debRN0417

debRN0417

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

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All Content by debRN0417

  1. IV push meds

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

    In the LTC setting there will have to be an RN available to do the pushes. It is going to require training and new policies and procedures, which is just what LTC needs, more stuff to keep up with...

  2. What is your policy on.....

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

    As long as the resident doesn't mind. It's their bed. Alot of times when I have interviewed residents and there is no chair in the room, they offer me a place on their bed. Hey, I've even had some...

  3. New ADON didn't get training

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

    Your job description whould have a list/summary of your job duties. There always is the inclusion"other duites as assigned". I would ask for a list of my "other duites as

  4. Emergency decisions

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

    No surveyor in their right mind would cite you for doing everything you had to in order to protect your resident. You cannot/should not be cited based on policy. (granted some surveyors are not in...

  5. Odd or creative ways to give meds

    debRN0417 replied to CloudySue's topic in Geriatric, LTC

    Probably no one wants to hear this but...here goes...meet with the family, tell them the issues you are having getting meds in, make sure doctor is involved (he may discontinue some meds or change...

  6. starting LTC and have a couple questions

    debRN0417 replied to oldfaithful's topic in Geriatric, LTC

    They have to have a PP. They cannot be certified under Medicare/Medicaid without one. Also ask them what Manual they follow for standards of

  7. To Staffing Coordinators,

    debRN0417 replied to Forever Sunshine's topic in Geriatric, LTC

    OMG! I can remember trying to staff. That was the worst, most anxiety producing part of my job. I always staffed with the "right numbers" and never just scheduled low, but there were times when...

  8. Jtag!!

    debRN0417 replied to ndragonfly's topic in Geriatric, LTC

    I agree CCM. Ususally a J Tag is not the result of documentation...that sounds strange....Unless they meant that the immediate jeopardy situation was lifted because of the submission of the plan of...

  9. A mean ole demented resident & I saved a life Friday..my sweet story of the day.

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

    You

  10. Licensed staff/skilled nursing residents

    debRN0417 replied to pistolchick's topic in Geriatric, LTC

    I think that California may have mandated staffing ratios, but in my state and most others there is no mandated ratio. The SOM (State Operations Manual) has an F tag 353 regarding staffing, but it...

  11. LTC Nurses How do you get a hold of your Doc?

    debRN0417 replied to lilbit12's topic in Geriatric, LTC

    I understand faxing things that are non-emergent...but BE SURE ANY communication you have with the physician is contained in the clinical record. Be sure you document it in the Nurse's Notes and that...

  12. Jtag!!

    debRN0417 replied to ndragonfly's topic in Geriatric, LTC

    A "J" tag means that there was a finding that resulted in immediate jeopardy. What was the issue? If a facility gets an immediate jeopardy, then whatever it is/was must be corrected immediately. The...

  13. more on glucose monitoring

    debRN0417 posted a topic in Geriatric, LTC

    Blood Glucose Monitoring Practices - Recent Published Alerts from CDC and FDA The Centers for Disease Control and Prevention (CDC) and the Food and Drug Administration (FDA) released alerts in late...

  14. Leave me alone when I'm passing meds!!!!!

    debRN0417 posted a topic in Geriatric, LTC

    How would you answer this question? When nurses are interrupted during medication administration, errors can occur in practice. What percentage of the time do nurses make mistakes when interrupted...

  15. Made a huge mistake now worried for career.

    debRN0417 replied to newRNhereMI's topic in Geriatric, LTC

    Don't tuck your tail and run because of one mistake. If all of us dashed for the door everytime we made a boo-boo there would be no nurses! First, if you were not oriented on the PP regarding the...

  16. Need advise LTC Facility

    debRN0417 replied to jmnurse08's topic in Geriatric, LTC

    One other thing...learn how to listen...to residents and families. Family members are sometimes difficult to manage...the residents are great, but the families can be a challenge. Learn how to deal...

  17. Should I adress this with my ADON or leave it be?

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

    CCM is right...also, now that you know what it was like (your orientation by fire) take time to write things down as to what you thought you could have done better, or what it was you felt you didn't...

  18. How come you don't work more?

    debRN0417 replied to Schmoo1022's topic in Geriatric, LTC

    Honey, I think raising children is the hardest (but best and most rewarding) job on earth! Oh, that I could have taken the time to be home more with them. That will always be a regret of

  19. Are some states really laxed on their surveys?

    debRN0417 replied to nd deb's topic in Geriatric, LTC

    I've only heard of it...never actually been involved in one, though I "heard" they do

  20. Help me become more empathetic.

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

    I always tried to stop and think what the other person may be feeling...how would I want to be responded

  21. Pt choking and DNR....

    debRN0417 replied to Beachbum2010's topic in Geriatric, LTC

    It is true that an unsuccessful heimlich will result in a "code" however, a "code" can't be done because you will have a blocked airway and no air exchange. You must still continue to heimlich the...

  22. Emergency decisions

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

    The resident or the staff! Haha! Sorry....I would have flipped out too! 95% sat and 15L O2?

  23. Seeking guidance on tricky situation

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

    CCM is right. Listen to the voice of

  24. Punched in face, kicked by resident

    debRN0417 replied to favthing's topic in Geriatric, LTC

    It is so scary. I don't know what we are going to do. It's all about the $$...and our nurses are on the front lines getting abused and

  25. I'm not sure if this is the right place for it.

    debRN0417 replied to Tippy-ta-ta's topic in Geriatric, LTC

    First, I agree with the other posters who have stated that morally as a human being you have the obligation to report this. You do. Your obligation does not end when you clock out of whatever job you...