donmomofnine

donmomofnine

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All Content by donmomofnine

  1. RNs in LTC

    I have about half and half LPNs and RNs. The interesting thing I have to contend with is that our RNs don't want to lead! I have LPNs as unit managers and they do a terrific
  2. Top 5 medicine to pass in LTC?

    pain meds, psych meds, bowel
  3. What can be done??

    How about obtaining a psych
  4. I'm being "stalked" by the janitor!

    Search on the internet for "Shoes for Crews"! They make economincal and stylish no~slip footwear. You cannot slip and fall with these shoes on! Our dining services staff wears them. They even do a...
  5. What do you have on count???

    I only counted syringes working in a maximum security prison!
  6. What do you have on count???

    We count percocet, duragesic patches, oral morphine and morphine suppos's. If it has "looked" like there was a problem (and there were problems at other facilities I worked for) then we counted other...
  7. Question about inmates

    I also worked in a maximum security prison and I agree with all the advice here.As a "woman of faith" then maybe you could put your faith to work as a tool to try to save your marriage:) I say that in...
  8. Nursing Home Nurses: How many patients are you respsible for?

    May I add that we have a very low key environment, one tube feeding, no iv's etc. No vents, trachs, suction, things like that. We also have two unit clerks as well as two unit assistants and two...
  9. Nursing Home Nurses: How many patients are you respsible for?

    On days it's 22 per nurse for meds and charting. There is a treatment nurse to do the treatments, and a nurse on each desk in addition to the med nurses. On evenings it's 22 per nurse for meds,...
  10. LTC position- 100 % of patients are cognitively

    The main reason families place residents in nursing homes is cognitive decline. The second is incontinence, so that's pretty much expected. Cognitive impairment is a very broad label. It can range...
  11. Mandatory meetings and night shift

    As someone trying to get 11-7 staff to meetings, it is a little more difficult to get around these folks sleeping hours. I have some staff that go home and go right to sleep. Others stay up and go...
  12. Eczema Treatments

    Fish oil capsules worked well for my children, but their cases were not too
  13. scary looking nursing home

    The medicare website. Not sure of the address, but do a search for "nursing home compare". Jkaee ~ I agree with you and don't you think all of our sister facilities are wonderful? I get frustrated...
  14. scary looking nursing home

    Our facility is beautiful and the care is excellent. We believe that our residents deserve a beautiful home and great care as
  15. mds mountain of work with no help

    Depends on what area you live in, I would think. I would start someone at my facility with little experience at about $25.00 an hour, salaried,
  16. mds mountain of work with no help

    WOW! I don't think MDS coordinators at all facilities have it this bad! We have one for ninety beds and she has an assistant. We have a great software program. She works 8-4:30 M-F and never has...
  17. new grad rns ?

    My experience is that there are some wonderful LTC facilities out there! There are five within driving distance of my home. Just keep looking for the right
  18. new grad rns ?

    I have had, and would continue to hire, graduate nurses ~ RN or LPNs! The only time it was difficult was when one did not pass her boards and could not continue to work. I held her position, but...
  19. :balloons: :balloons: Amen to that! :balloons: AND how about some of the "homes" of loving families that the elderly stay in and avoid nursing home placement!
  20. guidelines question: when LTC and when AL

    There are assisted living demetia units, which are wonderful, so dementia is not always a reason to choose nursing care over assisted living. In our assisted living center (not a dementia AL)...
  21. Ob Nursing Question

    As soon as I graduated, I started as a labor and delivery nurse. It was rather unusual, but I got a foot in the door by working in maternity as a unit secretary while I was in nursing
  22. Your priorities

    AMEN! Couldn't have said it
  23. Mds

    At our facility, the MDS coordinator works forty hours a week. She does all of the nursing entries on the MDS from assessments that are done by the floor nurses, but she spends lots of time digging...
  24. Is this understaffing (or is it me?)

    We have ninety beds with a census that runs around 84. We have a sup and four nurses along with 10 aides for 3-ll and a half unit assistant. We have a sup, two nurses and five aides for 11-7. On days...
  25. Is this understaffing (or is it me?)

    How many