VeronicaWileyRN

VeronicaWileyRN

Long term care-geriatrics

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All Content by VeronicaWileyRN

  1. I would like to do a job at home. I would like
  2. Stressed out and I need a new job

    You need to stay at your current facility. You can look for a part time position to see if you like something different. If you have only worked at one facility, sometimes it will make your resume...
  3. Nobody is hiring anymore. Am I making a BIG mistake starting NS now?

    There are jobs out there, but they may not be in your area or in the type of nursing you are interested in. Hospital Nursing is fine, but there is long term care, hospice, home health, public school,...
  4. Anything that has to do with education means you will probably have to teach and be up front with a lot of other people. I suggest to get over your fear is go do it. The more I stood up and did...
  5. Nurses, I need advice

    Go on and do the LPN classes. After you finish and start to school for you BS in nursing, you will have a better idea of what is happening. Good
  6. How did you get your LTC job?

    As a DON in the past, I really didn't look at faxed resume. I did talk with nurses if they came to facility if I wasn't real busy. Just go to the facilities. You might want to check in to home...
  7. Is this fraud?

    My question is who would you be commiting fraud on. The facility, Medicare, medicaid?
  8. What to do when the agency is beyond the help of a QA?

    So most of the type of patients you have are physical therapy patients? A physical therapy person owns the home health company. As long as the nurses are documenting that the patients are...
  9. Disclosing Medication Errors During Interview Process?

    If you were interviewing with me, I would not necessarily ask about medication errors. Unfortunately, medication errors are an expected problem because we are human. Was a patient harmed? What I...
  10. What to do when the agency is beyond the help of a QA?

    You need to do inservice training to try to get the nurses to understand what the problem is. Once they have had training per your expectations, then you need to look at terminating a person who is...
  11. I haven't worked with an emar, but I have seen then in use. There are certain parameters for medications that the pharmacy company have developed. If you don't have the stipulations on the MAR and...
  12. Is this fraud?

    Unfortunately when a nursing home is deciding to take a patient, they are looking at the cost of and potential cost of that person's medications. So, to get that person placed, compromises have to be...
  13. Bed Alarms

    1) What kind of facility do you work for? (Hospital, Nursing Home, Assisted Living, Home Health Agency) I primarily work in nursing homes 2) How often do you come into contact with bed alarms? Most...
  14. Is Jevity considered "medicine"?

    I am sorry to hear that she has developed a pressure sore, but at the same time I am not surprised. I still suggest that you call and report this facility to the state complaint people. The new...
  15. Anyone work with a prima donna?

    Yes, you are right there is a prima donna every where you work. I have worked as a DON for 15 years and I know the work from my end and from the floor nurses end. Unfortunately none of the work can...
  16. Lice and/or Scabies

    I have never sprayed a room after a patient was treated for scabies or lice. The items that the person sleeps on, mattress, sheets etc need to be cleaned and the resident must be washed following...
  17. I agree the system is broke at your facility. I wouldn't report it to the state. The DON should be notified of the problem. Pharmacy should be notified of the problem, but that is not for the floor...
  18. What kind of scrubs do you wear in LTC?

    Hi, You really need to find out what your facility policy is. I have worked in severql facilities where nurses wore white, nursing assistants wore blue etc. I worked in one facility were the...
  19. Yeast infection gone way too far!!!

    Why does Gold bond put someone at risk for cervical cancer? I am just
  20. Yeast infection gone way too far!!!

    I know some of you think that Fyllis is crazy for using deodorant in fold areas, but it works. I am over weight and have to battle fungal infections at times and I find that Goldbond foot lotion and...
  21. Mini Inservices

    Hi! There is a company that does 10 or 15 minute inservices that are actually free. I can't remember their name, but 15 minute nursing/CNA inservices in the search box to find them. What you are...
  22. Aspiration: Help request

    This gentleman does sound like he is aspirating. Have you had a speech therapist work with him to at least give the staff suggestions on how to feed this man. I would also suggest that the physician...
  23. Is Jevity considered "medicine"?

    The problem is not that she knows how to start the pump. The problem is that there are state and federal regulations that actually prevent it. Unless the facility follows what the state and federal...
  24. Is Jevity considered "medicine"?

    I know you want to be with your Mom and your brother in law may be better at the meeting set, but the management at the facility need to see YOU ALL standing together and upset. They should set a...
  25. Is Jevity considered "medicine"?

    Jevity is a nutrional supplement, but we must have a physician's order for the supplement. A careplan with a doctors order can be done for the resident and her daughter to do the tubefeedings. It...