debRN0417

debRN0417

LTC, ER, ICU, Psych, Med-surg...etc...

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All Content by debRN0417

  1. should a RN be a med tec for a LPN

    debRN0417 replied to nowim clean's topic in LTC: Directors, Assistant

    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...

  2. Giving PRN meds- need some clarification

    debRN0417 replied to nikkicb2004's topic in Geriatric, LTC

    I agree with CCM- if the resident/patient is requesting medications before they're due, then the MD needs to know to

  3. long....looking for aaa information...substantiated neglect

    debRN0417 replied to pnurse68's topic in LTC: Directors, Assistant

    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...

  4. Fraudulent charting?

    debRN0417 replied to paddler's topic in Geriatric, LTC

    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...

  5. Burned out nurse

    debRN0417 replied to Joe V's topic in Nursing Humor

    love

  6. on call rotation

    debRN0417 replied to fulzgold's topic in LTC: Directors, Assistant

    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?...

  7. Bed Alarms are useless if you don't respond to them!

    debRN0417 replied to Pepper The Cat's topic in General Nursing

    That's the problem with alarms of all types...too many alarms...not enough nurses. After a while you tune them out. It is

  8. Preparing food on the nursing unit

    debRN0417 replied to CapeCodMermaid's topic in LTC: Directors, Assistant

    Thank you CCM. I appreciate that. I just try to live in the real

  9. Preparing food on the nursing unit

    debRN0417 replied to CapeCodMermaid's topic in LTC: Directors, Assistant

    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...

  10. State reportable incident..but who is "state?"

    debRN0417 replied to Marshall1's topic in LTC: Directors, Assistant

    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

  11. Multidose Packaging

    debRN0417 replied to Megan-Cho's topic in Geriatric, LTC

    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...

  12. Assited Living: The new skilled care

    debRN0417 replied to NJayne17's topic in Geriatric, LTC

    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,...

  13. question about narcotic dispensing

    debRN0417 replied to kappykatlpn's topic in Geriatric, LTC

    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...

  14. Is it illegal to initial when.....

    debRN0417 replied to onthemark's topic in Geriatric, LTC

    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-...

  15. Resident Care Coordinator

    debRN0417 replied to Nurse Amy Jolie's topic in Geriatric, LTC

    The facility should have some standard documents they

  16. Considering LTC in the future

    debRN0417 replied to iwillact's topic in LTC: Directors, Assistant

    I agree with CCM. The position of DON is NOT a position that is easy. You must have a good solid knowledge of the workings of LTC. Starting as a staff nurse or supervisor is the best way. Not only...

  17. New grad RN needs advice on resigning

    debRN0417 replied to MidnightStars's topic in First Year After Licensure

    I agree with the other posters-NEVER leave a job without another one lined up. Start your search. Then when you land another job you can say something like: "I appreciate having been given the...

  18. lets hear from Nurses who started with No nursing experience at all!

    debRN0417 replied to beatrice1's topic in Geriatric, LTC

    I went straight from high school into nursing school, then straight to the hospital on 11-7 as team leader/charge RN for pediatrics and med surg. I was as green as grass and as immature as could be....

  19. Resident Care Coordinator

    debRN0417 replied to Nurse Amy Jolie's topic in Geriatric, LTC

    Years ago when I was a Resident Care Coordinator, it was the same as being what is now most often referred to as a Unit Manager or Unit Coordinator- EXCEPT- I was responsible for staffing, Care plans...

  20. And the survey says......

    debRN0417 replied to RottieGrlLPN's topic in Geriatric, LTC

    Oh my...I also still have nightmares about nursing suff- especially being in the ER and not being able to find things or crazy stuff like things stuck to the wall (BP and O2) and not being able to get...

  21. Complaint Survey

    debRN0417 replied to txdon's topic in LTC: Directors, Assistant

    Miss Know-it-all-surveyor should have observed and resident and reviewed the plan of care and should know whether or not the resident can reposition themself or

  22. Q.I.S.

    debRN0417 replied to Nascar nurse's topic in LTC: Directors, Assistant

    I hate double dipping....good

  23. med error or flawed entry

    debRN0417 replied to supervisorhatchet's topic in LTC: Directors, Assistant

    Your medications need to match the order/MARs. If you have two different drug strengths it must be reflected on the MAR that you are giving two different strengths to total the ordered dose. You...

  24. How do you handle this?

    debRN0417 replied to motownrn's topic in Geriatric, LTC

    CCM is right. In most LTC/SNF facilities, the medical director is the one who is called. He is responsible for the overall physician's services for the residents. It is ultimately his...

  25. Complaint Survey

    debRN0417 replied to txdon's topic in LTC: Directors, Assistant

    You will have a revisit at some point after the date you set as your AOC- allegation of compliance. The team will focus on the issues you were cited for but also can look at other areas as well....