debRN0417

debRN0417

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

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All Content by debRN0417

  1. Staff and artificial nails

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

    I was observing a med pass with a nurse who had nails on that I swear to you were three inches long and curled all under...they were artificial. Besides that, they were painted the loudest shade of...

  2. Beds

    debRN0417 replied to nursingcares's topic in Geriatric, LTC

    Most places are going to electric beds. There's just too many workers comp claims because of back problems due to malfunctioning beds or beds that will not raise to a safe work height. I think I am...

  3. DON passing trays in dining room

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

    When I was DON we had a rotating schedule for lunch and dinner between, DON, ADON, (2) MDS, (2) Unit Managers, and Administrator (also a nurse). Most times I was not in the dining room, but had a...

  4. Staff and artificial nails

    debRN0417 replied to txdon's topic in Geriatric, LTC

    I wore acrylic nails before there were all those studies that showed the artificial nails harbored bacteria. I was a nail biter (yuck-gag) and started wearing the nails to stop that disgusting habit....

  5. can I lose my license...

    debRN0417 replied to mRpeNa's topic in Geriatric, LTC

    As soon as you were notified that there was an allegation/concern/report that the resident had fallen you were correct in going in and doing an assessment. A full assessment including range of motion...

  6. What's the deal with ER?

    debRN0417 replied to JenniferSews's topic in Geriatric, LTC

    I don't have a problem with the ER nurses (used to be one), I have a problem with the doctors telling family members stuff that they have no valid evidence for. Then this causes the family to get all...

  7. New Grad RN as new DON?

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

    Nope. Not a good idea...crazy, in

  8. Really disappointed

    debRN0417 replied to aldeur's topic in Geriatric, LTC

    There are places that are sh#t holes and places that really try and care about their residents and employees. Things happen everywhere and there is no perfect place, but hang in there because you will...

  9. Is it me or just the nursing home I'm working in

    debRN0417 replied to soon2begrad2010's topic in Geriatric, LTC

    I don't understand why we make all this work for ourselves...I mean you take the vital signs, chart them on the MAR, chart them in the nurses notes, chart them on the 24 hour report, chart them on the...

  10. Collecting urine sample

    debRN0417 replied to NextSummer's topic in Geriatric, LTC

    In my opinion, if a UA c/s is ordered there is some reason for it. So if it is ordered on days then are you going to delay treatment because the urine is not collected until night shift? That goes...

  11. New Hire

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

    You need to meet with the resident and as CCM said investigate what the problem is. The nurse should not be penalized over one resident, however, you really need to know what the issue is because you...

  12. Am I in the wrong Nursing home?

    debRN0417 replied to MelissaLPN's topic in Geriatric, LTC

    Borrowing medications is against the law. Call and report them. Don't risk your license. Nuff

  13. When is enough enough?

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

    Check with the Licensure office in your state. Unless you want to come and work with

  14. Depends (diapers) at night?

    debRN0417 replied to Town & Country's topic in Geriatric, LTC

    I want a brief. I dont want to be

  15. Call schedule

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

    The DNS can work the floor. The DNS CANNOT be the charge nurse full time as well as the DNS. If you have to cover two or three times then it is what it is... It means that you cannot do it on a...

  16. Skilled nursing in a hospital

    debRN0417 replied to prinsessa's topic in Geriatric, LTC

    I worked on a skilled unit in the hospital. Most of the residents we cared for were 20 day short-stay Medicare recovering from hip or knee surgery. There were other residents there as well, but...

  17. When is enough enough?

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

    Come to the dark

  18. Sex offenders/ residents screening?

    debRN0417 replied to CoffeeRTC's topic in Geriatric, LTC

    There is a licensure regulation in my state regarding facilities doing a sex offender check on residents, making the information available to the residents and families on how they can check, and the...

  19. Co-workers talk.....

    debRN0417 replied to lpnwkids's topic in Geriatric, LTC

    People are resistant to change and fear is what makes them say things sometimes. It is a shame that people judge before giving anyone a chance to prove themself. I hope that your DON does not let...

  20. Residents who are constantly on the call bell... help!

    debRN0417 replied to rainbowsandsunshine's topic in Geriatric, LTC

    Bingo? Arts and Crafts? Activities? One on one visitations? Does your facility have volunteers that could come and visit with her and give her that one on one attention? DVD player and movies?...

  21. When is enough enough?

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

    I was DON for a year. That's all I could take. I was in a constant state of worry and dread. I could not let go of any responsibility because I was not able to trust. That was my downfall. I had...

  22. ltc to hospital job

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

    It is not hard anymore. LTC has changed so much in recent years. The residents are so much sicker and require more advanced care than was once provided in the LTC setting. LTC/Skilled care...

  23. 2nd day on my own as a new grad, with a student, cried three times

    debRN0417 replied to whitebunny's topic in Geriatric, LTC

    You should not be a preceptor until you have had at least one year of solid experience. And as the above poster said, most BONS require 2 years. I once put a student in the conference room and told...

  24. Need Advice

    debRN0417 replied to Tina**RN's topic in LTC: Directors, Assistant

    I agree with CCM. You are the DNS. Standing orders are a good thing. They prevent unnecessary calls to physicians and delays in routine treatment. Keeping all the meds in one place is a good thing...

  25. IV push meds

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

    You're so welcome! I worked in ER and ICU and on various units in a hospital setting (as well as LTC) and I have always been very careful with IV push meds. It always made me nervous. Once that med...