311ltc

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

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 or be fired.

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 cake, ice cream etc., that is their right and we can...

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 lose license, etc., yet expected to do more and mor...

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

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 decided surgery was needed. Were going to do laproscopi...

Thank you, rbytsdy. Your information was helpful.

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 third trip to the ER when the tube had ruptured.

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 memory issues. The call bell can be activated as much a...

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. shift) and takes away from time other resident's s...

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 out, but the resident refuses. Don't know if the...

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

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

Thanks! It's not an easy one!

"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 memory issues. " I copied and pasted the start of my o...

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 constraints.

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 complaints, the stress. One of the reasons it pa...

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 give meds. I thought that rule applied to schedu...

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+ people to care for.

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 spoke with the family member and said that the meds s...

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 work.

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 lawyer.

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 with a mixed population of AAO to moderated Alzheime...

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

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 time. Will come in after meal time with others in tow...