debRN0417

debRN0417

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

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All Content by debRN0417

  1. What to do when state comes in?

    As a surveyor, just do what you do everyday, 'cause if you're doing the right thing then you don't have to worry! Most of us have been on "the other side of the table". I know I certainly remember...
  2. How long to keep paperwork

    Be sure you have quick access to stuff from survey to survey also. When the surveyors come in they are looking back from the date of the last survey to the time they enter. This will also help if...
  3. med carts/control freaks

    . The state surveys came in one year right after the 4th of July. Yep....my cart had a beautiful American Flag affixed to one corner. The surveyor told me I should take it off because it wasn't...
  4. Nursing supervisor report

    It's been a while back, but when I was a hospital supervisor, we would print a census sheet of the entire hospital. It listed the patients names and diagnoses, room numbers, etc. As I made rounds...
  5. Scheduled toileting not being done by certain CNAs

    Does anybody really pee every two hours??
  6. Scheduled toileting not being done by certain CNAs

    You cannot be everywhere at once, but when you make rounds and periodically assess your residents it will soon become obvious who is getting toileted and who is not. Skin issues would crop up,...
  7. Eden Alternative???

    Has anyone heard of this? Anyone have experience with it? Would like to hear about
  8. Eden Alternative???

    Dogwalker...I pm'd you. And Thanks to everyone for the
  9. Eden Alternative???

    Thank you night owl. We just recently had information given to us at training on this concept. It is moving in our direction. There are facilities that are taking residents and breaking them up...
  10. Charting Time of Death

    In Virginia only an RN can
  11. Job offer please offer advice

    I agree. If you are giving up every weekend, there should be more incentive for that. Most Baylor positions pay top $$, but usually no shift diff cause of the higher
  12. Surviving a state inspection survey

  13. How do they post DNR in the patients rooms at your LTC

    :roll :roll
  14. Unsafe staffing

    Are you saying that there will be just ONE licensed nurse in the building for all 100 residents???? What kind of facility is
  15. Surviving a state inspection survey

    I am sorry you have had bad experiences...I looked and looked, but I could not find a regulation that stated that you had to dot ALL your I's and cross ALL your T's. (Please don't take offense, just...
  16. Surviving a state inspection survey

    I am not offended by anyones comments. I feel that everyone has a right to their own opinions and that all surveyors are different and yes, some often have agendas. Having been on both sides of the...
  17. Surviving a state inspection survey

    Well, we don't go to bed at night dreaming of ways to terrorize LTC...all we want to do is make sure that the facilities are in compliance with the regulations and that the residents are receiving the...
  18. Question for other managers...

    I know this related to the other thread previously started on nurses under the monitoring conditions, but I didn't know exactly how to get it in to be noticed as another question... anyway here is my...
  19. Hungtington's Disease in an Adult Family Home

    I have had experience with two residents with Huntingtons. The first was a young female, in her early thirties...sad. Watched her decline to the point she could no longer walk or communicate. She...
  20. State Surveyors....

    That's why I've chosen to do this. It has always been a dream of mine. I hope to make things better. I have worked for years to gain what I feel is the experience necessary to do a good job. I have...
  21. State Surveyors....

    start training
  22. What do you look for in an employee?

    There are many things that I look for when interviewing, and I won't bore you with the details of the review of the application and resume, but when I interview for a position, I look for things like,...
  23. Sending residents to the ER without a doctor's order.

    Ditto....
  24. Question for other managers...

    Thanks Kris, This nurse was a wonderful employee. She had worked at this facility before, then left and unfortunately came to a bad place in her life. Everyone I talked to that worked with ber...
  25. staffing tried to trick/bully me in today!

    :rotfl: I can relate. Once I was gone on vacation for two weeks and when I came home there were 12 calls for me to come to work....they KNEW I was out of state...but called