systoly

systoly

LTC, Memory loss, PDN

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All Content by systoly

  1. LPN and Advance Directives? What if?

    my suggestion: go through the charts and look it up at each shift begin it only takes a few minutes if this info is given in report, i still wanna see it myself don't trust stickers on the chart (may...
  2. Car or Public Transport

    another thought what if someone had a personalized license plate " NURSE
  3. Car or Public Transport

    actually i'd be hard pressed to violate HIPAA it seems all my recent PCGs are facebookies and it is i who has to ask not to be mentioned or pictured or talked
  4. 91B & 91C here also that's been a while, i believe it's field 68
  5. Car or Public Transport

    the right answer is: whatever works for you (families as well as staff) if you or any family doesn't feel comfortable with nurses being dropped off then the agency should ensure it doesn't happen...
  6. Car or Public Transport

    how you get to work is no ones beeswax if someone taking you is a Hipaa violation than i suppose i had better disguise my car as well, because a lot of people know my car and we'll ask that the DME...
  7. Trach change disagreement with Case manager

    well, it's kinda like asking a pt. who is rsistive to personal care, "do you want a shower today?" of course the answer is "no" and of course we don't drag them into the shower room by their ankles,...
  8. Nervous/Scared

    so.., did you have your first day? if not, don't worry, they're just saving the best for last nevertheless, i hold you personally responsible for the latest Bengals debacle
  9. Snotty fellow CNA!

    had a co worker like that many moons ago got tired of it so i grabbed a notepad every time she'd come around and i'd start writing when she asked i told her you have so much knowledge im writing down...
  10. How do I handle state survey

    in my area, state surveyors like to see teaching tell the pt. what meds, what they're for, etc. take the time to ask if they're having pain or other probs check the water pitcher, etc. takes a little...
  11. When a med runs out

    there is no such thing as borrowing the meds belong to the resident does anyone ever ask the resident if it's ok to borrow, i think not, so it's theft i ask the pharmacy for a stat run or if that's...
  12. writing telephone orders

    I'd write the order, hand it to the mgr. and tell her "here you are, ready for you to sign, time and
  13. being abused by clients

    as stated above immediately call the police, remove yourself from the situation (may have to do this first) call your supervisor and do not go back there, so there's no chance of this happening
  14. What is a care plan

    the care plan is a vital part of the nursing process it is the part that addresses problems identified during earlier stages of the process and is scientific in nature in that the goals need to be...
  15. extended care facility CCRC {(continoud care retirement community)involves independent, assisted and total care} ask about hospice here Hospice
  16. Funny Mistakes

    do you have a problem with administering powder nasally
  17. Sleeping with HMEs (Trach noses) safe?

    I think several different conditions are getting thrown in one pot here i believe the big concern would be the HME getting clogged or full of secretions if that is the concern, time of day and...
  18. People confusing and mixing titles

    good
  19. People confusing and mixing titles

    i came across this https://allnurses.com/nurse-colleague-patient/nursing-imposters-895231.html can't live with
  20. Moving Forward

    congrats Buckeye, old Boomer fan here i know you'll do well in school but can you do something about those Bengals :) couldn't help but think about right now, bengals are playing ravens, Boomers...
  21. take classes and training offered by your local chapter of the alzheimer's association it will greatly help you in doing your job as well as finding one at a facility that
  22. People confusing and mixing titles

    becoming a nurse, usually involves years of sacraficing sleep, time with family, time for self and $$$ so when someone with a few weeks or even months of technical training comes along and claims the...
  23. Sleeping with HMEs (Trach noses) safe?

    im really curious what is the rationale for pts not to sleep with hmes what makes the hme unsafe during a nap please post your source's rationale as far as im concerned, you have gotten all the right...
  24. Physical Therapy

    i don't know if any barriers to communication exist so im inclined to say be very careful with second hand info focus on the goals and expected outcomes ventmommy is absolutely right request a copy of...
  25. CAREER CNA'S/PCT' S

    yes, there's a wage cap at least in my area, facilities will not pay a CNA as much as a entry level licensed position it's a shame, because some of these CNAs prevent falls, wounds, ensure early...