debRN0417

debRN0417

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

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All Content by debRN0417

  1. Code Blue in LTC

    debRN0417 replied to SaraO'Hara's topic in Geriatric, LTC

    There have been deficiencies at harm level and nurses brought before the BON for not initiating a code on a resident who has desired to be a full code. We all know realistically what the story is,...

  2. How many deficiencies does your facility have?

    debRN0417 replied to TheCommuter's topic in Geriatric, LTC

    Chart reviews are important, but the most important thing is the resident. That is what we are all there for. If the resident is happy, then we are happy (when I say we I don't only mean as a...

  3. education/experience requirements for DON/ADON

    debRN0417 replied to shelbee1084's topic in LTC: Directors, Assistant

    I agree with Nascar nurse- At least 3-5 years of floor experience, working the floor, passing meds, calling docs, charting, documenting, etc, and then go for ADON to get a feel of the administrative...

  4. Drug Testing

    debRN0417 replied to CapeCodMermaid's topic in Geriatric, LTC

    I disagree with "random" drug tests. You should be tested only for cause and it better be good cause. I have had to go for random drug testing when there was diversion in a place I worked at many...

  5. How long did it take you to learn to be on time completing med passes?

    debRN0417 replied to Nuieve's topic in Geriatric, LTC

    Bless your heart. It will get

  6. What to do with CNAs that sleep during the night shift?

    debRN0417 replied to Plagueis's topic in Geriatric, LTC

    If they are not on the clock then they can sleep. I would not be responsible for finding them and waking them up. I worked night shift for years and there are times when you get so sleepy you can...

  7. How long did it take you to learn to be on time completing med passes?

    debRN0417 replied to Nuieve's topic in Geriatric, LTC

    That is crazy. You risk not only your residents, but your license as well! I would not have done it

  8. Sex offenders

    debRN0417 replied to CapeCodMermaid's topic in Geriatric, LTC

    Our state has instituted requirements for a sex offender registry for the facilities and each resident is to be made aware of it when they are admitted and sign (or their RP) that they are aware and...

  9. How many deficiencies does your facility have?

    debRN0417 replied to TheCommuter's topic in Geriatric, LTC

    We need to choose our phrases judiciously- unless we are prepared to back them up if the occasion

  10. Meri- Walkers

    debRN0417 replied to Finallydidit's topic in Geriatric, LTC

    Thoroughly document everything! Make sure it is on the care plan that she can get herself out of the thing. Let the physician know she can get out of it too. If she gets out and falls and breaks a...

  11. How many deficiencies does your facility have?

    debRN0417 replied to TheCommuter's topic in Geriatric, LTC

  12. DEA regulation to be inforced and I&O

    debRN0417 replied to calliesue's topic in Geriatric, LTC

    In my experience, I and O is nothing but trouble unless it is for some specific reason and only for a perscribed length of

  13. How long did it take you to learn to be on time completing med passes?

    debRN0417 replied to Nuieve's topic in Geriatric, LTC

    I can't see giving 70 patients meds in 2 hours. I have been a nurse for 30 years and I am saying "No way"! There needs to be 2 nurses for this many paitents in order to be safe! You have 1 hour...

  14. How many deficiencies does your facility have?

    debRN0417 replied to TheCommuter's topic in Geriatric, LTC

    Most all of you are familiar with the survey process, or you should be. The first thing that happens is that the survey team does an initial tour. On this initial tour many observations are made...

  15. How many deficiencies does your facility have?

    debRN0417 replied to TheCommuter's topic in Geriatric, LTC

    I would be happy to respond. I am just briefly scanning the boards tonight and don't have time to fully devote to this right now, but will post within the next week (going out again). I wanted to...

  16. DEATH TO THE ALARM!

    debRN0417 replied to SuesquatchRN's topic in Geriatric, LTC

    That is so funny! That is one of the reasons that you have to love LTC- but sometimes it can be so frustrating too! I love the locked dementia units- especially after

  17. How many deficiencies does your facility have?

    debRN0417 replied to TheCommuter's topic in Geriatric, LTC

    I am a

  18. behavior monitoring

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

    True- Ambien does not require behavior monitoring ....however....it does require documentation of use and, as has been stated, non-pharmological interventions that were tried before administering, as...

  19. How many deficiencies does your facility have?

    debRN0417 replied to TheCommuter's topic in Geriatric, LTC

    If you see them go out, and the alarm rings, and you intervene and get them back in before they are really out the door (or too far)- then I don't understand how this could be an elopement- it is an...

  20. can you be a DON/ADON without having your license?

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

    If she performs any duties of a nurse, calling docs, writing orders, she must have a valid license. I agree that I would certainly be suspicious of a place that would allow a nurse to continue...

  21. Activities for Confused Adults

    debRN0417 replied to Amy2005's topic in Geriatric, LTC

    I saw a group once of very confused folks and they were tearing ip colored tissue paper into small pieces and making a mosiac (sp?) type designs with it. The activity person took that type of saran...

  22. Help with Elopement

    debRN0417 replied to SuesquatchRN's topic in Geriatric, LTC

    I ubderstand that, it just sounds concerning. I hope it works out. Just need to be careful and document, document, document. It is very sticky when there are so many contributing things going on,...

  23. are you required to call DON first before calling MD?

    debRN0417 replied to Ms.RN's topic in Geriatric, LTC

    I think I posted this before, but again, you may get yelled at for not calling the DON first, but no one has ever lost a license over it! Also there have been residents who died because they were not...

  24. Help with Elopement

    debRN0417 replied to SuesquatchRN's topic in Geriatric, LTC

    The hair is stnding up on the back of my neck...Seroquel and a Geri-tray because he wants to go home? Sounds like chemical and physical restraints to me. PT keeping someone from going home? That's...

  25. Need help with infection control in long term care

    debRN0417 replied to bunnies123's topic in Geriatric, LTC

    Make sure you are familiar with the regulation F441. There have been some