jaimemds

jaimemds

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All Content by jaimemds

  1. Disciplinary Action Poll

    jaimemds replied to UM Review RN's topic in General Nursing

    Where I used to work, the nurse who was orienting me had put in her two weeks notice and went for exit interview. She was honest about why she was leaving and was told not to come back or finish her...

  2. Questions on charting

    jaimemds replied to Meika9501's topic in LPN, LVN Corner

    Never chart I in reference to yourself, only in quotes as the resident stated it. never chart told resident to go to room, or put in room to calm down. this is considered isolation. Never chart med...

  3. Help!!

    jaimemds replied to banditrn's topic in Geriatric, LTC

    what must be looked at with skin breakdown is checking/changing Q2H and whether or not ALL shifts do this. Also look at how often they are being washed. Just one shift failing to properly cclense and...

  4. C-diff

    jaimemds replied to Inquisitive one's topic in Geriatric, LTC

    My facility makes it a practice to give yogurt at least BID w/anyone on ATB's. If they will not eat it, we have the MD order acidophillus QID. We also have the person with C-diff use a BSC. A word of...

  5. Excelsior Tests

    jaimemds replied to studyn247's topic in Online Distance Learning

    I am using the directed learning system through Rue. I know my learning style, and I cant just dowwnload an outline and go. I know there is a lot of debate about publishing companies, but it works for...

  6. I feel I'm being sabotaged

    jaimemds replied to cleo's topic in Nurse Management

    Take it from someone who was sabotaged. If you feel you are being sabotaged, you are. LEAVE, ASAP!!!!!!!!!!!! I had the feeling for months, but did nothing and ended up fired. Shortened version of the...

  7. Sick Time

    jaimemds replied to Pepper The Cat's topic in General Nursing

    management must follow facilty P&P, starting at step one. They cannot jump to termination. Management must also look at everyone for the amount of calloffs, because if they just go after her, it...

  8. High fall risk

    jaimemds replied to Inquisitive one's topic in Geriatric, LTC

    I usually put "resident will not receive serious injury r/t accidents" or "resident will utilize all safety equipment (i.e. body alarm, walker, etc) with staff supervision and education daily"...

  9. Mds-rugs

    jaimemds replied to RondaS's topic in MDS Coordinator Information

    I think we need a forum just for MDS/PPS. There are so many times when I would love to bounce info off another coordinator and there is noone else in my facility who knows anything about it. There are...

  10. Insulin

    jaimemds replied to Momto2Boys's topic in LPN, LVN Corner

    You have to have two nurses sign for insulin before you give. Is this just in Texas or other places

  11. MDS Questions???????????

    jaimemds replied to sassyASC's topic in MDS Coordinator Information

    I started my own MDS QA which I turned in at the monthly QA meeting. At my facility we go around to each department and bring up any problems. So I would rattle off, Activities was late on 19 out 0f...

  12. LPN, MDS coordinator/care planning

    jaimemds replied to OK-LPN-MDS's topic in LPN, LVN Corner

    I am also an LPN/MDS coordinator and do it all!!! i love what I do and love care planning. My DON signs R2b, but I do all the scheduling, care plans, raps, pain and restraints ax's, etc, etc, etc!!!...

  13. Low beds, falls and incident reports...

    jaimemds replied to night owl's topic in Geriatric, LTC

    Being an MDS coordinator for years, I have to say that ANY time a resident rolls oob, even if to a blue matt or blue matt to floor, is a fall. Any time a resident stumbles or trips and needs staff...

  14. Activities for Dementia Unit

    jaimemds replied to Betty_SPN_KS's topic in Geriatric, LTC

    OUr act. dept. talks to pts. about past events. They try to stimulate their long term memory. Say, the depression, games they played as children. Dementia pts. usually remember events of LONG ago....

  15. Med error: what would you do here?

    jaimemds replied to perfectbluebuildings's topic in General Nursing

    If I were you, I would report the med error per policy. You don't want it to look like you are trying to covering anything

  16. Help! New grad nervous about LTC state inspection!

    jaimemds replied to Elektra6's topic in Geriatric, LTC

    state wants to make sure you are following the 5R's with med passes, knocking on the door and privacy for inj. and FSBS. With wound care they want to make sure you are following the order, changing...

  17. Getting started as MDS nurse

    jaimemds replied to farmgirl2's topic in MDS Coordinator Information

    Look for inservices in your area regarding MDS and PPS. Autumn Enterprises has a good program it's called the ABC's of MDS, I don't know if I would have made it without that course. Does your owner...

  18. Nurses Week Gifts

    jaimemds replied to Tagtg2006's topic in General Nursing

    worst: a laminated poem that was printed off the computer and some candy! best: a keychain cpr

  19. I Double Dawg Dare You, Do It!

    jaimemds replied to Bipley's topic in General Nursing

    I had an elderly woman in a skilled LTC unit. She had MRSA and was on Respiratory isolation. This was Christmas time. She has to spend all day every day in her room. She was sad and depressed. She...

  20. Need some tips with eyedrop administration

    jaimemds replied to Elektra6's topic in Geriatric, LTC

    I usually use my right hand to separate the upper and lower lids and use my left hand to instill the drops. You have to be careful not to apply too much pressure to the lids. And, reassure the...

  21. What are the duties of.....

    jaimemds replied to Nikki69's topic in Geriatric, LTC

    Generally the Ax coordinator is responsible for updating careplans. They need to make sure that the care plans meets the pts current needs. I personally update the immediate needs care plans, adl's...

  22. MDS Job Offer-Need Advice

    jaimemds replied to nursediz's topic in General Nursing

    Also LPN and currently making 21/hour in southeast Ohio. If you are able to push for extra tools i owuld suggest the MDS 2.0 book from briggs. They send you undates to the manual automatically. i...

  23. Meds you hate to give....

    jaimemds replied to UM Review RN's topic in General Nursing

    Enulose

  24. Different Pen colors

    jaimemds replied to cajrio's topic in General Nursing

    My LTC facility uses the 3 colors to indicate the shift the med needs passes on on the MAR. We only chart in black ink. We used to chart in colors,but it made it easy for State to see when an entry...

  25. Plan of Correction and IDRs

    jaimemds replied to CapeCodMermaid's topic in Geriatric, LTC

    Not knowing Mass's regs, I would say to call your risk management company they should be able to guide you. I would say that is all paper, esp. for lesser