debRN0417

debRN0417

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

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All Content by debRN0417

  1. what do you think of this policy?

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

    There is some great advice here from other posters and here is my two-cents: YOU are the nurse- YOU are the one assessing the patient- YOU are the one responsible. If in YOUR assessment and nursing...

  2. state survey and a bad reputation

    debRN0417 replied to dulcemorena's topic in Geriatric, LTC

    I guess it was that the investigations were not complete (lost/missing investigations/paperwork)- which caused the extended survey. With someone with an injury of unknown origin- a fracture in this...

  3. state survey and a bad reputation

    debRN0417 replied to dulcemorena's topic in Geriatric, LTC

    If you don't mind, please explain to me what it was that you all got IJ on- if you identified it and reported it,.....hummmmm I'm

  4. state survey and a bad reputation

    debRN0417 replied to dulcemorena's topic in Geriatric, LTC

    A facility should not have a "bad reputation" only that they had some problems with survey- at least that's the way I try to look at it. Unfortunately lots of facilities get themselves in more...

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

    debRN0417 replied to chase4myheart's topic in Geriatric, LTC

    This is crazy. Maybe when everybody is admitted we Nurses will have to get a PRN order for pain med, however our narc drawers will be full and we will have the duty of counting all the stuff that most...

  6. Survey is coming!!!!!!

    debRN0417 replied to wooosp's topic in Geriatric, LTC

    I always appreciate it when staff are "themselves", pleasant, speak to you, and know their residents. It is so refreshing and sets such a great tone for the survey when I go on tour with a nurse who...

  7. QIS surveys

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

    There is a small part of the SOM in Appendix PP which talks about the Traditional and QIS survey- other than that, we have not been told anything about it other than it will be computerized, and the...

  8. flu plans

    debRN0417 replied to travel50's topic in LTC: Directors, Assistant

    I have not heard of anything regarding a special plan for the swine flu. CapeCodMermaid is right- flu is flu-what does it matter as long as you've got that

  9. Don jobs

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

    If the facility is cited for substandard quality of care, the DON and Administrator are reported to the DHP and yes, it goes against your

  10. Don jobs

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

    You sound like you are a very caring and knowledgeable nurse, but I have to agree with CapeCodMermaid- one year of experience is not enough. There are so many things that you need to experience first...

  11. Lost Eye Glasses

    debRN0417 replied to km7100's topic in Geriatric, LTC

    If the resident is constantly "loosing" the glasses, then what is the point? If the resident really needed them to see then they would leave them alone. Think about little children who at only...

  12. Assisted living center says dad is having an affair

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

    What I am not clear on is the cognitive/competency status of the individuals involved. If they are all competent it is no ones business but theirs, in my opinion. If one party is not competent, then...

  13. CNA Week

    debRN0417 replied to florianslove's topic in Geriatric, LTC

    Back in my day, we did a whole week of activities- had gifts for drawings all during the day and night - nice gifts like massages, pedicures, gift certificates, etc....there was a grand prize drawing...

  14. Good care with staffing ratios?

    debRN0417 replied to Pooksmom1996's topic in LTC: Directors, Assistant

    I worked as the only nurse for 40 skilled residents with all the skilled charting to do plus med pass (From 7a-7p) had to do the staffing, call docs, treatments, supervise CNA's blah blah you know the...

  15. Difficult consultant

    debRN0417 replied to travel50's topic in LTC: Directors, Assistant

    What a kook! You sound as if you are handling things and yourself really well. Just do what you are doing and document things in a journal or somewhere that you can keep (dates, times- crazy things...

  16. State survey

    debRN0417 replied to kappykatlpn's topic in Geriatric, LTC

    Sorry- I meant to say that common sense is a good thing- that the lack of it has caused some very scary things to happen... I have worked in LTC as a CNA, staff nurse, charge nurse, unit manager,...

  17. State survey

    debRN0417 replied to kappykatlpn's topic in Geriatric, LTC

    We cannot know exactly what evidence was presented- we only have one side of the story. Again, I don't want to offend anyone, but until you yourself have sat down and reviewed the evidence, how can...

  18. State survey

    debRN0417 replied to kappykatlpn's topic in Geriatric, LTC

    I sleep very well at night, however as it has already been said, the report is not final until the facility receives the formal 2567. After that, the Administrator can request an IDR. The burden of...

  19. Survey Is Over!!!!

    debRN0417 replied to CapeCodMermaid's topic in Geriatric, LTC

    whooohooo!

  20. I Thought I'd Seen It All

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

    As far as I am concerned most DON's are not carpet people- they are only if they want to mbe. Carpet people are the ones who stay on the carpet and never leave, fearing they might have to do...

  21. I Thought I'd Seen It All

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

    I am so sorry. The CEO first off, should have never entertained this persons allegations because, as you pointed out, she is not family and there are HIPPA rules. She should have been told, "can't...

  22. A Question to the DON ?

    debRN0417 replied to Rascal1's topic in LTC: Directors, Assistant

    Be sure your sins will find you out....that's what my mom used to always say- be honest. The past is the past. You have earned the right to say, "I have worked hard for my sobriety and plan to keep...

  23. Writing Clarification Orders

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

    The problem is going to be when someone starts looking for the original order that needed clarification. This could cause a problem if you have treatments being done on residents without an order-...

  24. Too nice to be a supervisor?

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

    Even if you verbally counsel someone, it is in your best interest to write that down and put it in a file. Progressive discipline is necessary. You must discipline and document. The employee has a...

  25. Cold blooded administration

    debRN0417 replied to Aviationurse's topic in Geriatric, LTC

    The Board of Nursing and the Department of Health that Licenses the Nursing Home will take anonomyous complaints. You don't need to tell anyone else you