debRN0417

debRN0417

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

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All Content by debRN0417

  1. " I dont have to be better than the others"

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

    It is hard to go to the hospital for every referrral. I tried to go for some of the most "questionable" ones, but I agree, someone would have to be stationed there! In my area, there are several...

  2. Omnicare Pharmacy-discuss

    debRN0417 replied to ktwlpn's topic in Geriatric, LTC

    You know, back in the olden days, way back...hehe... we did not have the luxury of getting medications delivered every day, or calling for a back-up. I did a lot of praying and careful...

  3. Student Nurse with LTC question RE: clothing

    debRN0417 replied to soupermom's topic in Geriatric, LTC

    The only problem with not wearing a bra is if the shirt causes the person to have breasts exposed, maybe not just skin, but showing nipple through the material...but it is up to the resident or the...

  4. Signed ADON behind my name today

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

    That was a beautiful reply achot chavi! And congratulations to you Nascar Nurse! With your years of experience and MDS knowledge, you will be a

  5. " I dont have to be better than the others"

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

    I worked at a facility where the ambulance would drive up and bring in a resident and say that they were here for admission. We had no info, never heard of them, never had a referral from the...

  6. Omnicare Pharmacy-discuss

    debRN0417 replied to ktwlpn's topic in Geriatric, LTC

    question, what do you do with a dropped pill- that hits the ground= do you pick it up wipe it off and use it, or throw it out? have you ever heard of "kissing it to god"???? ha

  7. am I the only one who gets nervous when states are here?

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

    I am sorry some people are rude. They shouldn't be. The survey process is hard enough without making it adversarial. When I first started, it was like that, but my team has worked very hard to make...

  8. am I the only one who gets nervous when states are here?

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

    It is nerve racking to have someone watch you do anything (it is for me anyway). I try to tell the Nurses I observe to just do what they always do and that things will be fine. I take into...

  9. late entry

    debRN0417 replied to pretty70's topic in Geriatric, LTC

    I agree..better late than not at

  10. Licensed Nursing Home Administrator

    debRN0417 replied to Aviationurse's topic in Geriatric, LTC

    Bless your heart. I remember praying in my car before I went to work, so I can certainly feel your pain...LTC is NOT like that...most are calm and well run, and although people have a lot of work to...

  11. Omnicare Pharmacy-discuss

    debRN0417 replied to ktwlpn's topic in Geriatric, LTC

    We've all done it...just saying we are not supposed to and if its found out...well enuf

  12. Omnicare Pharmacy-discuss

    debRN0417 replied to ktwlpn's topic in Geriatric, LTC

    I am not sure about other states but in Virginia you cannot borrow medications; Federal Regulation : F492- following state and local laws----and 12VAC5-371-300 Pharmaceutical Services: A. Provision...

  13. Blowing the whistle on your facility

    debRN0417 replied to Lovely_RN's topic in Geriatric, LTC

    If you call in a complaint, you can do it confidentially and do not have to give your name. But please, provide information that can be confirmed when the inspectors go in to the facility. Simply...

  14. CNA's and prescription Treatments

    debRN0417 replied to Schmoo1022's topic in Geriatric, LTC

    Treatments are done by the Nurses. CNA's can put on OTC creams. Anything with a prescription should be applied by a nurse. Make sure your CNA's have training in the application of topical...

  15. Omnicare Pharmacy-discuss

    debRN0417 replied to ktwlpn's topic in Geriatric, LTC

    There have been I can't tell you how many deficiencies written for meds not available. Omnicare has gotten too big. It has taken over many local pharmacy providers and now their service suffers. The...

  16. LPN nurse manager in LTC

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

    I can understand the LPN not wanting to call the doctor over the RN, but she should have called the DON and reported this immediately, especially if the facility protocol was to notify the doctor of...

  17. resident/staff ratios

    debRN0417 replied to june2009's topic in Geriatric, LTC

    Federal regulations do not give numbers for staffing, just state that staffing must be "adequate". What is adequate? Staffing is adequate, as far as the survey goes, when the survey team cannot...

  18. book recommendations

    debRN0417 replied to achot chavi's topic in Geriatric, LTC

    Also by Mitch Albom - For One More Day,. How about "The Red Tent", "Wicked", "Son of a Witch" and if you like weird ones "The Weatherman" by Robert Thayer I am not so sure the first name is correct,...

  19. Ok, I just about hate Ltc now!

    debRN0417 replied to Sassy5d's topic in Geriatric, LTC

    I had a job once that literally made me sick! I would smoke, I swear, almost a pack of cigarettes before I got there every day and the whole time there was a wreck because I was so afraid of loosing...

  20. The PT said WHAT????

    debRN0417 replied to michael79's topic in Geriatric, LTC

    Wonder what the RUG rate is for the patient if they go to LTC/Skilled vs. the rate for the ALF PT? Does the patient have to go to that physical therapy department? Is there another PT who can...

  21. Doing away with side rails?

    debRN0417 replied to mondkmondk's topic in Geriatric, LTC

    Most states do not have mandated staffing ratios. Until that happens, then the only way for a facility to be cited on staffing is for there to be some resident outcome related to it. An example...

  22. Resident causing problems

    debRN0417 replied to debroh1's topic in Geriatric, LTC

    If I were the DON and the nurse in question did not have a history of problems, (not doing treatments etc....) and the Resident had a history of not telling the truth (you said he was problematic) I...

  23. Nursing Home Compare

    debRN0417 posted a topic in Geriatric, LTC

    Have you all heard of this site? Thought some may be interested if you were not aware that it is there. This section of Medicare.gov provides detailed information about the past performance of every...

  24. Angry ER RN new n LTC

    debRN0417 replied to DaretoDreamRN's topic in Geriatric, LTC

    It is very sad when we "eat our own" and then we complain we have no help.... I am sorry this happened to you. Make sure when you talk again to the DON that she has a clear understanding of what your...

  25. HIPAA question

    debRN0417 replied to CapeCodMermaid's topic in Geriatric, LTC

    If there is no patient identifying information, then it must be something that is in the school policy maybe? It seems to me, if there is nothing to identify the patient then it would be the same as...