debRN0417

debRN0417

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

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All Content by debRN0417

  1. Don't You Just Want To Scream?

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

    Looking at a MAR: (medication name) 50 milligrams BID 9 a.m. 9 p.m. Right underneath this order and I mean right underneath the 50 mg order handwritten in the next space---couldn't miss it......

  2. RN supervisor

    debRN0417 replied to username33's topic in LTC: Directors, Assistant

    Request another job

  3. Inhaler Cleaning

    debRN0417 replied to sls73's topic in LTC: Directors, Assistant

    Take the med vial out and rinse well. Dry. Replace med vial. Dont use alcohol, leaves a residue that the resident will get in their mouth. Make sure the resident is rinsing their mouth after each...

  4. Pain assessments

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

    Here is the interpretive guidance under F309 for pain. I am sure you have read this and it is probably redundant to you, but it is the guidance we follow. It may be too much unnecessary information,...

  5. Medication Unavailable

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

    I agree with CCM. Why is the medication unavailable? You can write anything you want but a pattern of unavailable medications should be a red flag that either the pharmacy is not getting the...

  6. Patients dying

    debRN0417 replied to nesje30's topic in Geriatric, LTC

    My mother was terminally ill. She had been through chemo and was so weak she couldn't walk. The doctor had told us that she probably had 6 months to live, but that until she got a little stronger...

  7. F tag on CNA inservice

    debRN0417 replied to ejpip1's topic in LTC: Directors, Assistant

    F497 Regulation and Interpretive Guidance ( other info at bottom which may not apply to you but added just as additional info) The facility must complete a performance review of every nurse aide at...

  8. Wound Care

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

    The only full time wound nurses I have ever seen are in very large facilities (only one nurse). I have seen full time "treatment nurses" who do all the treatments in some smaller facilities. Most...

  9. Annual survey and I'm scared

    debRN0417 replied to LightRain_RN's topic in Geriatric, LTC

    I bought me some of those finger thingys so I would not be tempted to lick them bad boys! You don't know who has handled all those

  10. Injury of Unknown Origin

    debRN0417 replied to HurricaneCasRN's topic in Geriatric, LTC

    It was unwitnessed. An "investigation" had to be done to determine what "could have" caused the skin tears. You have to rule out other causes, even if you are pretty sure what happened...but again-...

  11. Injury of Unknown Origin

    debRN0417 replied to HurricaneCasRN's topic in Geriatric, LTC

    You are absolutely correct. An injury of unknown origin is one which you did not witness, and the resident cannot tell you what happened. IT MUST be investigated to rule out abuse. What if someone...

  12. Life Care Centers of America

    debRN0417 replied to Blackcat99's topic in Geriatric, LTC

    Most of the time it is the people running the facility that make the difference, not the corporation. I have been in places that were the same corporation and one facility had multiple issues, while...

  13. Non-healing Wounds

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

    Just cover your bases. That way helps you to prove that the pressure ulcer is unavoiadable which sounds like what you

  14. BSN or More Experience

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

    I have been a nurse for 30+ years and have no BSN. I have held management and supervisory positions. I was hired for experience, not education. As far as I'm concerned my RN license is the same as...

  15. discontinuing pressure alarms

    debRN0417 replied to sls73's topic in Geriatric, LTC

    I have never heard of a "Federal Mandate" that says that alarms are a restraint. They are NOT a restraint. They do not stop the resident from doing anything- they just let you know that they are...

  16. Documentation "No-No's"?

    debRN0417 replied to elb252's topic in Geriatric, LTC

    I have seen: Resident eloped from the back exit door because the previous shift forgot to turn the alarm back on... Medication was not available because the pharmacy didn't deliver it because the last...

  17. Is long term care that bad? and Long Term Care To Psych

    debRN0417 replied to DA,RN's topic in Geriatric, LTC

    It is sad. LTC is hard work, but it is not the bottom of the barrell. Those words are spoken by people who have never worked in LTC and have no clue what it is all

  18. Looking for work in hospital >:(

    debRN0417 replied to miMOMMYof3's topic in Geriatric, LTC

    When you apply, attach a letter/resume to your application detailing your duites and experience. Highlight all the skills that you have performed and your acomplishments...ring your own bell. You...

  19. The most scariest thing...

    debRN0417 posted a topic in Geriatric, LTC

    What is the most frightenng/scariest thing that has happened to you in your nursing career? Mine was regarding chemo. I was working as a precepted nurse on a chemo unit (mostly elder adults) and back...

  20. State~!

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

    Pixie- that's darned embarrasing to the surveyor profession. Sorry you had to go through that. It's not

  21. Abuse Allegations

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

    Had a friend that staff came to with a concern. My friend (not a nurse) was unsure what to do so she called her supervisor and the supervisor told her to direct them to the hotline. My friend did...

  22. feeling like I'm a loser

    debRN0417 replied to nola1202's topic in Geriatric, LTC

    I used to bargin...I will come in for whatever night I wanted off...or I would say I would work a half shift or something. If they say no and are not willing to accomodate you, then why should you...

  23. Don't You Just Want To Scream?

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

    It's sad. I see it all the time. Signing off things that are not done...watched a resident all day- supposed to have a chair alarm...never had it on, it was signed off though that it had been on....

  24. appropriate behaviors

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

    I would think you need to list whatever behaviors the resident actually is displaying as well as whatever behaviors the medication was prescribed to control. Agitation is NOT a good one. You need to...

  25. Frequent Faller

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

    If the resident is not hurt, then your interventions are working. You cannot stop a resident from falling. You just have to try to prevent them from an injury when they do. It sounds as if this...