FutureRN_NP's topic in Geriatric, LTC

    If your going to be at the same place all the time it will be easier to get a routine. depending on how the facility is set up and what the schedule is there will determine how your routine is. I do...

  25. Assited Living: The new skilled care

    litbitblack replied to NJayne17's topic in Geriatric, LTC

    So is it because the alf are not governed by the state that they accept these people...it would have to be private pay stuff....are they cheaper as private pay than say a nursing home private...