debRN0417 replied to nowim clean's topic in LTC Directors
I have seen LPN's who are Unit Managers and RN's working the floor as the "charge nurse". It sounds weird, but in that case the Unit Manager was "in charge of the unit duites" but the RN was "in charge of the unit"...clear as mud???? The RN preferre...
debRN0417 replied to pnurse68's topic in LTC Directors
The area on aging in my "area" would have referred this to us and we would have investigated...I have never heard of them "citing" like that, but I guess its because its a different state??? We receive all kinds of F.Y.I's as we call them, from the ...
It is all how you say it. You have to be honest and thorough in your charting and not leave out pertinent details, however, how about "Resident found without O2- list sats- document starting the O2 and at what rate-document your full assessment of th...
debRN0417 replied to fulzgold's topic in LTC Directors
Just be careful. Make sure you look at the labor laws, I mean if you are requiring someone to be on call and stay near the phone or being available, what are the laws concerning this where you work? They may have the right for some type of reimburs...
debRN0417 replied to CapeCodMermaid's topic in LTC Directors
If they are "physician ordered" suppliments they could come under scrutiny by the DHP regarding calories, additives--yada yada..but if they are something that you are doing for "snack" or "pleasure foods" then all you need to do is make sure that wha...
debRN0417 replied to Marshall1's topic in LTC Directors
Office of the Attorney General, or Department of Social Services- Adult Protective Services, or the Office of the Inspector General. Ususally ALF are "surveyed" by the Department of Social Services.
debRN0417 replied to Megan-Cho's topic in Geriatric
I have seen it packaged separately for each resident, but also I have seen nurses administer meds directly from a large "house stock" bottle (dated when opened). Meds like Tylenol, Calcium, multi vitamins, ect....
debRN0417 replied to NJayne17's topic in Geriatric
Absolutely correct. ALF's are not inspected by the "state" however they answer to DSS (Department of Social Services). Now I know a great bunch of social workers, one which is very special to me, HOWEVER- none of the social workers I know can inspe...
debRN0417 replied to kappykatlpn's topic in Geriatric
According to my state pharmacy regulations: 18VAC110-20-520. Drugs in long-term care facilities. Prescription drugs, as defined in the Drug Control Act, shall not be floor stocked by a long-term care facility, except those in the stat drug box or em...
debRN0417 replied to onthemark's topic in Geriatric
The problem is- if the treatment is not done or there is a reaction, or something happens- whose initials are on the TAR? Yours. Who is responsible? You. The CNA's need to sign their own sheets- CNA treatments should not be on the nurse's TAR unle...
