311ltc

311ltc

Geriatrics

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All Content by 311ltc

  1. Assisted living turned nightmare

    311ltc replied to danij040866's topic in Nursing Career

    Also notified the state. They are in violation of unsafe staffing by being

  2. On Probation for Pain Med Administration

    311ltc replied to Nurse Beth's topic in Career Advice Column

    I know a nurse who had restrictions placed on her license and she got a job in dialysis. Actually went back to dialysis after she was given a choice at another job after that, that she could resign...

  3. Right to Refuse

    311ltc posted a topic in Geriatric, LTC

    Have a NIDD in personal care facility. Resident's family member doesn't understand or doesn't' want to understand that we can not make the resident eat only healthy foods, that if they want to eat...

  4. Replaced by Certified Medication Aide!

    311ltc replied to ladyjanelpn's topic in LPN, LVN Corner

    In the years I have been an LPN it become increasing apparent that the nursing profession must be one of the most abuse profession. Where else does a person have so much at stake, i.e. potential to...

  5. First med error

    311ltc replied to WittySarcasm's topic in Geriatric, LTC

    Shane505 - you pretty much hit the nail on the head in regards to

  6. C-section post abd surgery?

    311ltc posted a topic in Ob/Gyn

    Three years ago, a family member had a misdiagnosised ectopic pregnancy. The docs tried treating it pharmacologically, but it was too late and it failed. After being all night in the ER, docs...

  7. C-section post abd surgery?

    311ltc replied to 311ltc's topic in Ob/Gyn

    Thank you, rbytsdy. Your information was

  8. C-section post abd surgery?

    311ltc replied to 311ltc's topic in Ob/Gyn

    The reason it was considered misdiagnosed was related to the fact that her hormone levels were being monitored and even though they weren't in the nl range an ectopic wasn't considered until after the...

  9. Call Bell Over Use (Abuse?)

    311ltc posted a topic in Geriatric, LTC

    Looking for what others think is appropriate use of the call bell in ALF. I'm looking for a way to manage over use of the call bell. This is regarding an able body person who may or may not have...

  10. Call Bell Over Use (Abuse?)

    311ltc replied to 311ltc's topic in Geriatric, LTC

    Thanks for all the input. Fortunately DON and administration support us in trying to modify this behavior. It really sucks up staff time when one person (has used the CB over 12 times in an 8 hr....

  11. Call Bell Over Use (Abuse?)

    311ltc replied to 311ltc's topic in Geriatric, LTC

    About the only way the family is involved is to tell the reisdent to behave. They don't come too often and don't stay long. I think the behaviors had pushed them away. They use to take the resident...

  12. Call Bell Over Use (Abuse?)

    311ltc replied to 311ltc's topic in Geriatric, LTC

    No, the resident's have call bells in their rooms

  13. Call Bell Over Use (Abuse?)

    311ltc replied to 311ltc's topic in Geriatric, LTC

    Thanks! We are keeping a log. Started out just keeping a count of the call bell. Now it has become reason, action,

  14. Call Bell Over Use (Abuse?)

    311ltc replied to 311ltc's topic in Geriatric, LTC

    Thanks! It's not an easy

  15. Call Bell Over Use (Abuse?)

    311ltc replied to 311ltc's topic in Geriatric, LTC

    "Looking for what others think is appropriate use of the call bell in ALF. I'm looking for a way to manage over use of the call bell. This is regarding an able body person who may or may not have...

  16. Day Off

    311ltc replied to 311ltc's topic in Geriatric, LTC

    Amen to that (give them an inch...). The more you do, the more they take and your still expected to get in all done within the time

  17. Day Off

    311ltc posted a topic in Geriatric, LTC

    Just need to vent. It's my day off. Don't get me wrong I love my job, my choosen occupation, co-workers, residents, but most of us need and value our time off, away from the job, the call bells, the...

  18. PRNs

    311ltc posted a topic in Geriatric, LTC

    If a prn medication is ordered q 6 hrs, can it be given again after 5 hrs or does it need to be kept to 6 hrs? The reason I ask is because I had a nurse say you have the hour before and hour after to...

  19. Pennsylvania Lawmakers Consider Nurse-Patient Ratio Legislation

    311ltc replied to geekgolightly's topic in Pennsylvania Nursing

    I'd like to see ratio changes in LTC/ALF also. We deal with people not objects. Just can't set them aside and finish with them later. It's hard to provide quaility care when you can have 30 to 40+...

  20. ALF resident out for the day without meds

    311ltc posted a topic in Geriatric, LTC

    I have a resident who's family takes them out for the day on the weekend, but hasn't been taking her meds with them. I work 2nd shift so, I found out they doesn't have the meds when I come on. I...

  21. Changeover

    311ltc replied to evilolive's topic in Geriatric, LTC

    How many of you need to review the new records and sign off on them? We need to squeeze this in along with the regular shift

  22. jean

    311ltc replied to LIjeany's topic in Geriatric, LTC

    Sure sounds like age discrimination. Who doesn't have days were they yawn alot. I think that would probably put alot of nurses out of work! I agree with gonzo 1 I would be talking to a

  23. Deciding which orders can wait

    311ltc posted a topic in Geriatric, LTC

    It is understandable in this time of economic crisis, the push to elimate overtime, but where do you safely, ethically, morally, legally..... do this. I work second shift in ALF (with 30+ residents...

  24. Deciding which orders can wait

    311ltc replied to 311ltc's topic in Geriatric, LTC

    ALF Assisted Living Facility. What is DTO? Delagate to others? How about MMC, FI1AA, PPHM,

  25. Noncomplaint ALF resident

    311ltc posted a topic in Geriatric, LTC

    Have a resident who is basically noncomplaint in all aspects. Knows it all and self diagnoses. We'll skip the mental issues the staff is in agreement about. Never comes to the Dinning Room (DR) on...