donmomofnine

donmomofnine

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All Content by donmomofnine

  1. same station burnout?

    donmomofnine replied to kaynolees's topic in Geriatric, LTC

    We have permanent assignments for our nursing assistants. We feel that having the same care giver is an enormous benefit to the resident, especially folks with dementia. This is substantiated with...

  2. RNs and career advancement

    donmomofnine replied to surfnbeagle's topic in Geriatric, LTC

    I intentionally hire, or promote, to the supervisor position. The only ones who end up doing it by "default" are primary nurses who fill in if the sup calls off (and they volunteer). I also have...

  3. Getting residents up for the day

    donmomofnine replied to Schmoo1022's topic in Geriatric, LTC

    Actually, we will be dialoguing with the department of health before initiating this

  4. Getting residents up for the day

    donmomofnine replied to Schmoo1022's topic in Geriatric, LTC

    I think this is a tension at many facilities. At present, our night shift gets up a few people who are already early risers. One of the things I am looking at implementing is a staggered breakfast...

  5. God bless the burn team...

    donmomofnine replied to donmomofnine's topic in Burn

    I was so inspired by the burn team that if I didn't absolultely LOVE my current job, I would join them in a

  6. God bless the burn team...

    donmomofnine posted a topic in Burn

    at Lehigh Valley Hospital! My hats off to ALL of you involved in burn care! I severely burnt both hands on Friday:angryfire , to the OR Weds. and home last night. Words cannot express my sincere...

  7. CPR after rigor mortis

    donmomofnine replied to HealinghandsRN's topic in Geriatric, LTC

    "we are VERY good at recognizing declining health and do not hesitate to call rescue" We are too!

  8. pericare-is this right???

    donmomofnine replied to sponge22's topic in Geriatric, LTC

    That's one reason we use mostly premoistened

  9. CPR after rigor mortis

    donmomofnine replied to HealinghandsRN's topic in Geriatric, LTC

    Do y'all use AEDs? Those are what really save lives, more than CPR, according to what I

  10. CPR after rigor mortis

    donmomofnine replied to HealinghandsRN's topic in Geriatric, LTC

    :behindpc: good question! And yes, we send them out when they start "going bad". No one really "wants CPR started" because they know we don't provide that. Most have great advanced directives and we...

  11. CPR after rigor mortis

    donmomofnine replied to HealinghandsRN's topic in Geriatric, LTC

    That is not an issue here as residents and families find out before admission what our policy is. They are in agreement with it if they come to live here. We cannot be "disciplined" for following...

  12. CPR after rigor mortis

    donmomofnine replied to HealinghandsRN's topic in Geriatric, LTC

    I guess we just have to agree to disagree.:) I am at peace with my decision for now and I guess I am open to changing my

  13. Ethics of feeding tube

    donmomofnine replied to sharann's topic in Geriatric, LTC

    I sure wouldn't be in favor of

  14. CPR after rigor mortis

    donmomofnine replied to HealinghandsRN's topic in Geriatric, LTC

    Leading them to believe that CPR will "work" sure doesn't seem right! We tell them the truth. Getting EMS here in time has never been a problem. As I stated before, we are a faith based community...

  15. CPR after rigor mortis

    donmomofnine replied to HealinghandsRN's topic in Geriatric, LTC

    Aneroo ~ I work in a faith based community where residents and families are comfortable with death and dying and not doing heroics. We openly discuss these things with our residents and families!...

  16. CPR after rigor mortis

    donmomofnine replied to HealinghandsRN's topic in Geriatric, LTC

    We don't provide CPR at our facility, but when we did I always thought it was ironic that an RN could pronounce someone dead, yet some of my staff felt we still had to jump on them and do

  17. Policy for passing fresh water?

    donmomofnine replied to mlolsonny's topic in Geriatric, LTC

    same for

  18. Unit Manager

    donmomofnine replied to autumneve's topic in Geriatric, LTC

    I am not sure what an RCC is, sorry. If you mean the same thing as what we call primary care nurses (med and treatment), then, yes, they are there to assist them, but are over them as well. This is...

  19. What can we do to improve working conditions in Nursing homes?

    donmomofnine replied to Destinystar's topic in Geriatric, LTC

    Why not? When I work the floor to fill in for a callout, my hours count. I am providing direct patient care, no matter what my

  20. BOP Sheets Question

    donmomofnine replied to BetterWayNurse's topic in Geriatric, LTC

    I just suggest that you do this! I was cited for my behavior flow sheets. Our policy was to document two non-pharmacological interventions before the administration of a prn psychotropic and the...

  21. Mc Donalds pays more for CNA with 8 yrs exp

    donmomofnine replied to Rnltc's topic in Geriatric, LTC

    A nursing assistant with eight years experience where I work is paid more than twice what they would make flipping burgers and the ones who just graduate make at least $3 more than at Mickey D's....

  22. Standing up for "Management"

    donmomofnine replied to CapeCodMermaid's topic in Geriatric, LTC

    That's why I will never work for a for-profit corporation

  23. Unit Manager

    donmomofnine replied to autumneve's topic in Geriatric, LTC

    Oh, and one IMPORTANT thing ~ for continuity and consistency, they work Monday through Friday. Once in awhile they fill in on the weekend, but I need them there more during the week, when more...

  24. Unit Manager

    donmomofnine replied to autumneve's topic in Geriatric, LTC

    They each have a unit clerk and I have a wound nurse working three days a week. She does all the documentation. The unit managers do the treatments when she is not here, but they aren't too heavy. No...

  25. LTC staffing problem - may I have your opinion, please?

    donmomofnine replied to anndoodle's topic in Geriatric, LTC

    wow! I think the med aide needs help