Furwillfly

Furwillfly

Geriatric/Psych

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All Content by Furwillfly

  1. Why does LTC seem to have a bad rep?

    Furwillfly replied to Summers_Off's topic in LTC: Directors, Assistant

    I am an R.N. in LTC. have worked in LTC all my life it seems. Started out as CNA. LTC has bad rap and always will due to people's ignorance. Yes, it's hard work. Yes, the nurse/patient ratio is...

  2. Mental health and Elderly/Hippa

    Furwillfly posted a topic in Psychiatric

    My father was discharged from the hospital as 'gravely disabled' adult, whom had a psych consult while there, and i found out he had been diagnosed with schizophrenia prior to the admission; don't...

  3. Mental health and Elderly/Hippa

    Furwillfly replied to Furwillfly's topic in Psychiatric

    As previously mentioned, I know all about HIPPA. I also already said that perhaps she did try to check on him, or he refused to have her in his home. I will give her that one. However, if someone is...

  4. Mental health and Elderly/Hippa

    Furwillfly replied to Furwillfly's topic in Psychiatric

    Thank you for your insight. No, he doesn't believe he is schizophrenic. And the family isn't as much concerned about his schizophrenia, 3 of the 4 kids are nurses...we are a statistic from a...

  5. Mental health and Elderly/Hippa

    Furwillfly replied to Furwillfly's topic in Psychiatric

    I am not at all offended by what you're saying. I appreciated it. And you have a point, I don't know if they tried a home visit and he didn't allow them in. Quite possible, knowing my father. I...

  6. Mental health and Elderly/Hippa

    Furwillfly replied to Furwillfly's topic in Psychiatric

    Thank you for your insight! I don't know if he was asked if he wanted his family called, as I don't yet have priviledge to that information. Like I said I understand HIPPA, but they weren't making...

  7. Lost the 'CHARGE' in "Charge Nurse"

    Furwillfly posted a topic in Nurse Management

    I need some nursing management advice please. I have worked at my facility for 5 years now. For the last two years now, the Administrator and DNS have worked the floor quite often as we are very...

  8. Lost the 'CHARGE' in "Charge Nurse"

    Furwillfly posted a topic in Geriatric, LTC

    I need some nursing management advice please. I have worked at my facility for 5 years now. For the last two years now, the Administrator and DNS have worked the floor quite often as we are very rural...

  9. Dementia Patient Frequent Faller

    Furwillfly replied to michael79's topic in Geriatric, LTC

    I don't know the r/r of ALF as Im in LTC facility. I do work with these kinds of residents and we do a few things. Being they are forgetful to use a walker we provide them with a Merri walker. It...

  10. Ridiculous waste of time

    Furwillfly replied to achot chavi's topic in Geriatric, LTC

    I was taught to do this as a standard

  11. Ridiculous waste of time

    Furwillfly replied to achot chavi's topic in Geriatric, LTC

    I have to say how ASSININE! Ask the pharm. if you need an MD order to wipe their periarea with cleanser too! Sorry.... Get routine standing orders from your MD. Lip balm is part of cares.........

  12. New Nurse in LTC

    Furwillfly replied to zosimus_LPN's topic in Geriatric, LTC

    Never stop asking 'why'. An increase in behavior could be a UTI, or pneumonia, or pain, etc. It may not just be a deterioration of their Alzheimers. Be creative with interventions. Your CNA'S are...

  13. Weekly weights

    Furwillfly replied to CapeCodMermaid's topic in Geriatric, LTC

    We weigh weekly upon admit for 4 weeks, then 2x a month until the dietician and I go over the weights and mutually decide to change to monthly. I am in charge of the weights. What I do to make it...

  14. My first resident passed away last night

    Furwillfly replied to lexibear99's topic in Geriatric, LTC

    It's hard isn't it. I've been there many times. Remember the good times with the resident. And know in your heart, you gave him the best of you that you could give, and blest his final days with...

  15. Pets at work

    Furwillfly replied to CapeCodMermaid's topic in Geriatric, LTC

    And some of the more cognitive residents enjoy responsibilities, like " you would be a big help to me if you would brush my dogs fur...or watch him/her for a few minutes in your room for me." it...

  16. Pets at work

    Furwillfly replied to CapeCodMermaid's topic in Geriatric, LTC

    We have a 10 year old 'facility cat', that was adopted when the resident passed away. We have one other cat that is a residents and we share taking care of it's responsibilities. And we have two...

  17. Disturbed...

    Furwillfly replied to DroogieRN's topic in Geriatric, LTC

    Just an FYI, it could be his oral mucosa is dry. So it would just be a natural response to suck on something wet/moist. They make an oral moisturizer that one uses after oral care, to keep the tissue...

  18. Rotating Halls??

    Furwillfly replied to lexibear99's topic in Geriatric, LTC

    I agree that residents need continuity and a nurse should be on a wing for a certain amount of time. One can get to know their residents well and are quicker to pick up signs of illness. However,...

  19. Patient Care or Man Handling???

    Furwillfly replied to hippylady7211's topic in Geriatric, LTC

    I live in WA and my guess is DAMale works in a hospital or something, because we can't use leather restraints where I work; so lets not stereotype. :) Talking about interventions of this gentleman,...

  20. Calories burned.

    Furwillfly replied to calledtodo's topic in Health, Stress Management

    I walk on my treadmill too. The question was: has anyone tracked calories burned during a shift at

  21. Calories burned.

    Furwillfly replied to calledtodo's topic in Health, Stress Management

    I work in LTC. I have a pedometer, I average 4 miles per day with 650 calories burned during the 8 hour work

  22. Patient to nurse ratio NY in LTC

    Furwillfly replied to elisha's topic in Geriatric, LTC

    One nurse to 40 residents? That is insane! I think it differs state to state, but here in Washington I don't think there is a law on the alloted ratio. However, here if you don't feel you can't...

  23. Re-directing tips needed for Alzheimer's/behavior pts

    Furwillfly replied to bluegeegoo2's topic in Geriatric, LTC

    That's too bad. We can't afford to not do a r/o UA or my staff have the potential risk of getting the c*** beat out of them, or worse another resident. In our eyes this is more important and cost...

  24. Re-directing tips needed for Alzheimer's/behavior pts

    Furwillfly replied to bluegeegoo2's topic in Geriatric, LTC

    We have standing orders for UA'S/Labs from our COS. We will usually dip it first, and do vitals before calling MD. Our MD doesn't usually do abo's

  25. Pain management in LTC

    Furwillfly replied to bluegeegoo2's topic in Geriatric, LTC

    I think hospice care is very different than treating chronic pain. I think if one is dying and a durgesic patch is cut.......fine. They probably need the dose delivered immediately, as they probably...