BHolliRNMS

BHolliRNMS

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All Content by BHolliRNMS

  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

  16. Funny things that pts say

    BHolliRNMS replied to jRN4now's topic in Nursing Humor

    A coworker of mine has an uncle in the VA hospital. The nurses had to restrain him last nite, because he wouldn't leave his O2 on and his sats were really low. He also kept trying to get up..can't...

  17. The fingernail police!!

    BHolliRNMS replied to RN92's topic in General Nursing

    Long nails also subject patients to skin tears and scratches when performing procedures. Outlawed where I work. Do what you please on your days off, but when you come to work, have clean short...

  18. Ethical dilemma -- new nurse

    BHolliRNMS replied to pdmt's topic in General Nursing

    You know the right thing to do. But, who wants to be labeled a tattletale the first two weeks out of school, right? However, you must address the issues that you are aware of. Can you speak to this...

  19. Can you believe this? 13yo and mom both pregnant

    BHolliRNMS replied to seanymph's topic in Ob/Gyn

    Not uncommon in south ms.....more common in poor communities. Sad, I agree. Hope the babies don't have the same dad. Many moms under the age of 30 with 3 plus kids in this area. Seems like the...

  20. CNA issue~can anyone advise?

    BHolliRNMS replied to jschut's topic in General Nursing

    call your don before your next shift and ask her if she has spoken to this cna and what you should do if she has another outburst. It can be seen as resident abuse if the residents are frightened by...

  21. What was your secret weapon for surviving nursing school??

    BHolliRNMS replied to michelle_s_nurse's topic in General Nursing

    Chocolate chip granola bars and coca-cola...helps you not miss sleeping so much. Humour......some of the things we do in nursing school before we know better really is

  22. How do you dispose of retractable lancets?

    BHolliRNMS replied to kay's topic in Infectious Disease

    Sharps container. Plus they have blood on them, and cannot go into the general

  23. LTC is getting the best of me!

    BHolliRNMS replied to NursesRmofun's topic in Geriatric, LTC

    Er nurses dismiss nursing home patients instead of treating them in the same manner as other patients. 1. Resident sent to ER during the afternoon after a fall. Report comes back "nothing's wrong."...

  24. Black nurses VS. White nurses

    BHolliRNMS replied to tmiller027's topic in General Nursing

    Elvis dead vs alive sweet or unsweet frosted or plain plain m&ms or nuts almond joy vs mounds lemon ice box pie vs lemon meringue hot tea vs iced tea hot chocolate vs YaHoo natural vs silicone vs...

  25. Medication-nursing issues

    BHolliRNMS replied to happystar's topic in General Nursing

    Assess the blood sugar. You can research Prednisone and hyperglycemia to find out