litbitblack ASN, RN

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 educating her staff that they can double glove then inste...

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

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 thought about it and want some opinions of those who ma...

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 the best darn thing to have happened. She has the...

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 ones that were here prior to COVID) and we have fou...

check with your osbudsman.

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 contracted out and they bill Medicare for their part....

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 adon. You are the administrative in charge when the...

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

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. We won't hire agency- just can't afford it. When ...

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

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 somewhat of a rotating schedule. I thought there might be ...

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 comments from my vaccinated staff are that they are ...

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

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

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 wi...

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 have an awesome medical director but have been yel...

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 pass then have 1 nurse cover 2 halls. I am so ready...

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 though

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 be COVID free until recently when a resident was s...

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 dedicated staff to work it so they are not able to w...

I schedule 14 days after discharge from hospice.

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...

Thank you! Now, my DON had my position so she was doing the MDS. She did not know this so the MDS she completed had them marked them as WC. I only found this by accident when I was looking for something else as I am brand new to it and learning as I ...

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 i...