the_alchemist

Latest Activity

1. Weight Variance Meetings and EHR

   the_alchemist posted a topic in LTC: Directors, Assistant

   Hi all! I just want to know how other facilities conduct their weight variance meetings: who attends the meetings, how often, how long it takes on average, and follow up procedure. Our building has...

2. how to be an efficient MDS coordinator

   the_alchemist replied to the_alchemist's topic in MDS Coordinator Information

   Thank you for your replies. We do not have Medicare residents. I am told that my job is "simplified" because of that. We have 98 beds and I am the only MDS personnel. And since I am the only person to...

3. how to be an efficient MDS coordinator

   the_alchemist posted a topic in MDS Coordinator Information

   I am a new MDS coordinator. No MDS experience at all, but like everybody else would say, my personality fits right in, and of course, i'll learn along the way. My first week of orientation dealt...

4. Assisted Living: Challenge and Future

   the_alchemist posted a topic in General Nursing

   I have a potential Health Care Coordinator position waiting for me at a Sunrise Senior Living community. I am currently a SNF supervisor. While I like what I'm doing right now, I dont think there is...

5. preemployment drug screen

   the_alchemist posted a topic in General Nursing

   I went for an interview last week and they wanted me to start 1st week of May. That same day, I was asked if I was ready to provide a urine sample. I wasn't ready due to the fact that I had to go to...

6. What would you do?

   the_alchemist replied to the_alchemist's topic in General Students

   Going back to this case, let me write down more info about this patient pre-fall he was non-ambulatory with 1-person assistance with transfers he had a fall 6 days before, in the fall, he fell on his...

7. What would you do?

   the_alchemist replied to the_alchemist's topic in General Students

   There's no official report yet on cause of death, but the MD who saw him at the hospital said 'they found a lot of blood in the

8. What would you do?

   the_alchemist replied to the_alchemist's topic in General Students

   they weren't. There was another RN who asked if 911 was called, and she asked before she saw the patient. After seeing the patient, she agreed that the patient was not in an emergent situation and...

9. What would you do?

   the_alchemist replied to the_alchemist's topic in General Students

   The patient stayed in the hospital for about 16 hrs before he died. The DON and MD understood that pt was in no acute distress and not in an emergency situation, given the pt's condition before he...

10. What would you do?

    the_alchemist replied to the_alchemist's topic in General Students

    he expired about 17hrs after the fall. MD order was to send to ER for further evaluation. No change of condition the whole time pt was in the building. EMTs arrived about an hour after the fall, and...

11. What would you do?

    the_alchemist replied to the_alchemist's topic in General Students

    to follow up on this thread, unfortunately this patient died. he was sent to the hospital an hour after the fall. he left the LTC facility still alert, with GCS of 14, A&Ox1 same as baseline....

12. What would you do?

    the_alchemist replied to the_alchemist's topic in General Students

    thanks for your responses... btw, it happened in a LTC facility. given the above assessments, would you call 911? Or would it still be a prudent action to call the Doctor, get an ambulance and send...

13. What would you do?

    the_alchemist posted a topic in General Students

    Please share your response on this scenario: Demented geriatric patient fell on concrete floor from wheelchair, sustained a laceration near the corner of the eye and bleeding was controlled. c/o pain...

14. IV and blood under the skin

    the_alchemist replied to the_alchemist's topic in Emergency

    thank you for your responses... like u said, it couldve been the tourniquet. the pt was really skinny and dehydrated. in fairness to the nurse, she did apply direct pressure. guess it was just the way...

15. IV and blood under the skin

    the_alchemist posted a topic in Emergency

    I was orienting with a nurse who was to start IV hydration to one patient. After preparing everything, I came closer to her to observe the insertion. When she hit the vein, there was blood return, i...