geriNurse1

geriNurse1 has 47 years experience and specializes in Med-Surg, ICU, ER, Geriatrics.

Latest Activity

1. developmental stage for alzheimers res.

   geriNurse1 replied to tiffanyleigh0212's topic in LTC Directors

   Talk to her about her past, school, job, sisters, brothers, parents. Try to find out at what age she is at in her mind. Maybe that will help. If her family has any pictures of her when she was a teenager or child, that might help getting her talki...

2. Transition from ER to LTC

   geriNurse1 replied to obxdrmn's topic in Geriatric

   I also went from working 6 yrs in ICU and 12 yrs in ER to a Skilled Nursing Facility. It was hard at first, thinking more of chronic long term problems rather than acute, emergent ones. Also the lack of equipment, IV's, meds, etc. being right at h...

3. House Dr. doesn't allow hospice in facility

   geriNurse1 replied to KY RN's topic in Geriatric

   Definitely, report him!! Hospice is a great thing for the patients, family and the staff of the facility. This Dr. should not be practicing if he has that attitude! Be the patients advocate.

4. Are SNFs required to have RNs at all times?

   geriNurse1 replied to nurseinpa's topic in LTC Directors

   In Missouri the regs say that there has to be a RN in the Building on the day shift, after that the facility can be staffed with LPN's and CNA's with an RN available 24/7 and that's usually the DON or someone she designates. Good luck,:wink2:

5. How do you get aides to give good peri care?

   geriNurse1 replied to geriNurse1's topic in Geriatric

   Thanks for all the replies. We have packages of pre moistened wipes that the aides are to use for peri care, so they do not have the excuse of not enough linens. The State AND the Feds were just at our facility for the yearly survey. The Feds were...

6. overheard a CNA badly verbally abusing an elderly patient

   geriNurse1 replied to Cyndi_1985's topic in Geriatric

   I am so sorry! You are in my prayers! Have you tried the home health agencies? private duty? Factories? Doctors offices? Public Health? You did the right thing! But if you haven't reported to facility to the State yet, it needs to be - or call the ...

7. How do you get aides to give good peri care?

   geriNurse1 posted a topic in Geriatric

   Our aids are instructed on giving good peri care in orientation, their certification classes, and in inservices during the year. Still they do not do it, possibly because they feel they don't have time. But if they would take the time they would sa...

8. Doing away with side rails?

   geriNurse1 replied to mondkmondk's topic in Geriatric

   We do not consider a fall onto the mat from a low bed a "fall" unless they roll off the mat. But yes, if a resident does not have freedom of movement anything can be a restraint. I believe side rails were considered a restraint after several reside...