the_alchemist

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 been through changes for the past 3 years and nothin...

i recently passed the nclex. though the preparation for the test was tough, i did not expect that job hunting can be tougher. so while submitting applications to each possible position, i decided to take BLS/ACLS and other courses while waiting for a...

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 mostly with the basics. 3 days of practice on the compu...

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 do the job, I only do things related to MDS: care...

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 room for growth because of poor management and the ...

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 the bathroom just before I went in for the intervie...

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 in injured area. He is able to mention his name wh...

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 rear end, pelvic x-ray done without any fracture h...

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 head"

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 advised about the importance of documentation, which...

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 left as witnessed by the EMTs and as documented. Unf...

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 exited the building 20 mins later. Like i said, the...

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. What are your fall protocols in your workplace as far...

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 the pt to ER?

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 thought to myself wow that was pretty easy! as soon...

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 it was. and i agree, let's not forget that we we...

hi all! i need some information to shed light on my concern right now. I had been on leave from work for 3 weeks now, and still have a week to go before i'm going back to work (and this is not a vacation, just important matters i need to sort urgentl...

I got back to work after my leave. I had to see for myself what went wrong here. I have a couple of things I need to point out. 1. The medication was ordered last week of August. It was NEVER carried out. No 24 hr check was done. When I querried on t...

Hi all! This is a little bit of an update for my previous thread: https://allnurses.com/general-nursing...ed-435666.html So i finally went to the facility to get things started once again. Like I have said, i asked for a leave for at least 2 weeks, a...

Thanks for all your replies, i really appreciate it. I didn't mind if some of the responses sounded a bit harsh, I needed that to keep myself in check one more time. this is the real world and I know I can't get things my way. Tomorrow will be my fir...

I'm not sure if it happens elsewhere, but during my orientation, I was told by the staff that the company barely gives OT pay to employees. Our unit can house 39 residents at one time, 38 the most I got so far, 32 on average. After passing meds, you ...

Thanks for your post, and yes this is my first 'real' job. I did not mean to sound so 'whiny' but yes, I admit that I have issues that need to be resolved. Healthwise, I do not take chances coming to work if I know I can endanger someone else, a pati...

Thanks for your informative post. I mentioned about the lunch break because that's what's been going on, although I don't complain and chase my way to be compensated for that. I know that it's what the law says, however, a lot of times, especially wh...

Honestly, your post sounds full of excuses. Yes, it does sound so and I truly believe that I needed time to sort things out. I'd rather keep this private, but since I'd like to hear your advice, I did ask for a"time off" with the excuse of a "family ...

First I would like to tell you that NO OVER TIME, really means NO OVER TIME. Got it. It happens that this is being talked about every so often in the facility. I would do so freely if a supervisor tells me that I can get OT. It also happens that our ...