VeronicaWileyRN

VeronicaWileyRN

Long term care-geriatrics

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All Content by VeronicaWileyRN

  1. Quality Assurance/Audit Tools or Forms for LTC or ALF

    VeronicaWileyRN replied to MYRN2016's topic in LTC: Directors, Assistant

    Check Brigs for any forms. They will also have state regulations and forms to go with this. I don't know what state you are in, but in NC the AL the med techs pass the medications and do the...

  2. Nurse helping out Cna at times = they eventually expect the nurse to help them?

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

    As a nurse I feel that it is important that staff work together. Nurses need to help nursing assistants and the nursing assistants need to help the nurses. The patients come

  3. missing narcs

    VeronicaWileyRN replied to Medsport's topic in General Nursing

    They should be looking at the nurse that signed the narcotic sheets in and look back at other narcotics that came in that same day to see if anything else is missing. I agree that I don't think they...

  4. is nursing supposed to be sad?

    VeronicaWileyRN replied to VPal's topic in General Nursing

    When I was in Nursing school, I was going through a divorce. It was not easy. I was depressed, but I had a strong support from my family. Your friend needs to continue to go to counseling and you...

  5. Am I being too sensitive?

    VeronicaWileyRN replied to NurseLily22's topic in General Nursing

    Many of the previous reply are what you need to do. Go talk to the person who supposedly talked negative about you. It could be that she didn't say anything or was talking about something else. If...

  6. I had an 89 yr old patient curse out the doctor today.

    VeronicaWileyRN replied to my.toys's topic in General Nursing

    I have had patient cuss a doctor because he wanted to put them on an antidepressant. If she cussed at him because he was predicting her death in 4 months, she probably in her mind is going to fight...

  7. Applying for night shift RN position

    VeronicaWileyRN replied to WVRN10's topic in LTC: Directors, Assistant

    I have worked some 11p to 7am. If you are working 7pm to 7am, there is some difference. 7pm you come in and start a med pass. Check 8pm blood sugars. at 11pm do another med pass. If you have...

  8. ADON misleading title? Rant from DON

    VeronicaWileyRN replied to americanTrain's topic in LTC: Directors, Assistant

    I will tell you as a DON that has been fired a couple of times it makes it hard to find a job down the road. I do suggest you look for another position, because it sounds like the problems are just...

  9. Turned in my Resignation

    VeronicaWileyRN replied to rukiddingme's topic in MDS Coordinator Information

    The facility you worked for obviously doesn't understand that the MDS can make or break a facility. MDS must be done timely inorder to get the appropriate funds. The MDS must have appropriate...

  10. as DON/ADON ....do you help or hinder your staff?

    VeronicaWileyRN replied to sasha2lady's topic in LTC: Directors, Assistant

    I have worked as a DON for over 20 years. I have helped the CNAs, passed meds, pulled 3rd shift because there was no one else. I have helped with admissions and discharges. The DON job description...

  11. ADON misleading title? Rant from DON

    VeronicaWileyRN replied to americanTrain's topic in LTC: Directors, Assistant

    The assistant DON title in the facilities I have worked in never does the MDS unless the MDS nurse is out sick or on vacation and the MDS nurse also does the care plans that allows for continunity....

  12. new RN needs advice

    VeronicaWileyRN replied to emmacaitlinRN's topic in Geriatric, LTC

    What is the difference between a per diem nurse and a staff nurse? This sounds like a big problem. I would suggest that you talk with whoever is in charge of staffing. Find out if you are going to...

  13. serious question, need reply: policy on rape

    VeronicaWileyRN replied to noctanol's topic in Geriatric, LTC

    At one facility I worked, we did accidently admit a resident that was listed as sex offender. We did have a very explicit plan of what we did if we admitted a patient that was at risk for assualting...

  14. Can you really change a bad LTC?

    VeronicaWileyRN replied to lisa41rn's topic in LTC: Directors, Assistant

    I have worked as a DON in several places. I worked in one facility where the administrator started having the beginning symptoms of dementia. I worked with another administrator that totally had no...

  15. Patient refusing meds, combative

    VeronicaWileyRN replied to Trubie's topic in Geriatric, LTC

    Without knowing if this patient has a diagnosis of Alz, dementia or other mental health diagnosis, it depends if you have to hide the medication. If you have a patient with dementia, then you may...

  16. LTC Nurses Bottom of the Barrel

    VeronicaWileyRN replied to jjnmrsmom's topic in Geriatric, LTC

    LTC is not the bottom of the barrell. I didn't want to work in the hospital with constant changing of patients. In Long Term Care we work with the same residents for months and even years. We do...

  17. LTC Nurses Bottom of the Barrel

    VeronicaWileyRN replied to jjnmrsmom's topic in Geriatric, LTC

    I have had several friends that worked in hospitals. They would ask me where do you work? I would tell them at a nursing home. They would say A nursing home, why? Then I would start with...

  18. Common LTC no-no's (part vent, part question)

    VeronicaWileyRN replied to Zergasaurus's topic in Geriatric, LTC

    I am sorry for your write up. I have been told when you do not have access to a medication by hook or crook, you call the MD and get an order to hold the medication at that time until medication is...

  19. I need to talk about my night.

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

    I am glad to hear you all made it through, but sometimes as a nurse you get pushed in a corner and you don't know that you are in the corner until the next day. You are new and you did

  20. LTC problem getting assistants to respect me

    VeronicaWileyRN replied to NurseSuzann's topic in Geriatric, LTC

    Please don't give up. It doesn't matter where you work or who you work with there will be people that think they know more, do more and they say more. It is important with the CNAs that if you must...

  21. Does your phlebotomist ask you to draw blood from a PICC line for them?

    VeronicaWileyRN replied to koinurse's topic in Geriatric, LTC

    Ladies, The issue is not just the PICC line, but Phelobist is trying to get out of her job. I have had Lab people come and say Oh Ms. so and so refused blood. When I got to her, I asked her did the...

  22. I never want to hear those words from you again

    VeronicaWileyRN replied to SuesquatchRN's topic in Geriatric, LTC

    Yes, there has been many times I have stood up for the CNAs because someone wanted them immediately. I have assisted residents to the bathroom, with meals or whatever I can do to help the CNA. They...

  23. I never want to hear those words from you again

    VeronicaWileyRN replied to SuesquatchRN's topic in Geriatric, LTC

    I did have a company that came into look at a floor nurse posiion. The reason being I had a nurse that had an injury at work and insurance company was trying to get her back to work. The looked at...

  24. I never want to hear those words from you again

    VeronicaWileyRN replied to SuesquatchRN's topic in Geriatric, LTC

    Ladies, As a person that has worked on the manager side, states set the minimal amount of staff needed. Corporate or the owners decide above the minimum. I will agree that often corporate minimum...

  25. Is Jevity considered "medicine"?

    VeronicaWileyRN replied to tracyIngalls's topic in Patient Education

    I am sorry to hear that your mother got sicker. If you take her home, home health can help you with a bed, special mattress, shower chair, lift etc. Good luck. Please do remember to make a...