indigonurse

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All Content by indigonurse

  1. indigonurse

    I was reported again, this time by the bookeeper......

    indigonurse replied to Vonique's topic in Geriatric, LTC

    The issue I have with this is that a book keeper is not licensed or certified to be directly involved with res. care and is not legally allowed to supervised RN's, licensed nurses or CNA's. It is also...
  2. indigonurse

    Wanting to know about RNs as floor nurses.

    indigonurse replied to faithnow's topic in Geriatric, LTC

    It all comes down to preference. I find working on the floor more diverse and the best way to get to know the res. Good exercise
  3. indigonurse

    Do you have to make a nurses note on every patient?

    indigonurse replied to chiuli's topic in Geriatric, LTC

    In LTC we do not have to make a note in all the res. charts every shift. But, we do chart on them every time we admin a med, or tx, per facility policy if a res. has a change of condition, weekly...
  4. indigonurse

    Resident Care Conferences/Staffings

    indigonurse replied to dkrzysik's topic in Geriatric, LTC

    The most important thing is that the meeting is organized and to the point. A lot of time does not need to be wasted on eating food, drinking coffee and socializing. Besides there are medical records...
  5. indigonurse

    New Grad RN in LTC, what can I do?

    indigonurse replied to FocusRN's topic in Geriatric, LTC

    You can get out the yellow pages and call every long term care facility withing driving distance and ask if they are hiring RN's. Usually RN's have to pass meds, do treatments, admin. Gtube feedings,...
  6. indigonurse

    CNA issue

    indigonurse replied to Schmoo1022's topic in Geriatric, LTC

    The CNA is practicing licensed nursing without a license. The CNA is legally not allowed to be assessing the res. or supervising the Lic. nurses work. My guess is this bully is too busy trying to...
  7. indigonurse

    PRN question... am I the only one??

    indigonurse replied to Trubie's topic in Geriatric, LTC

    If your med techs are responsible for giving pain meds then as long as you do it for them they will never learn. This sounds like a widespread problem. You can give them all an in service on how...
  8. indigonurse

    Depends (diapers) at night?

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

    If diapers are used then when the licensed nurses are supervising the CNA's they can take a black marker and mark the time on a diaper when they are doing their rounds on the res. every 2 hours. If a...
  9. indigonurse

    Artificial Fingernails and Direct Care Staff

    indigonurse replied to pumpkin92356's topic in Geriatric, LTC

    If the facility has a policy against this then they should have noticed their finger nails when they interviewed for the position or took their pre employment physical. The employer should have made...
  10. indigonurse

    Can a LTC facility do this?

    indigonurse replied to bckthuzs1's topic in Geriatric, LTC

    The MD is the one who is responsible for writing a referral for a res. to be on hospice. After that the facility has to notify hospice. The MD is the one who determines if the res. is not expected to...
  11. indigonurse

    Giving PRN at family request

    indigonurse replied to MelissaLPN's topic in Geriatric, LTC

    You could find the volunteers job description and write her up for not following it. Since a volunteer is not directly responsible for a res. care I believe it would be a HIPPA violation to discuss...
  12. indigonurse

    Giving PRN at family request

    indigonurse replied to MelissaLPN's topic in Geriatric, LTC

    Hi. First, look in a res. med. record. Find out if they are a code or no code. Then, find out if they have a durable power of attorney for health care, and/or an advanced directive. If the res.has a...
  13. indigonurse

    Choking in LTC

    indigonurse replied to NurseSuzann's topic in Geriatric, LTC

    IMHO DNR means do not do CPR on someone who has no pulse or respiration, usually from natural causes. If anyone is choking even if they are a DNR, they get suctioned to keep them comfortable if they...
  14. indigonurse

    Was fired today......

    indigonurse replied to TrickieTam's topic in Geriatric, LTC

    I didnt think someone could adulterate food with medications unless the MD orders stated to give the med in orange juice. Where did it state to give all of these liquid meds in orange juice, was it...
  15. indigonurse

    pt enjoys pericare too much...

    indigonurse replied to moz's topic in Geriatric, LTC

    Since the Federal Regs state that we are to develop an individual care plan with the goal of improving function, or preventing a decline in function, etc. I would think that it is perfectly acceptable...
  16. indigonurse

    are you required to call DON first before calling MD?

    indigonurse replied to Ms.RN's topic in Geriatric, LTC

    To best answer this post 1)Review your nurse practice act 2) Review the state and federal regulations for the setting you are working in. 3) Review the facilities policy in regards to residents...
  17. indigonurse

    Do family members know how annoying they can be?

    indigonurse replied to Ling07's topic in Geriatric, LTC

    Its common knowledge that the more a family is involved the better care a resident will
  18. indigonurse

    DEA States that LTC Nurses Are No Longer Agents Of The Prescribers

    indigonurse replied to chase4myheart's topic in Geriatric, LTC

    sounds like an issue that needs to be brought to the medical director of your facility's attention. This will call for a change in your policy. Then an inservice to the MD's that admit residents to...
  19. indigonurse

    LPNs called to come in and work as Aides? Is this common?

    indigonurse replied to lisaannjamRN's topic in Geriatric, LTC

    Legally an employer and your licensing board can expect you to do anything that you have been licensed/trained to do. Since nursing is such a diverse field and nurses have such an array of...
  20. indigonurse

    stupid mom

    indigonurse replied to beachmom's topic in Ob/Gyn

    Domestic Violence is a complicated issue. With DHS involvement hopefully the baby got to safety until the situation gets sorted out. DHS will force this woman to choose between her infant or her man....
  21. indigonurse

    Opinions pls!, Is it to late?

    indigonurse replied to RosellaBellaNY's topic in General Nursing

    You are still a young un. If this is what you want to do I find no reason why you cant do it. I think it is a great
  22. indigonurse

    decreased cardiac output

    indigonurse replied to lillysa1919's topic in General Nursing

    Purrrfect
  23. indigonurse

    Is this common? Would you take this position?

    indigonurse replied to RNgrrl09's topic in General Nursing

    Most jobs should have a detailed job description so you know what you are agreeing to. There is usually a form from human resources that has your pay rate and states if you are a full time or part...
  24. indigonurse

    WARNING: cincinnati nurses- avoid "best choice home care"

    indigonurse replied to tsbarbre's topic in General Nursing

    Did the home care agency give you a contract? Did they promise you full time work in writing? From my experience with home care agencies the only full time staff they have with regular hours are in...
  25. indigonurse

    My pt accused my coworker of taking her Percocets! (long)

    indigonurse replied to shoegalRN's topic in General Nursing

    If the person has a history of drug abuse and is under the influence of oxycontin, etc. I would not view the pt. as the most credible person in the world. Since the nurse has taken a drug test that...