donmomofnine

donmomofnine

Member

  • Content

    356

  • Visitors

    3,956

  • Followers

    0

  • Likes

    0

All Content by donmomofnine

  1. Standing up for "Management"

    donmomofnine replied to CapeCodMermaid's topic in Geriatric, LTC

    What I get frustrated with is the "why aren't you out here at the bedside" attitude. I cannot be at the bedside and do my job too! I certainly don't mind helping and I am on the unit a lot to see...

  2. Unit Manager

    donmomofnine replied to autumneve's topic in Geriatric, LTC

    My unit managers are responsible for oversight of a unit, but not 24/7! The organize it and determine how it will be run. When they come in each day there are things that need to be followed up on...

  3. CSM guidelines for Pressure Ulcers

    donmomofnine replied to CapeCodMermaid's topic in Geriatric, LTC

    The part about pressure ulcers in the guidelines for surveyors is only a few pages long.... kind of what exactly they will look for and cite! If we aren't prepared, we will be in trouble. :angryfire...

  4. marinol

    donmomofnine replied to ktwlpn's topic in Geriatric, LTC

    We had one resident on marinol and ritalin at the same time. Still had no appetite and since they were both dc'd she is eating a little better. Ya can't stop eating, ya

  5. Do You Get Shift Differential?????

    donmomofnine replied to Shell5's topic in Geriatric, LTC

    Our evening diff is $2.50 and the weekend diff is $3.00, but staffing positions such as you describe (weekends only=fulltime) at my facility are a special pay rate, higher than regular, that is not...

  6. CSM guidelines for Pressure Ulcers

    donmomofnine replied to CapeCodMermaid's topic in Geriatric, LTC

    I went on the CMS website and purused their "Guidelines to Surveyors". It tells surveyors exactly what to look for and how to investigate all areas, but I paid attention to the pressure ulcer

  7. Night shift Nurses, how did you manage?

    donmomofnine replied to RNview's topic in Geriatric, LTC

    "Laptop for movies/ snacks (skip this if it's busy)" Hope that you don't work for

  8. CSM guidelines for Pressure Ulcers

    donmomofnine replied to CapeCodMermaid's topic in Geriatric, LTC

    YES! I want so much to point that out to the state surveyors!:angryfire We have a wound nurse who works three days a week and does all the documentation on all wounds and surgical sites. She does...

  9. CSM guidelines for Pressure Ulcers

    donmomofnine replied to CapeCodMermaid's topic in Geriatric, LTC

    I think the regs call for a weekly skin assessment x4 (?) on new admissions. We do a skin assessment weekly on all residents on their bath day and I think that is

  10. Massage for Fibromyalgia?

    donmomofnine replied to BeachNurse's topic in Nurse Entrepreneurs, Innovators

    My therapist specializes in those of us with fibromyalgia. She does trigger point work. I have been going weekly for a year and have never felt better. I really notice, though, if I miss a session....

  11. your first massage...what was it like?

    donmomofnine replied to Nemhain's topic in Nurse Entrepreneurs, Innovators

    My first massage left me feeling "beat up"! Gave up on massage till someone referred me to another therapist. I have been seeing her every week for the last year and it is wonderful! I have not...

  12. wound vac.

    donmomofnine replied to jackieliz's topic in Wound, Ostomy, Continence

    We had one, constantly pulling in bm! We switched to the provont wound closure system and had terrific results for our

  13. Managed Care pt's in SNF's

    donmomofnine replied to CapeCodMermaid's topic in Case Management

    Our admissions nurse takes care of all that

  14. CSM guidelines for Pressure Ulcers

    donmomofnine replied to CapeCodMermaid's topic in Geriatric, LTC

    I am sending my wound nurse to a wound reg related seminar. Our documentation is pretty good though. I think the emphasis on individualized interventions that EVERYONE knows about will require some...

  15. Do DON,Adminis.,Admissions get bonuses?

    donmomofnine replied to Shell5's topic in Geriatric, LTC

    Not where I

  16. LTC and constant alarms

    donmomofnine replied to Blackcat99's topic in Geriatric, LTC

    Forget avoiding an incident report, an alarm keeps your residents from being hurt! Our bed alarms are wired into our pager call bell system, so there is no overhead noise associated with

  17. Any LPN/LVN DON's or ADON's or in Management Somehow???

    donmomofnine replied to FocusRN's topic in Geriatric, LTC

    I have LPN supervisors and the manager in charge of my nursing assistants is an LPN as well. I think it's cumbersome for the ADON to be an LPN. She needs to fill in for the DON at

  18. Giving meds in a timely manner

    donmomofnine replied to debbiemig's topic in Geriatric, LTC

    I have staggered times for the meds. The beginning of the hall is 9-1-5-9 and the last half is 10-2-6-10. Don't think it's necessary though, for an assignment of 22 residents! I think that is doable...

  19. What does your screenname mean?

    donmomofnine replied to PMHNP10's topic in General Nursing

    Nah...just organized and not easily flustered or

  20. Any LPN/LVN DON's or ADON's or in Management Somehow???

    donmomofnine replied to FocusRN's topic in Geriatric, LTC

    I agree. A DON must be familiar with so many things in long term care and all of those things will be new to you! You need to know basics of long term care and then many other "management" type...

  21. Any LPN/LVN DON's or ADON's or in Management Somehow???

    donmomofnine replied to FocusRN's topic in Geriatric, LTC

    I agree. A DON must be familiar with so many things in long term care and all of those things will be new to you! You need to know basics of long term care and then many other "management" type...

  22. What does your screenname mean?

    donmomofnine replied to PMHNP10's topic in General Nursing

    Nothing brilliant here ~ I'm a Director of Nursing and the mother of nine

  23. What does your screenname mean?

    donmomofnine replied to PMHNP10's topic in General Nursing

    Nothing brilliant here ~ I'm a Director of Nursing and the mother of nine

  24. Tube Feeding Question

    donmomofnine replied to kasi's topic in Geriatric, LTC

    same thing at my facility. Never really gave it a thought,

  25. Tube Feeding Question

    donmomofnine replied to kasi's topic in Geriatric, LTC

    same thing at my facility. Never really gave it a thought,