debRN0417

debRN0417

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

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All Content by debRN0417

  1. I finished the BSN.

    debRN0417 replied to SuesquatchRN's topic in Geriatric, LTC

    Happy DAY! That is wonderful! Congrats to you on your hard work and

  2. Are some states really laxed on their surveys?

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

    What was the outcome? Can it be proven that because the meds were "not signed out" that they were not given? The only way would be if the resident suffered some type of an outcome. As far as I am...

  3. Are some states really laxed on their surveys?

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

    They're telling us that the computer system will pick the sample and that there will be certain information that is put into it by the survey team. It is supposed to then "tell you" what areas need...

  4. Are some states really laxed on their surveys?

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

    I despise "double dipping" (writing 4 or 5 tags from one issue) as I call it. but my supervisor loves it- so I just try to word my citation so that it can't go anywhere but where it is and when she...

  5. Need advice from an ADON or DON

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

    You won't know until you ask. When I was DON, I willingly worked with my staff who were trying to continue their

  6. Restraint-free facility = FALLS GALORE

    debRN0417 replied to TheCommuter's topic in Geriatric, LTC

    As long as you document the behaviors, care plan the behaviors, do a restraint assessment, have the PT look at them as see if they can recommend something, get consent, have your doc evaluate them,...

  7. Given another patient's medication to satisfy MAR.What do you do? Orientee

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

    Very sad to hear you were treated that

  8. a state resurvey for an F tag?

    debRN0417 replied to aiker31's topic in LTC: Directors, Assistant

    Lots of times an "F" in the kitchen won't give you a revisit...but it could...We usually don't go back for that if the POC is good. But that is my state. Other states may be

  9. more on glucose monitoring

    debRN0417 replied to debRN0417's topic in Geriatric, LTC

    you're correct. They are referencing the "pens" that can be reloaded with the

  10. a state resurvey for an F tag?

    debRN0417 replied to aiker31's topic in LTC: Directors, Assistant

    It depends. An F means the surveyors cited it as a widespread problem. If it was in the area of Quality of Care, Quality of Life, or Resident Behavior and Facility Practices, then it could have been...

  11. promotion?

    debRN0417 replied to rnto?'s topic in Geriatric, LTC

    Exactly what I was thinking.... But I too thought that a Supervisor out ranked a Unit Manager... You are owed an explanation....or then look elswhere. With your experience you should do

  12. Restraint-free facility = FALLS GALORE

    debRN0417 replied to TheCommuter's topic in Geriatric, LTC

    A restraint is only a restraint if it prevents a resident from doing something or having access to their body IF they want to. A side rail is NOT a restraint unless you are using it to keep someone...

  13. Morning Meeting/Stand up

    debRN0417 replied to katoline's topic in MDS Coordinator Information

    When I was DON I thought that I would absolutely die in morning meeting. The Adm would talk about everything under the sun and stuff that had no consequence or relevence to anything that was...

  14. Reality check: new grad in SNF

    debRN0417 replied to NotFlo's topic in Geriatric, LTC

    After 6 weeks of one to one orientation you would think the person would be able to function really well! I mean med pass should be coming along really good, and the organization of work priorities...

  15. Are some states really laxed on their surveys?

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

    We have "the great big book of everything" (as we call the State Operations Manual) and we have to go by that. When survey teams come in to facilities, things don't always go as they "usually do"....

  16. Diet in long term care

    debRN0417 replied to xmaxiex's topic in Geriatric, LTC

    There should be no diet restrictions as far as I am concerned. Just diet "limits". Diabetics are a concern and can be managed by limiting dietary intake of carbs and sugars. I think that...

  17. "Waiting on pharmacy?"

    debRN0417 replied to pblpn's topic in Geriatric, LTC

    One med not available in my opinion does not make a citation, however repeated availability issues indicate a problem somewhere. As other posters have said: Follow your facility policy...call...

  18. Happy Thanksgiving!

    debRN0417 posted a topic in Geriatric, LTC

    ...to all of

  19. Facebook

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

    More and more facilities are implementing policies regarding social networking. Any information posted on a social website that can be linked to a resident/patient could become a HIPPA violation and...

  20. Drugs Not Given Together...

    debRN0417 replied to simprocon's topic in Geriatric, LTC

    When the state is there follow your facility policy and the standard of practice. You can crush them all together but make sure they are compatable and that you are not crushing things that should...

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

    debRN0417 replied to debRN0417's topic in Geriatric, LTC

    Wel if we had enough nurses just to do the med pass timely, and a nurse who could just field calls and questions and doctors stuff, and a nurse who could just do the PRN's and a nurse who could just...

  22. Do you think we are over regulated?

    debRN0417 replied to StNeotser's topic in Geriatric, LTC

    Until the federal government gets their thumbs out of their...eh..ears and mandates staffing ratios along with increasing reimbursement for care.....it will never

  23. Choosing a LTC/SNF to work at as a new nurse

    debRN0417 replied to kari2009's topic in Geriatric, LTC

    Lower ratings mean that they did not do well on their surveys and that they may have staffing issues. Be careful with the lower ratings...however, go visit and interview at places and you will be...

  24. Life care centers of America?

    debRN0417 replied to Blackcat99's topic in Geriatric, LTC

    The one near me is very

  25. Unbelievable

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

    It's all about the $$ to them...sad. When I was DNS I reviewed every admission and even went to the hospital to see them if there was a concern. If I have to assume the responsibility for caring for...