punkdmm BSN, RN

punkdmm has 25 years experience as a BSN, RN and specializes in Geriatrics.

Latest Activity

1. 

   Staffing Shortages

   punkdmm replied to LTCRN4LIFE's topic in Geriatric, LTC

   We are using multiple agencies to fill holes in staffing. The few aides we have left of our own staff are slowly trickling out for higher pay. When the bulk of our aides left we did have some LPN’s...
2. 

   Ohio University FNP starting in fall 2020

   punkdmm replied to punkdmm's topic in Student Nurse Practitioner

   Yes. The interview wasn’t too bad. Pretty easy to answer questions. I was nervous but it was a pretty smooth conversation. It only lasted 15 minutes or less, I think, so it was over
3. 

   Ohio University FNP starting in fall 2020

   punkdmm replied to punkdmm's topic in Student Nurse Practitioner

   CONGRATS! I had considered going that route since I intend to continue to work in geriatrics, but opted for FNP just to keep my options
4. 

   Ohio University FNP starting in fall 2020

   punkdmm replied to punkdmm's topic in Student Nurse Practitioner

   Fingers crossed! ? Let me
5. 

   Ohio University FNP starting in fall 2020

   punkdmm posted a topic in Student Nurse Practitioner

   Any advice on program? Haven't really been able to find any old threads of those in the program to get any idea what it's like. Have been accepted and am excited to get started! Wondering how...
6. 

   Crushing Oral Medications...New Regulation

   punkdmm replied to ltcnurse4u's topic in Geriatric, LTC

   What type of assessment are you all using to qualify residents to get meds crushed and cocktailed? I'm being told the IDT has to eval and make recommendations in addition to the Dr
7. 

   Infection Preventionist

   punkdmm replied to CapeCodMermaid's topic in Geriatric, LTC

   I took the NIPP infection preventionist course. It was some old info with a few new pieces sprinkled in :) Not sure our line list satisfies the regs...fingers
8. 

   Skills/Competencies

   punkdmm posted a topic in LTC: Directors, Assistant

   How do you go about doing skills competencies? I do not have an education room or a "dummy" to use. I used a stuffed animal the last time. I basically put the stuffed animal on the conference room...
9. 

   Laundry Bins

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

   We have not allowed trash/linen carts in the hallways for years. They must be kept in the soiled utility room. I think partly infection control and part so that they wouldn't be considered "stored" in...
10. 

    Urine Strips

    punkdmm replied to punkdmm's topic in LTC: Directors, Assistant

    That is our practice as well. They're used as more of an indicator that it needs to be sent to the lab for
11. 

    Urine Strips

    punkdmm posted a topic in LTC: Directors, Assistant

    Does your facility require daily control testing of open bottles of UA strips? Our old manufacturer recommended them but we are having trouble finding control solution through our new provider...
12. 

    Catheter Policy

    punkdmm posted a topic in Geriatric, LTC

    I am working on a new policy for indwelling catheters because the one we have in place is from 1998...what are the most important points to have in place? Any certain verbage to add/avoid? Of course...
13. 

    Recruiting new CNA's

    punkdmm replied to RN&mom's topic in LTC: Directors, Assistant

    We are having the same problem and have tried most of the ideas here...but I don't believe we have done a direct mailing. What types of information did you include in this? And did you just gather...
14. 

    Nurse Aide retention/recruitment

    punkdmm posted a topic in General Nursing

    I work in LTC and we, like most other facilities, are experiencing a shortage of nurse aides. I am looking for suggestions for how to get them in the door and how to keep the ones we have. We have ads...
15. 

    Do you aspirate before giving an IM deltoid injection?

    punkdmm replied to seasalt1023's topic in Patient Medications

    http://www.nnpnetwork.org/Uploads/EBP%20aspiration%20poster%209%2025%2012%20for%20iowa%20.pdf The saga continues...I was taught only to aspirate for IM, but it never made any sense to me. Seemed like...