makes needs known

makes needs known

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All Content by makes needs known

  1. rehab staffing

    Is that nurse doing meds and tx only, or nurse taking patients and doing pt care and meds and
  2. Belly Dancers: appropriate entertainment for LTC residents?

    I think they will love it, especially the men. Give lessons to the ladies. I bet there will be lots of
  3. Even nurses do stupid things ....

    Once when I had been sleeping one of my kids complained of a headache. I got up and got them something, I thought I got them Tylenol, but when I looked at bottle after they took it I saw it had been...
  4. Does Death Have A Smell?

    The small boy looked at Bruce Willis and said "I smell dead people". Sorry I couldn't resist. I've smelled this odor, too. Dehydration and organ shut
  5. So Stressed & Aggravated At My Job

    My gosh, did you even know what this man looked like? Were you suppose to knock on windows and ask strangers if they had a bad back? Maybe you should have brought a nice cup of coffee to this poor...
  6. Questionable practices at a LTC home

    Did the ADON really say "so you could see how bad things are?" If so isn't she admitting that they need more staff? WOW How many nurses for 60 pts? Usually that's a worse
  7. I contacted the DOH and they investigated the lack of grab bars. They are not concerned because facility stated that if a particular resident needs grab bars they will be installed. Isn't that like...
  8. How often do your pts thank you?

    I hear many patients say 'thank you'. Some people are brought up to use these words and it is a well mannered reflex. Last night a woman said 'Thank you, I feel better knowing that you are here to...
  9. Why hide barrier creams and/or skin preps?

    Maybe so the LOL that lives in that room doesn't find it and eat it. I once found a lady gargling with a gel topical analgesic. I didn't leave that in the room, I picked on my coworker for leaving...
  10. LPN's and care plans

    I'm curious, are lpn's allowed to start, or update patient care plans? According to the office of professions @ NY education department lpn's "may not create, initiate, or alter nursing care goals or...
  11. LPN's and care plans

    Well our RN Head Nurse is stll expecting us to start and work on care plans. I can understand updating an existing care plan but she is still leaving the lpn a folder of careplans to work on when she...
  12. Bathroom grab bars

    OUR REHAB facility has been painting and putting up new wallpaper as part of a big renovation project. Some of our rooms have been completed and a big concern to the nursing staff has been the removal...
  13. Lovenox question.

    If you don't have an in-house pharmacy you will have to wait a day at least to get the dose you need. Md who ordered dose should be able to answer question about 2 40mg doses to make an 80mg dose....
  14. Cabin Fever

    Anyone ever watch the movie "Cabin Fever'? These kids go to cabin for a fun trip and come down with a terrible gross virus.
  15. Bathroom grab bars

    Alot of you guys are so sure in your belief that management listens to their employees. THEY should know that those safety devices should be there, and they don't give a crap what I have to say. I...
  16. Lovenox question.

    Combine 2 doses into 1 syringe? They come pre-filled and I'm sure I would loose some if I tried to mess around with that. 40 and 40 is 80. I would have given 2 shots and explained to the patient the...
  17. a matter of terminology

    Director of Nursing aka DON aka Her Royal
  18. Bathroom grab bars

    Dear Pennyaline, You are able to see this problem well. According to our management all of the problems that beset our facility are because of us. They do nothing wrong. We are incompetent, and...
  19. CNA's and Fire Power

    Hi, Our nurse aides's do not get the VS. The nurse is responsible for getting the VS at our
  20. How many residents do you care for Per Shift?

    Keep smiling at your patient and keep screaming at your management. You know, when 1 nurse does all this and does it well, without a sweat it makes the other nurses look bad. Some nurses get used to...
  21. system of breaks is for licensed staff in SNF

    I would think that management would be ALOT more upset about the handing over of the keys without doing narcotic count then your
  22. Bedside shift report.

    How can this work when there is only 1 nurse who is reporting to only 1 relieving nurse and they have to go through 40 patient? Not to mention the fact that we have semi-private rooms and the roommate...
  23. Rehab Staff Ratio

    We have construction now and our census is low. Last night 30 pts, and 4 cna's. 1 nurse for passing meds and tx. And 1 nurse for doing paperwork all night. I pass meds and do tx and then nurse notes....
  24. Your thoughts and ideas needed - 2 matters!

    I agree, saying 'please' 'thank you' and 'you're welcome', go along way to help the situation. Take time smile and listen to the
  25. Your thoughts and ideas needed - 2 matters!

    The reason you have a great bunch of employees, but poor morale is because management does not really care about morale or people. I'm amazed at management in healthcare who profess to be all about...