skl0923

went back and edited some of my post d/t another post here about someone being reported to their facility................that would do it for sure! Go back to work tomorrow. We'll see what reception I get:confused: REally need to find outlet to vent, I guess..not recreational! If you know what I mean.

I have an ultrascope that cost $109.00...it is an amplifier and it really rocks! you can hear through clothes and dressings and in very noisy environment. Then I found a Pot Belly Stethoscope for $38.00 and it is just as good! Can order it at Dixie EMS supply here on the internet. Just bought a Cardiocare, and this one is totally different style, but you can hear really good with this for around $40.00 from Thomas Medical Supply (search on line). I figure if these get legs I can afford to replace. :kiss

Let's all hope that we have the patience also to remember some of the following: Is this new behavior for this resident. Have the medical needs been addressed, (UTI, URI) meds reviewed, et cetera? Has this nurse been working too many hours Does she have a new patient load? How many residents is she trying to "supervise". How many staff is she supervising. Is administration addressing the nurses needs? We sometimes forget that nurses are human, and once in awhile they also are short of patience. Just had to address all this myself. Worked in long term care past 5 years, and I love it, and my patients. I was short with a resident last week and reported, out of context...alzheimer patient that cannot walk attempting to get out of bed, even after medication per hospice protocol...CNA's nowhere around, patient thinks I am her daughter...doesn't stop talking while you are trying to get her to lay down, husband insists she is in bed...et cetera. New administration..now have 30 residents on days and evenings. I have been telling DON that it is too much, cannot take extra time to sit with resident to calm them down, usually do not take more than three 5 minute breaks, sit and eat while charting. have to spend 1hr to 1.5 hr twice a day in dining room and pass meds to 30 residents, on dayshift. Spend precious minutes trying to find staff to address residents needs. Phone rings all the time. Nursing supervisors position eliminated, desk clerk position eliminated. We have to now do total care for 30 residents. Went to HR to see what would happen, if I reassigned while on workers comp? Injured tailbone was told no light duty for Nurses..behind on monthly paperwork for past two months. On the verge of nervous breakdown, broke down in HR.....can't work like this any longer. Scared to death state survey will walk in....! Been working 13 shifts every two weeks for over a year. Did not get vacation last year just too short of staff. New Staff Development Coordinator trying to get caught up on CEU for survey/HCFA...pulls us off the floor for 45 minute in service one whole week...refused to go to last two, just can't get med pass done in time if I do. Ready to give it all up..............just can't cope with this any longer Do not want to be this kind of Nurse..short of time and patience, have to be aware of every minute to get things done, no time to do treatments, monthly summaries, care plans, admission assessments and paperwork, too many things being missed! Phone doctors, fax doctors, transcribe orders and labs and whatever else comes up, dietraty orders, pt/ot orders and their asking me to look at resident because they are doing this or that. Dealing with family inquiries, other nurses demanding I do this or that, usually their admission paperwork. Can't imagine why I thought I could give good patient care!:imbar Sorry...but you touched my button, and yes I have 5 days off and am using it to assess myself. May need to look elsewhere for work. Checking it out!

I work in longterm care in Florida We have new administration...who has just told us that we can no longer use a master signature log. That means that we now have to sign back of each MAR and TAR each month. Wonder if we can find this out from HCFA, because this is where they are telling us it came from. Only thing is, it came from Staff Development Coordinator. Can anybody help me out there in finding out the reg for this?

Our facility is asking us to sign with our signature a form daily that the CNA's have performed their job responsibilities. They are saying that we are responsibile even if we do not sign, this document. there are 10 questions on the form where you state that they did or did not do these tasks. I have 26 patients and 2 or three CNA's, most of them are new US residents, they most certainly do not understand English completely, they are defiant, refuse to do what you ask, consistently do things they are told not to, I could go on and on. i have refused to sign this, along with a few other Nurses. Any advice. Do not misunderstand, I am a new nurse and I thought that by setting example by doing what I can to help them out would help in getting their cooperation. I change patients, when I find them incontinent, I feed patient, because they do not encourage them to eat, I explain the rationale of why they should do things, to no avail. Help!