BHolliRNMS

Latest Activity

1. MDS Submission Question

   BHolliRNMS replied to SheWulfwynn's topic in Geriatric, LTC

   I don't think you will be fined monetarily for late submissions. However, if it is a widespread ongoing problem, state surveyors can give you a tag on it during your survey. I would write the problem...

2. Late entries and legality

   BHolliRNMS replied to michelle95's topic in General Nursing

   I think most boards of nursing will tell you that you can make a late entry on anything that you can factually remember without a doubt. I think anyone would have a difficult time convincing a bon...

3. Is This Illegal?

   BHolliRNMS replied to HannahRN24's topic in Geriatric, LTC

   The DON clocking in and leaving is as illegal as any other employee. Federal regulations require nursing homes to have RN coverage at least 8 consecutive hours everyday. If the nursing home does not...

4. ltc infection control nurses

   BHolliRNMS replied to panurse101's topic in Geriatric, LTC

   Track location of the infections per your facility floor plan. Could there be a px with hydration and/or incontinence care in a particular area? Track UTIs with catheters...is there a px with...

5. Ambulation in Long Term Care

   BHolliRNMS replied to ComicRN's topic in Geriatric, LTC

   i work in a 120 bed ltc and we just dc'd our last restraint. It takes a lot of creativity to keep people safe. you have to learn what each individual likes. Ex...we have one lady who liked to...

6. would you be mad at your CNA?

   BHolliRNMS replied to lovingtheunloved's topic in Geriatric, LTC

   I think it is great that you recognized the acute change in your patient. Usually a cna is the first person to notice a change in a LTC resident. However, taking the time to go get a pulse oximeter...

7. skillable services

   BHolliRNMS replied to dysont's topic in Geriatric, LTC

   in order to be a "skilled" patient under Med A, the patient must need care that requires the skill of a licensed nurse or therapist daily. Daily wound care, IV therapy, observation and assessment of...

8. Ready for full-code residents?

   BHolliRNMS replied to Betty_SPN_KS's topic in Geriatric, LTC

   Not ALL crash carts in long term care are a joke. As a nurse, I feel it is my responsibility to check the crash cart at the beginning of the shift to be sure O2 etc is on it. Let's face it. People...

9. Bailing out of LTC

   BHolliRNMS replied to RN4ustat's topic in Geriatric, LTC

   It sounds to me like it was already getting better under your leadership. I have been a don in two different facilities. The first year in each, I was at work more than I was at home. I have been...

10. Do more forms = better pt. care

    BHolliRNMS replied to Destinystar's topic in Geriatric, LTC

    I don't believe in unnecessary charting or duplicate charting. I do think sometimes forms help nurses to document important information in a quick way. Our company doesn't require monthly summaries...

11. Just had survey...need advice on correction plan

    BHolliRNMS replied to FrazzledRN's topic in Geriatric, LTC

    I agree, it is necessary. I just think I would appeal the G tag on an alert and oriented resident who fell. She has rights to refuse restraints and alarms can be restraining. I get tired of...

12. Do more forms = better pt. care

    BHolliRNMS replied to Destinystar's topic in Geriatric, LTC

    ask the

13. Ready for full-code residents?

    BHolliRNMS replied to Betty_SPN_KS's topic in Geriatric, LTC

    we have a crash cart on each nursing wing. We only initiate CPR until the paramedics arrive and they take over. If you know CPR, you should be fine. Play out the scene in your mind a few times and...

14. Is this understaffing (or is it me?)

    BHolliRNMS replied to Town & Country's topic in Geriatric, LTC

    on 11-7 we have 1 nurse to 60 residents. The 11-7 nurse is responsible for acute charting, supervision of cnas (3-4), PRN meds, emergencies, 6am FSBS, and 6am meds (mainly the tube feeders). I have...

15. geriatric research proposal

    BHolliRNMS replied to Michelle_nurse's topic in Geriatric, LTC

    what about behaviors related to pain? Are we treating behaviors related to dementia when residents are actually in