DPRN

DPRN

long term care, school nursing

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All Content by DPRN

  1. I create a two page monthly newsletter for my staff. Through out the month, I email myself tidbits of information that I need to tell my staff. These tidbits usually fill the newsletter. I also...
  2. My nurse aides are complaining about the actions of a nurse aide peer. Does anyone have any recommendations on how to address these statements if nothing is witnessed by management. For example, one...
  3. Interesting article! I work in a PA personal care home which is part of a nursing facility. The entire facility has an emergency preparedness handbook accessible to all staff. Without looking at...
  4. I work in a Personal Care Home in PA. DPW (Department of Public Welfare) is our regulating body. Meds are all observed when given to be sure that the meds are actually taken. Observation would...
  5. I am the RN in charge of the Personal Care neighborhoods at work in PA. I manage the care of 50 residents with the assistance of LPNs, Med Techs, and nurse aides. I am on call most of the time, but...
  6. "Brain" for 30 LTC residents

    My staff use a "brain" to get through their shift as well. We have all residents listed on an 8 1/2 x 11" paper in alphabetical order because our med cart is also in alphabetical order. Beside each...
  7. Christmas gifts for residents

    We encourage bedspreads and fleece blankets in my ltc facility. Both can be individualized to make the resident's room more "homey" and
  8. I am at odds about staffing in our building. If a nurse aide is needed in unit A, should the nurse aide be pulled from unit B or should unit A have their staff work overtime? My staff on unit B is...
  9. Narcotic Counts

    My med techs (nurses aides with medication admininstration training) pass medications including narcotics. The narcotics are kept double locked in the med cart and each narcotic is signed out at time...
  10. Clothing protection ideas

    Our facility made dining scarves from this website: http://www.diningwithfriends.info/docs/DiningScarfPattenDirections.pdf We lengthened the scarf pattern so the lap is covered when sitting. My...
  11. Housekeeping wish list

    My LTC housekeepers are the best!! They will ambulate with residents and answer call lights in a pinch if
  12. Lab Tracking Logs

    We list all routine labs on a word document. First column is resident name. Second column is the lab orders. Third column is what month the lab is due. Our Dr is lenient on the actual date of the...
  13. The Dr rounds on Mondays and his CRNP rounds on Wednesdays and Fridays. Usually all concerns are held until they arrive. For an emergency, we call the office or his cell if after hours. Our Dr is...
  14. Physician Orders: How to stay organized?

    As a DON of an assisted living unit, I have created stickers (address label stickers about 1x2") with the following info on the stickers: ____MAR, ____PO book (physician order book), ___Nurses Note,...
  15. New to assisted living

    PammyRN, CEN- the cheat sheet is simple to create. I have columns on the form. The first column has med times for each resident (8-12-8 for example), the second column has resident name and room...
  16. Core schedules...what's your opinion

    I create schedules for my staff for a four week period. Full time and part time staff all have a basic rotation that they can predict their schedule for the next year if they so choose. Schedule...
  17. Bosses

    Thanks! It is nice to hear that once and a
  18. How do you balance your med pass?

    To assist my nurses in being in time compliance, we adjusted some of the med times. Some morning meds are scheduled for 8am and others are for 9am for those residents that are not up early. It works...
  19. At my facility, the DON's have BSN degrees. The administrator has an
  20. Kellyma- Regarding the A&D ointment: on one hand, I would permit families to bring in the ointment for the resident to use since it has no medication in it. But on the other hand, in assisted...
  21. Alzheimer's unit at assisted living facility

    The nursing assistants that work in the Dementia Unit really enjoy it. The dementia unit only has 14 beds in it. Their normal routine is to assist the residents with showers and dressing/ undressing...
  22. Resident Activity Ideas

    My residents enjoy going outside to sit in the fresh air and also baking
  23. Congrats to you on securing a job!! My assisted living nurses pass medications, provide breathing treatments, provide skin treatments, assess resident's who are ill, notify physicians of needs and...
  24. PPD Result Question

    I would document it as 0.0mm (we are not allowed to use "negative" in PA) since no induration was present at 48
  25. New to assisted living

    I keep a cheat sheet available and up to date for my nurses. This cheat sheet has all resident names and the times that meds are due in a 24 hour period. The staff uses the cheat sheet to take...