debRN0417

debRN0417

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

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All Content by debRN0417

  1. Morbidly obese residents

    debRN0417 replied to Mommy&RN's topic in Geriatric, LTC

    Most facilities, as has already been stated, cannot afford the bariatric equipment needed for resident that is very large. Then there's the "manpower" involved and the risk of employee...

  2. A Funny Moment in LTC...

    debRN0417 replied to westieluv's topic in Geriatric, LTC

    1st female resident- Are you going to play Bingo? 2nd Resident- I don't know anything about a dingo. 3rd Resident- She didn't say dingo. You need to pay better attention, she asked you if you were...

  3. New ADON/ Survey Imminent!

    debRN0417 replied to NurseGuyBri's topic in Geriatric, LTC

    Don't freak out, it will be okay. You can only do what you can. Take your time. They will look for the following things in personnel files: What does your facility policy and procedure on abuse say...

  4. Tracheostomy Suctioning Sterile?

    debRN0417 replied to aimessue's topic in Geriatric, LTC

    There are relatively few, and I mean few facilities here that will take a trach patient because of the cost, not only for supplies involved but because of staffing. I can only speak to the facilities...

  5. Documentation

    debRN0417 replied to curley64's topic in Geriatric, LTC

    If the resident is receiving psychotropic medications, then you need to have a reason to administer them, or change doses, or be able to say that their behavior is controlled on what they are...

  6. Tracheostomy Suctioning Sterile?

    debRN0417 replied to aimessue's topic in Geriatric, LTC

    I'm sorry... I said that inline suction was convienent and changed daily and was a contained system. I don't understand where a citation came from that. The facilities I see do not use in-line...

  7. Tracheostomy Suctioning Sterile?

    debRN0417 replied to aimessue's topic in Geriatric, LTC

    As a surveyor, I would expect a sterile procedure. You have residents who are alreday seriously compromised, in a community setting, which increases their risk of acquired infections, especially MRSA,...

  8. Ironic:No Healthcare for Nsg Homes

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

    When I worked in LTC my insurance was about 400 a pay period which was 800 a month for family. This "so called" insurance had a total deductable of 2000 so unless we went to the doctor monthly, we...

  9. LTC Emergencies - Not prepared!

    debRN0417 replied to croppyRN's topic in Geriatric, LTC

    Make sure you know the code status of your residents. I have seen many residents coded who were not supposed to be and many who were not that wanted to be (notice I didn't say should have

  10. Advice Needed

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

    I wish I could help you, but I think it's all about power and "who's the boss"...it's not about what is best, it's about money and

  11. State Calculations

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

    Progressive discipline. Start out with the verbal warning. Document the date and time of the verbal warning. Then written warning. Then disciplinary action. Make sure you have documented that you...

  12. LTC State survey checklist

    debRN0417 replied to LissaLynn's topic in Geriatric, LTC

    Make sure that you have medications marked that are not to be crushed and DO NOT crush them! Have a drug book handy. If you do not know what a medication is- look it up. Go over your medications...

  13. State Calculations

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

    Jut to clarify something about the AOC date: for example: If you set your AOC date at June 30th- that is the date you are saying that you have everything corrected and that there are no further...

  14. State Calculations

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

    The 2567 is the statement of deficiencies that the state provides the facility that lists the deficiencies and the findings of the survey team. It will let you know exactly what was cited and what...

  15. State Calculations

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

    That's what I am wondering. How did the surveyor prove there was harm? Did any residents have to be hospitalized or something? You are right CCM- you cannot get a "G" unless there is proven harm....

  16. State Calculations

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

  17. State Tags

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

    In our state the surveyors cannot cite for PP alone. There must be evidence of deficient practice. Just saying that you did not follow your PP is not enough. However, you must have PP...the state...

  18. State Calculations

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

    There's two kinds of medication errors- observed and unobserved. The calculation for medication errors is : Significant error + non-significant error/doses given+ doses ordered but not given X 100 ....

  19. Why are most nurses hoarders?

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

    Survey to survey I think would be the rule, except for incident reports. I think they have to be saved for 5 or 7 years...or maybe forever

  20. Verbal Abuse Allegations

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

    All allegations of verbal abuse MUST be thoroughly investigated and reported to the state agency. If you get a survey and residents complain, the surveyors will look to see if the allegations were...

  21. State Tags

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

    A fall with a fracture will not automatically get you a "G" citation. It only is harm (G) if the facility was remiss in ensuring the interventions were in place and updated. If your resident was...

  22. Terminated 15 mins after state left

    debRN0417 replied to newtress's topic in MDS Coordinator Information

    Bunch of loosers. Thats that they

  23. HELP! Need help with documentation of blood sugars and sliding scales.

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

    My friend who is a Dietician and Certified Diebetic Educator says (now I know shes not a doctor but has a lot of experience) that sliding scale is pretty much becoming a thing of the past because most...

  24. what do you say when they are right?

    debRN0417 replied to MelissaLPN's topic in Geriatric, LTC

    Just get out your pen and paper and start writiing it down. Get specifics. Not just that they are not happy with the care. Get them to tell you exactly what it is. Deal with the immediate issues....

  25. DON fired during state survey

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

    I am sorry this happened to you. It sounds as though they felt that if they fired you they could use you as a reason for a bad survey. I have seen it happen before. Blame it all on the DON....