allezelenfer

She was pulling her hand back in a fist about to hit another res right before we intervened.. so do they still have to report that to state?

I was trained as a "stand-in" for our MDS coordinator when she went on pregnancy leave ( I was 8 months out of school ). She was a LPN, and was AWESOME :). She was very competent and willing to learn if she didnt' know the answer. Just because you have RN behind your name just means you can SIGN more stuff/do stuff some w/ a lower degree can not "legally" do that they could probably do w/ training in a second!Nothing is ever equal.

She recieved the care she needed AFTER I forced them to come to terms w/ what they had it seems. I am glad she was looked at and assessed by professionals other than the ER that we send her to for multiple falls (yes, that too.. they are not happy w/ QI on the falls) Just I was ticked off w/ being approached that I SHOULD NOT of wrote a nurses note on her "possible hitting". I was just seeing if that was a "common" practice- and i figured if it was..someone would say they have seen it done. It sure shouldn't be practiced!

yes, im sorry.. i tried deleting the other one.. but i couldn't see how.. * miss spelled alzheimers heh and i ended up accidently submitting the thread again*.. They tested her at the psych hospital for one, came back negative.

There is the answer I thought. Hiding from QI. Aggrevate's me. I didn't call my admin tho.. She didn't HIT them.. just had her fist drawn back like she was going to hit her..and they are known to hide the charts when state comes in of psych pts *upper management hide them*

Yes, I did ask. I basically was told "it is something that should not be documented". Personally, I was ticked off that the lady was not taken care of a week before.. she was having behavior problems 2 weeks previously to when i came to work--I kept hearing staff talking about "oh so and so did this, and that". And they were behaviors that need to be LOOKED at by psych services that were not being dealt with. Being me, I took it upon myself to write a nice LONG narrative note of her behaviors she was exhibiting that weekend. She went to a psych hospital albeit! but I was told I shouldn've wrote my notes, that i shouldve just went to the DON. YET!! they complain about NOT having proof of behaviors in chart when STATE comes.. *they have been known to pull all the "psych" res charts to a hiding place when state comes..*

What is the stigma of charting combative behaviors that upper level management have to hide?? For instance: I charted on one of our res behaviors - she was hard to redirect, slapping/hitting/pushing staff who tried to redirect her to sitting in her chair or eat dinner. She then proceeded to raise a hand to another res out of no where and removing her from the scene and placing her at nurses station w/ diversional activity. - i charted all that ( even the raising the fist as if she was going to hit another res w/ out reason ) yet, the upper managment state that i shouldn've charted this and removed it.. They tell us to CHART EVERYTHING.. yet behaviors and psychotic behaviors are a no no in charts!!!

What is the stigma of charting combative behaviors that upper level management have to hide?? For instance: I charted on one of our res behaviors - she was hard to redirect, slapping/hitting/pushing staff who tried to redirect her to sitting in her chair or eat dinner. She then proceeded to raise a hand to another res out of no where and removing her from the scene and placing her at nurses station w/ diversional activity. - i charted all that ( even the raising the fist as if she was going to hit another res w/ out reason ) yet, the upper managment state that i shouldn've charted this and removed it.. They tell us to CHART EVERYTHING.. yet behaviors and psychotic behaviors are a no no in charts!!!

What if u can't palpate or hear a bloodpressure from the popliteal (sp) artery? (I cannot, the other nurses are getting b/p readings way to low for b/p medications in this area also..:/ (he was usually in 180/90 something before his new shunt )

Work at ltc and have a diaylsis pt that has bilat aka (above the knee amputation) he also has 2 old av shunts in right upper and lower arm-arm is cold to touch, swollen-and barely has a pulse. He currently is doing diaylsis in a temp port in chest while his new av shunt is healing in the left forearm... Where the crap do u take a b/p?!

Hi, I just wanted to say, it should be under your "rights" as a human being.. because its hurting your health ESPECIALLY since a non-smoker does not smoke. Why hurt your lungs, when there is probably plenty of personnel that DO smoke that can smoke them. I work at a LTCF in MS. We try to deligate our smoke times to people that smoke.. but there are just those times that they are busy and we have to have a non-smoker do it (like me) sooo, I do it.. but i stay FAR away from the smokers-- and just keep a hawk eye on them ( they have aprons for the ones that drop their cigerattes alot..) Lata.!