silverbat

silverbat

Care Coordination, MDS, med-surg, Peds

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All Content by silverbat

  1. debate

    silverbat replied to 1lanarn's topic in MDS Coordinator Information

    I disagree, but let me make sure I undertood the question: If a person gets out of bed with a mechanical lift(hoyer, for example) with 2 staff assisting... the person did nothing to assist with the...

  2. First Nursing job, and I drowned!

    silverbat replied to galenanurse's topic in First Year After Licensure

    oh my! What a horrid place. I think they should be reported to their state regulatory agency. ALso, I agree with the poster who suggested writing to the mangement company of the facility and telling...

  3. Calling briefs "diapers"....*vent*

    silverbat replied to cherrybreeze's topic in General Nursing

    I have a couple of things to say: 1. A few years back, due to stress incontinence related to severe asthma/bronchial pneumonia and was hospitalized. I asked my CNA for feminine pads as "leak...

  4. Comatose patient can't close his eyes and has no curtain for sun protection

    silverbat replied to Alnitak7's topic in General Nursing

    I am having a hard time thinking of a facility with bedroom windows with no curtains. Curtains HAVE to be closed for privacy when staff is providing care in case someone on the outside could see in....

  5. Things you'd LOVE to be able to tell patients, and get away with it.

    silverbat replied to AngelfireRN's topic in Patient, Colleague Relations

    I worked in a hospital where there was a large hispanic population. Not all of them were legally here in the USA. Of course, they wound up in the hosptial, and not all of them brought interpreters....

  6. ADON daily routine?

    silverbat replied to StayAtHomeNurseMom's topic in General Nursing

    most LTC homes have a brief meeting in the morning to discuss admits, problems, etc., lasts about 30 minutes, usually every one "stands up" rather than sits because it is so brief. may be referred to...

  7. Things you'd LOVE to be able to tell patients, and get away with it.

    silverbat replied to AngelfireRN's topic in Patient, Colleague Relations

    oh my, so many things to say... 1. No this is NOT hotel whatever, and I cannot help it that I do not have the thin sliced turkey on rye with miracle whip light, thin sliced onions and organic mustard....

  8. ADON daily routine?

    silverbat replied to StayAtHomeNurseMom's topic in General Nursing

    i like to be organized too. sometimes it is more "organized choas", though!! we do chart audits first thing so nurses can "fix" things, handle staffing issues at the same time, then it is usually time...

  9. giving smaller dose med?

    silverbat replied to pblpn's topic in General Nursing

    i am confused..... the order stated 1000mg,(and you are concerned about cutting it in half) you must have a 1000mg, so why whould you call to get the order changed if you had what was ordered? If the...

  10. ADON daily routine?

    silverbat replied to StayAtHomeNurseMom's topic in General Nursing

    I know that the role of ADON can vary from one factility to another, but can include: Chart audits employee disciplary actions/counseling stand up morning meeting referral/admissin meetings multiple...

  11. Discouraged by Nurses who hate their job

    silverbat replied to Tooimpatient's topic in Pre-Nursing Students

    i started as a CNA in a nursing home, then hospital. Then worked in MR/DD facility as a CMT. I earned my LPN and worked Med-surg for 4 years, then worked med-surg for 10years as an RN. I did float to...

  12. What would you make of this?

    silverbat replied to bluemorningglory's topic in General Nursing

    In LTC, with state surveyors, if you use a name other than the one preferred by the resident, you are at fault and will be tagged (NOT a good thing). We have to care plan that the resident prefers to...

  13. First nightshift down

    silverbat replied to gtoko's topic in General Nursing

    I worked nights for 15 years. LOVED IT!! Did take a few weks to adjust, especially with kids, but they adjust too, quicker than getting friiends/families adjusted to you being asleep when they are...

  14. Sharing Personal Information at Work

    silverbat replied to Urban_Durga's topic in General Nursing

    In a weird twist: I was once accused of being TOO personal with other staff asking them the questions the OP proposed: How long have you been an RN, etc.. and NOT asking the are you married, etc...

  15. Am i wrong for being soo ******..or am i just cranky!

    silverbat replied to erin01's topic in General Nursing

    I am very compassionate with co-workers who feel poorly, but to leave medications, assessments, and treatments until 0200 is insane not to mention dreadful nursng care. I don't care HOW poorly you...

  16. Am i wrong for being soo ******..or am i just cranky!

    silverbat replied to erin01's topic in General Nursing

    I would definately check into the medication error report. meds not given unless for a documented reason authorized by a physician contitutes a med error. Sometimes docs give parameters, .like hold...

  17. Am i wrong for being soo ******..or am i just cranky!

    silverbat replied to erin01's topic in General Nursing

    several things come to mind: I would have been annoyed to discover that meds had not been given by 0200. I hope you filled out an incident report/medication error on your patient and that nurse....

  18. Can MDS coordinators do any charting?

    silverbat replied to texasheat's topic in MDS Coordinator Information

    when my ss is on vacation I do their part. I chart what I observe when I charge, or when I assess and find something that needs to be charted. My ADON and DON charge occasionally, and they chart...

  19. Clinical difference of opinion on cognitive status with SS

    silverbat replied to fulzgold's topic in MDS Coordinator Information

    Code the accurate condition of the resident. The documentation backs you up. You can add a nurses note yourself to note what you observe when you are on the unit, if you wish. The SS needs education...

  20. Prioritizing MDS work ???

    silverbat replied to Ng74's topic in MDS Coordinator Information

    Personally, I do the medicare ones first, then the others, just so that I can keep up with the PPS schedule. You are so far behind, that I think I would do them like that...med a first, for billing,...

  21. Things you'd LOVE to be able to tell patients, and get away with it.

    silverbat replied to AngelfireRN's topic in Patient, Colleague Relations

    Love this thread!! To the family whose mother was dying,"No, I do NOT know if your Mom will die by Friday at 4 pm, Do you have the will reading scheduled for 430?" To the drunk saying, I love you, do...

  22. smokers

    silverbat replied to getoverit's topic in General Nursing

    cherrybreeze... chill, please... Yes, I think alcoholics and drug abusers CHOOSE to do their DRUG of choice. No one makes them take a drink or shoot the drug. As far as their addiction, perhaps the...

  23. smokers

    silverbat replied to getoverit's topic in General Nursing

    When I work with a bunch of smokers, I take "NON-smoking " breaks as a joke if the smokers start taking too many extra breaks. I don't mind the breaks we are all supposed to get, its the "EXTRA" ones,...

  24. C's In Nursing School

    silverbat replied to redraider1977's topic in General Nursing

    IMO... I would rather work with or have as my nurse, a steady solid C student who KNOWS what she is doing with patient care and can use her brain on the run, rather thatn an A student with no common...

  25. Charting Bloopers

    silverbat replied to AHarri66's topic in Nursing Humor

    when I was a pt, I heard on the intercom another pt talking to the nurses station: "I need a cough suppressant so that I can suppress my cough.." Next thing I heard was the giggle of nurses!!! Hit 'em...