ShimmaShimma0304

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 help with was to give some stories that I could use t...

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? The nurse who is reporting it works the following ...

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? The only answer that comes to mind: THAT'S HOW IT'...

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 in his wound by looking at the dressing sometimes. ...

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 week to do some minor debriding and stimulation o...

You are absolutely right. Indeed. Thank you.

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 check as she usually arrives early, early in the ...

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 CVA and is up in a wheelchair and can propel himself...

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 year I did, as my first year returning to it again......

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 all.

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

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 keep them up. What about foot drop and pressure inju...

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 misinformed... but was told to do this by a medical professi...

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 16-lb blanket puts him at risk for skin breakdowns an...

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 regulations are MUCH more rigid because we are ta...

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 him last night. She said she's really stressed ou...

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 but it can't happen until Monday when everyone is b...

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 federal governments. We were 1) looking out for the ...

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 injuries on the tips of his toes. Thanks again.

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. The nurse documented everything in detail. We chec...

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 it.

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 causing pressure areas on his toes or heels. She sai...

That makes sense. Thanks.

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 biggest question is in the details expected during t...