debRN0417

debRN0417

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

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All Content by debRN0417

  1. Nursing Home Compare

    debRN0417 replied to debRN0417's topic in Geriatric, LTC

    We had training that it will be based on survey results...maybe that is just for our state...but it could be inaccurate as the results are slow to get posted, but at tleast it gives you a

  2. Weekly weights

    debRN0417 replied to CapeCodMermaid's topic in Geriatric, LTC

    yeah...lets just weight everybody everyday and be done with it...... Seriously CapeCodMermaid, I agree with you. There has to be a limit. Once stable on a diuretic, why continue? Would they do it...

  3. Any organized, decent, LTC facilities??

    debRN0417 replied to spiritbeing8992's topic in Geriatric, LTC

    There are many wonderful facilities in

  4. Sentinel event

    debRN0417 replied to littlebit1's topic in Geriatric, LTC

    That is true. Most residents who go to the ER come back with a diagnosis of a UTI, dehydration, or a fecal impaction. You have to watch those diagnoses....most of the time they are not factual...I...

  5. Happy Thanksgiving!

    debRN0417 replied to TrickieTam's topic in Geriatric, LTC

    Happy Thanksgiving to

  6. chart review

    debRN0417 replied to littlebit1's topic in LTC: Directors, Assistant

    One thing about holes...it can be a two-fold problem...either it was done and not documented, or not done at all. So no

  7. chart review

    debRN0417 replied to littlebit1's topic in LTC: Directors, Assistant

    Go thru the chart...start at the beginning. Look at the MDS information. Is the MDS accurate? Check physicians orders. Are you following the orders? If you have orders for geri sleeves, are they...

  8. Side rails x 4 and falls

    debRN0417 replied to FireStarterRN's topic in General Nursing

    I know of a case where a demented resident became entraped in 1/4 siderails and

  9. List of Narcotics to be Double Locked

    debRN0417 replied to jacesmom2's topic in Geriatric, LTC

    The regulation says something like the facility must have a separately locked permanently affixed compartment for the storage of controlled drugs listed in the Schedule II Comprehensive Drug Abuse and...

  10. Dental Cleanings in Long Term Care

    debRN0417 replied to missjennmb's topic in Geriatric, LTC

    No one can fault you as long as you make a real effort and document and care plan it. I know you all probably get sick of hearing me say over and over document and care plan, but that is your...

  11. Timeliness of PRN's

    debRN0417 replied to noc4senuf's topic in LTC: Directors, Assistant

    CapeCodMermaid, you are right. Most of the time it's a policy that does you in. Your policy says you are going to do this or that within a specific time frame, and when you don't you are not...

  12. Meal Intakes on MAR

    debRN0417 replied to CapeCodMermaid's topic in Geriatric, LTC

    There is no federal regulation which states that meal intake should be kept on the MAR. There is however a federal regulation regarding nutrition and "ensuring that residents maintain acceptable...

  13. Skilling Factors

    debRN0417 replied to southernbeegirl's topic in Geriatric, LTC

    Are these residents also receiving rehab services? A little PT, OT or SLP, can also be a skilling factor. Sometimes Restorative, wound care, all that stuff too. It depends on their assessments and...

  14. Dangerous narc delivery by rn

    debRN0417 replied to LIjeany's topic in Geriatric, LTC

    I responded to this question under the DON/ADON

  15. Delivering narcotics to outside buildings should i be responsible?

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

    I would talk to the DON and tell her that she can deliver the narcs. There is no way on earth that I would take narcs out of one place and deliver them somewhere else....not to mention the fact that...

  16. Mahem!

    debRN0417 replied to pielęgniarka's topic in Geriatric, LTC

    In my state most are RN's. Some are ADN, Some BSN...it depends on your experience, and the interviewing process as to whether or not you are qualified for the job. After hire, you are provided with...

  17. Tell me the good things about LTC!

    debRN0417 replied to NewEnglandRN's topic in Geriatric, LTC

    The staff and residents become like a family and the staff really care about what they do and about giving the best care for their

  18. Bed Sores & Contractures

    debRN0417 replied to missjennmb's topic in Geriatric, LTC

    Bedsores...this one gets me. Many pressure ulcers are hospital acquired and the reason is that most folks are in the hospital for surgery and spend hours in the OR , thus deep tissue injury and there...

  19. Doing away with side rails?

    debRN0417 replied to mondkmondk's topic in Geriatric, LTC

    Remember. it is only a restraint if it keeps the resident from doing something that they would normally do. If the person can get out of bed, and you put up rails and that stops them, then of course...

  20. You need an order to remove a fecal impaction digitally right?

    debRN0417 replied to lashuna1028's topic in Geriatric, LTC

    As a surveyor the word "impaction" or documented "disimpacted" causes my hair to stand up. No resident should ever get to that point. If you have orders from the physician to "assist resident to...

  21. You need an order to remove a fecal impaction digitally right?

    debRN0417 replied to lashuna1028's topic in Geriatric, LTC

    double

  22. Survey begins

    debRN0417 replied to ktwlpn's topic in Geriatric, LTC

    If surveyors give out information to the facilities as to when they are coming, it is a 2,000 dollar fine and could mean your (thew surveyors) job. CMS takes it very seriously when they state...

  23. reportables

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

    Check with your state agency as to what they require. Sometimes it is better to be safe than sorry. Most of the time the requirement is to report anything that requires the resident have medical...

  24. What to do when state comes in?

    debRN0417 replied to sweetnurse1's topic in Geriatric, LTC

    In my state it is a state" position and the vacancies are posted on the State employment jobsite. Training is provided by the state and

  25. ANOTHER new CMS guideline

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

    But....have you been to facilities where people sat in their chairs all day in front of the TV and did nothing...for hours? Or have you had a Resident tell you that they love to go outside but...