KrisV27

KrisV27

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All Content by KrisV27

  1. Significant Changes

    KrisV27 replied to gizzy81's topic in MDS Coordinator Information

    First of all, be sure to check J5a, conditions/diseases make resident patterns unstable. I always make a note in the chart describing that the resident has been reviewed for a significant change--...

  2. Teachable Moment form

    KrisV27 posted a topic in Nurse Management

    I am looking for a "Teachable Moment" form or something similar to use with staff as an alternative to a write-up or verbal warning. Something that allows the CNA's, nurses to evaluate on their own...

  3. do staffs have a right not to send pt to hospital?

    KrisV27 replied to Ms.RN's topic in Geriatric, LTC

    Give her the phone and tell her to call away.... For the nurse to have this arranged, don't you need a dr. order? If he says, no, chart it, and that's all of your responsibility.

  4. Are we slowly poisoning ourselves with meds when we crush them?

    KrisV27 replied to Jubei's topic in Geriatric, LTC

    I know a patient who gets thalidamide. And of course, it's to be crushed. Perhaps the nurses can babysit each others' "flipper

  5. Bigotry/Racism in SNF's

    KrisV27 replied to CapeCodMermaid's topic in Geriatric, LTC

    Where I work, we have many nurses and aides (mostly men) from other countries, mostly in Africa. I find that the families of the residents and the residents that are cognitively intact are the worst...

  6. Does Pnc Have The Worst Rn Program?

    KrisV27 replied to kara411's topic in Indiana Nursing

    No. I went there. They have on of the best nursing programs around. There were recently granted a 10 year accreditation (which means they are really good) and it is hard to get. It is one of the...

  7. LTC and constant alarms

    KrisV27 replied to Blackcat99's topic in Geriatric, LTC

    Yes. I'm glad someone agrees with me. I work in a nursing home with many combative/behavioral residents. Being almost illegally understaffed, it is almost impossible to get to the alarms on time. Not...

  8. Tube Feeding Question

    KrisV27 replied to kasi's topic in Geriatric, LTC

    CNA's are not allowed to touch the pumps where I work. They will be fired and the nurse will be fired for asking the CNA to do this. It is not in their scope of practice. I don't turn off the pumps...

  9. Was I wrong to say anything?

    KrisV27 replied to lil_miss_attitude's topic in Patient Safety Issues

    It is not necessary to use alcohol pads if the hands have just been washed. But that's not always practical. Most facilities require you to use an alcohol pad since, especially in LTC, you never know...

  10. BSN requirement for all RNs

    KrisV27 replied to cindylousmith's topic in General Nursing

    No, I am very serious. The people I work with are idiots. Could be just Indiana. You can be caring all you want, but if you can't even read... The NCLEX ought have a spelling test or something. If my...

  11. BSN requirement for all RNs

    KrisV27 replied to cindylousmith's topic in General Nursing

    I am an (nursing home) ASN nurse and believe NO ONE should be allowed to touch a pill without at least a BSN. I work with LPN's and ASN's. None of them can even spell. My DON had to ask a doc what...

  12. Advise about G-tubes

    KrisV27 replied to debbiemig's topic in Geriatric, LTC

    I have a resident with the same problem. After we had placement verified, we figured it might be from too much air from frequent placement checks. Sucking the air back up after giving an air bolus...

  13. how much Indiana nurses make

    KrisV27 replied to nurseluv9's topic in Indiana Nursing

    An RN should NEVER take a job that pays lower than $15. That would be ridiculous, no matter what state you live. Average RN, new grad, $16 for LTC, $18 for hospital. Plus a shift diff. if

  14. Med not available

    KrisV27 replied to dotter's topic in Geriatric, LTC

    I have discovered that though you may put your initials and "med not available", when the monthly MAR sheets go down to Medical Records, they write ME (mistaken entry) and "med found" and are pretty...

  15. New grad, LTC job offer...advice?

    KrisV27 replied to tiona's topic in Geriatric, LTC

    At times, LTC is very rewarding to me. I am not frustrated for myself, but for all of the residents that must suffer because I only have two hands. I love working with the residents, but it is...

  16. Why al the negativity in LTC???

    KrisV27 replied to sixes's topic in Geriatric, LTC

    The reason I work there is because I am one of the only ones who attempt to try and make things better. I try my hardest, never take a break, and still fail to come close to the standards I believe...

  17. Why al the negativity in LTC???

    KrisV27 replied to sixes's topic in Geriatric, LTC

    I work in LTC. There really is no positive side. The residents are treated poorly, left sitting in their own excrement for hours/days due to lack of staffing requirements... Anyone who believes these...

  18. New grad, LTC job offer...advice?

    KrisV27 replied to tiona's topic in Geriatric, LTC

    No, you cannot be safe with that many patients. I usually have about 30, and it is simply physically impossibly. They get their meds, but usually not at the correct times. Basically, we have to...

  19. Incident reports

    KrisV27 replied to CapeCodMermaid's topic in Geriatric, LTC

    It's to the point where nurses are almost afraid to thoroughly assess the residents because of fear of the paperwork that results when they find the smallest "incident" on their skin. It also sucks to...