217shana

217shana

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All Content by 217shana

  1. Is this legal??

    217shana replied to nurseruby's topic in Geriatric, LTC

    The nurse was not fired because of one hole she was terminated because it had been idenitified as a problem and nothing that had been implemented solved the problem and she was one of the frequent...

  2. Is this legal??

    217shana replied to nurseruby's topic in Geriatric, LTC

    I can tell you that holes in the MAR is a big deal. For example is a patient has a seizure, falls, and sustains a hip fracture. If the family seeks legal action, you can bet the MAR is going to be...

  3. Resident Care Coordinator

    217shana replied to Nurse Amy Jolie's topic in Geriatric, LTC

    I once held the title of resident care coordinator and the position included everything from rounding with the physician, to being supervisor for a unit of 50 patients, attending care plan meetings,...

  4. Are LPN's being phased out?

    217shana replied to JSlovex2's topic in LPN, LVN Corner

    In my community at the local hospital they are not hiring any new LPN's except for in the skilled nursing unit. All the LPN's there are currently being allowed to stay and no one is requiriing or...

  5. Skin Prep QUESTION

    217shana replied to nurserin's topic in Wound, Ostomy, Continence

    I have worked with wounds for the past 7 years and we use skin barrier prep to the peri-wound area to prevent maceration. We also use skin barrier prep to blisters, stable eschar and boggy heels to...

  6. bullous pemphigoid

    217shana replied to Ms.RN's topic in Wound, Ostomy, Continence

    I had a patient with this once and I had never heard of it before. He was sent to the dermatologist who recommended large doses of prednisone and we applied silvadene to the areas. He had so many...

  7. How long should it take to pass meds to 44 to 45 residents

    217shana replied to djsugar's topic in Geriatric, LTC

    I have experienced having to give medicines to 45 patients and this was usually when someone called out, vacations, or we were between hiring someone to fill a vacant position. The thing I found most...

  8. Why is LTC so hated

    217shana replied to MadameFreckles's topic in Geriatric, LTC

    To the OP that stated that LTC nurses were not as competent as other nurses I beg to differ. I have worked in LTC for over 27 years as a nurse and went on to become an administrator. I advocate for my...

  9. Hourly rounding logs

    217shana replied to afteralltheseyears's topic in Geriatric, LTC

    We have hourly rounding and what is suppose to happen is that nurses check one hour and CNA check the other hour. How is this suppose to happen when you are giving medications. At best you may see the...

  10. LPNs as Unit Managers?

    217shana replied to westieluv's topic in Geriatric, LTC

    One of my first part time jobs was one of a LPN in long term care facility. I was 22 years old and was made charge nurse of my shift. I now have 27 years as a LTC nurse not only have I managed a unit...

  11. DON fired during state survey

    217shana replied to americanTrain's topic in LTC: Directors, Assistant

    I once worked with a DON who has just been forced to resign from her then current job. She came to our facility and was one of the best if not the best DON we had until her untimely death. Let me just...

  12. Discharge before 5-day assessment

    217shana posted a topic in MDS Coordinator Information

    I recently had a patient that was admitted to my facility and discharged back to the hospital with return not anticpated. The patient received two days of therapy while there. I am an short-term...

  13. TB Skin test question

    217shana replied to new_worker's topic in Geriatric, LTC

    Once you have a positive TB test you always considered positive. You take the medicines and you have yearly chest xrays after that or at least that's what we did at one facility I worked in. Also...

  14. Bosses

    217shana replied to lovingtheunloved's topic in LTC: Directors, Assistant

    I once had a DON who asked me if I wanted to learn everything there was to learn about LTC. I told her that I did. She took the time to train me in every area of LTC seeing how she had actually...

  15. Seeking guidance on tricky situation

    217shana replied to Nascar nurse's topic in LTC: Directors, Assistant

    Just remember to keep a copy of whatever you submit to higher ups. It goes without saying document, document, document. I would also go along with contacting the Ombudsman in this situation. I would...

  16. ARD's, care plan dates & information

    217shana replied to rukiddingme's topic in MDS Coordinator Information

    We are given a monthly calendar with listed ARD due dates for the patient. The MDS coordinator issues this every month to all the disciplines who have to complete sections. She also gives the nurses...

  17. Black heals, debride or dry dressing?

    217shana replied to JenniferSews's topic in Wound, Ostomy, Continence

    I have always been taught to leave stable black eschar alone especially if it is on the heel and especially if the patient is diabetic and/or has poor circulation. Some facilities require doppler...

  18. Monthly summaries

    217shana replied to dianette's topic in Geriatric, LTC

    Monthly summaries at our facility are part of the policy and procedure. The state does not require a monthly summary. They just state that you have to show that the patient is being assessed for...

  19. Giving residents non-prescribed meds?

    217shana replied to prinsessa's topic in Geriatric, LTC

    In the facilities that I have worked we have standing orders to cover simple pain, cough, indigestion, and diarrhea for 3 days. After that if the patient still has the complaint we refer them to the...

  20. First job in LTC

    217shana replied to Short-Stuff 23's topic in Geriatric, LTC

    I have worked in LTC for over 26 years. The reason that I love it is because of the patients. In the facilities that I have worked in we were all like family. I just wanted to make the last days/years...

  21. Mds obra scheduling tool

    217shana replied to CapeCodMermaid's topic in MDS Coordinator Information

    Med pass has a scheduling tool. Does anyone have a preadmission cost analysis tool that they use for medicare patients that I can

  22. Common LTC no-no's (part vent, part question)

    217shana replied to Zergasaurus's topic in Geriatric, LTC

    Of course you are not suppose to borrow. The facility should have a local pharmacy available for where you can get medications from when needed. Does the pharmacy provide your facility with an...

  23. Depends (diapers) at night?

    217shana replied to Town & Country's topic in Geriatric, LTC

    I have worked at facilities that did not want the residents to wear briefs at night to help prevent skin breakdown. The only time it gets to be a problem is when you get the residents that like to...

  24. Any MDS data collection forms?

    217shana replied to jpav33's topic in MDS Coordinator Information

    Can I please have a copy of that form? Thanks.

  25. Question about insulin QA

    217shana replied to ncnurse71's topic in Geriatric, LTC

    I believe JCAHO has asked that opened vials be dated with expiration date at this time. We have in the past assigned night shift the task of reordering