ShimmaShimma0304

ShimmaShimma0304

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All Content by ShimmaShimma0304

  1. Soliciting help/stories for Resident's Rights in-service! :)

    ShimmaShimma0304 posted a topic in Nursing Professionalism

    Hello! Our social worker is leaving and I'd wanted her to help with a Resident's Rights in-service that we are having this month but she's too busy training her replacement... What I was wanting...

  2. How to approach this situation from management standpoint?

    ShimmaShimma0304 posted a topic in Nursing Professionalism

    It was reported to me, as a manager at a nursing home, that a nurse hasn't been doing her dressing changes on a person who has a stage 4 pressure injury. The dressings are every shift. The issue?...

  3. How to approach this situation from management standpoint?

    ShimmaShimma0304 replied to ShimmaShimma0304's topic in Nursing Professionalism

    Petty or not... I guess it's ok to ignore orders rather than discussing them with the M.D. That's acceptable???? That's not how I was trained. Why would she remove the dressing when it's not soiled?...

  4. How to approach this situation from management standpoint?

    ShimmaShimma0304 replied to ShimmaShimma0304's topic in Nursing Professionalism

    I'm not sure if she has that idea or not, but still... making an "executive decision" to ignore the orders is still inappropriate. That wound is so close to his butt and you can't TELL when stool is...

  5. How to approach this situation from management standpoint?

    ShimmaShimma0304 replied to ShimmaShimma0304's topic in Nursing Professionalism

    Well, this wound has been on-going on a person who is nearly 100 years old for over a year now... We have tried nearly EVERYTHING to heal it... we even have a specialist wound care team come in once a...

  6. How to approach this situation from management standpoint?

    ShimmaShimma0304 replied to ShimmaShimma0304's topic in Nursing Professionalism

    You are absolutely right. Indeed. Thank

  7. How to approach this situation from management standpoint?

    ShimmaShimma0304 replied to ShimmaShimma0304's topic in Nursing Professionalism

    I'm actually not usually there when the dressing is changed by this particular person as it's the opposite rotation that I work. There's another manager that works opposite of me and I can ask her to...

  8. Weighted blanket "to prevent contractures"?!?!?

    ShimmaShimma0304 posted a topic in Patient Safety Issues

    Ok, so... Apparently a hospice nurse who sees a resident at a nursing home I work at told the wife that a weighted blanket would help prevent the man from getting contractures. Mind you, he's had a...

  9. Weighted blanket "to prevent contractures"?!?!?

    ShimmaShimma0304 replied to ShimmaShimma0304's topic in Patient Safety Issues

    OH MY GOSHHHHHHHHH, EXACTLY, EXACTLY, EXACTLY!!!!! I worked in long-term care as a new grad back in 1996 for about a year. I worked night shift and never experienced the state surveyors but this...

  10. Weighted blanket "to prevent contractures"?!?!?

    ShimmaShimma0304 replied to ShimmaShimma0304's topic in Patient Safety Issues

    Lane, if the hospice professional had discussed it with the staff first (since they are a part of the team), that would have also been conducive to avoiding this horrible experience for

  11. Weighted blanket "to prevent contractures"?!?!?

    ShimmaShimma0304 replied to ShimmaShimma0304's topic in Patient Safety Issues

    Understood. I was thinking it was a given that the "weighted blanket" was designed to "weight him down" to prevent the contractures... My

  12. Weighted blanket "to prevent contractures"?!?!?

    ShimmaShimma0304 replied to ShimmaShimma0304's topic in Patient Safety Issues

    Once again... This man *****doesn't***** have anxiety or insomnia. It was meant to be a tool used to prevent contractures. He moves his legs about freely but does bend them up sometimes. He doesn't...

  13. Weighted blanket "to prevent contractures"?!?!?

    ShimmaShimma0304 replied to ShimmaShimma0304's topic in Patient Safety Issues

    But... the wife wanted it to be used to restrict his movement. It was the whole IDEA of weighting his leg down so not to allow him to bend. That's mean and unnecessary, albeit misguided and...

  14. Weighted blanket "to prevent contractures"?!?!?

    ShimmaShimma0304 replied to ShimmaShimma0304's topic in Patient Safety Issues

    This man is not a pediatric patient nor is he a young adult with autism or anxiety issues. He's a hospice patient in a nursing home and we have regulations and rules. Our people are frail and this...

  15. Weighted blanket "to prevent contractures"?!?!?

    ShimmaShimma0304 replied to ShimmaShimma0304's topic in Patient Safety Issues

    I have a weighted blanket too... to help me sleep better... She was told to use it to use it to specifically prevent contractures. Our facility is not a hospital or a home. It's a nursing home and our...

  16. Weighted blanket "to prevent contractures"?!?!?

    ShimmaShimma0304 replied to ShimmaShimma0304's topic in Patient Safety Issues

    His cheeks were red yesterday and his nurse asked him if he was hot and he said no. The Admin is not a nurse, no. I'm not sure that the wife wants to use it anymore. She asked to have it removed from...

  17. Weighted blanket "to prevent contractures"?!?!?

    ShimmaShimma0304 replied to ShimmaShimma0304's topic in Patient Safety Issues

    Yes, all of this came up at 4pm initially on a Friday and then every evening at 4:30 and 5pm the wife has been yelling at the nurses and aides and unit manager. There was/is a plan to have a meeting...

  18. Weighted blanket "to prevent contractures"?!?!?

    ShimmaShimma0304 replied to ShimmaShimma0304's topic in Patient Safety Issues

  19. Weighted blanket "to prevent contractures"?!?!?

    ShimmaShimma0304 replied to ShimmaShimma0304's topic in Patient Safety Issues

    To be honest, long-term care facilities are SCRUTINIZED (thanks to poor history, funding, help/staff that are not paid much and therefore the pickings for who we can hire are slim) by the state and...

  20. Weighted blanket "to prevent contractures"?!?!?

    ShimmaShimma0304 replied to ShimmaShimma0304's topic in Patient Safety Issues

    I'll bring that point up to my supervisors. Thank you for that perspective. Maybe the main point of education could be to not have it over his feet and toes so as not to cause foot drop or pressure...

  21. Weighted blanket "to prevent contractures"?!?!?

    ShimmaShimma0304 replied to ShimmaShimma0304's topic in Patient Safety Issues

    I agree. When she threw a huge tantrum late last night and said she wanted the blanket or she was calling the police or the news, the administrator just said to go ahead and let her have the blanket....

  22. Weighted blanket "to prevent contractures"?!?!?

    ShimmaShimma0304 replied to ShimmaShimma0304's topic in Patient Safety Issues

    Why not simple range of motion??? She's obsessed with the blanket now. It feels very "control issue" motivated now... I'm not sure what is driving her so hard about

  23. Weighted blanket "to prevent contractures"?!?!?

    ShimmaShimma0304 replied to ShimmaShimma0304's topic in Patient Safety Issues

    I don't think he is able to communicate his needs and wants, no. She believes it's going to help prevent contractures because that's what the hospice nurse told her. I'm concerned about the blanket...

  24. Wound Care for Nursing Home State Survey Question!

    ShimmaShimma0304 replied to ShimmaShimma0304's topic in General Nursing

    That makes sense.

  25. Wound Care for Nursing Home State Survey Question!

    ShimmaShimma0304 posted a topic in General Nursing

    Hi everyone! I'm new to the annual state survey as I've been in this new job for about 10 months and we have the surveyors at my job now. Tomorrow, they will watch me work on 5 of my residents. My...