donmomofnine

donmomofnine

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All Content by donmomofnine

  1. Restorative Nursing

    I would try to find a restorative training program. The one I attended was pretty extensive and came with lots of reading and reference material. It was run by Cross Country University, a national...
  2. Fibromyalgia

    MRYROSE~ I had a script for PT from my MD (who is very familiar with FM) but I decided not pursue it at this time as I go weekly for massages that include trigger point therapy. I have been doing...
  3. Fibromyalgia

    I feel as if stress brings on my flare ups. I take flexeril at hs about twenty nights out of the month. I think it helps. I take ibuprofen during the day, but try not to take it every
  4. I am worth less for Christmas!

    Our full timers and part timers work every other holiday. Our pool staff work one winter and one summer holiday. God bless you for caring about your coworker! You really are getting a rotten deal...
  5. Do I LOOK Like A Nurse To You?

    I know, the legs are in great shape, and this is despite the fact I have muscle problems! No one can keep up with me at the mall. I tease my teenage daughters that they are shopping
  6. Fibromyalgia

    I have had FM for about the last 15 years. Only had a couple of flare ups, but always hurting somewhere. Never missed work because of it, but it's tough. Wish I could do more than I can, but am...
  7. Ambulation in Long Term Care

    I do not necessarily agree. We had dedicated restorative staff in the past and had problems arise from that system. Now we have the NA caring for the resident doing their restorative programs and...
  8. Residents leaving for outside appointments...

    At our facility, it DOES make sense, because they pay a good deal of money to live there and are entitled to those
  9. Residents leaving for outside appointments...

    I have sent the unit clerk. We also have unit assistants who have gone in the past. It IS a pain! If worse comes to worse, we send the aid who has that resident on their assignment. As far as help on...
  10. Ambulation in Long Term Care

    Wheelchair reduction program is working wonders in my facility!:balloons: Also, walk to dine program. For residents who must be wheeled to the dining room, they are transferred to a dining chair....
  11. Hospice in LTC.................

    We have two hospices that service our facility and they both provide the same services. They provide a nursing assistant (one hospice provides five times per week, the other three) to come in and...
  12. PEG/PEJ placement

    On a side note, I was noticing lately that PEGs are always used and no longer are foley feeding tubes used. If there is a problem with a PEG, the resident has to go out to have a replacement. With the...
  13. I am in LTC, but we have a quiet "beeper" system. If the primary caregiver does not answer in five minutes, it goes to a second person. After five minutes more, it goes to the supervisor. Bed...
  14. Why don't they like part-time nurses?

    That's why, in my LTC, we do a one day annual inservice. Each month, there is a day where all mandatory inservices are done. After attending near your anniversary date, you are finished until the...
  15. Is anyone familiar with the Greenhouse concept? I may be getting a new skilled nursing center We are considering the Greenhouse, but I was wondering if anyone has any thoughts on the concept, or...
  16. Greenhouse concept for skilled nursing

    Well, I certainly will be making plans for the nursing staff too! Actually, in this model, the nurses travel from house to house and the meds are kept in a locked cabinet in each resident's room. The...
  17. Greenhouse concept for skilled nursing

    Yes, it is taking the Eden concept one step further. We had a retreat with our board of directors yesterday and I don't know if they will go for it conceptuallly, but the money won't be a problem....
  18. Managed Care Contracts in LTC

    My admissions coordinator is a nurse. Initial contacts for general admission go to our receptionist and she sends out the applications, fields those phone calls. The admissions coordinator does the...
  19. Managed Care Contracts in LTC

    My admissions coordinator does all that, and the recerts as well. Makes sense to me to do it that
  20. Responsiblities of nursing managers vs. shift supervisors...

    At my facility, I have unit managers. They work 7-3 M-F and they are responsible for oversight of a unit. This would include things like dividing up tasks, changing assignments, organizing the unit,...
  21. Should the following resident be in Assited living?

    uh, no, he certainly doesn't qualify in my mind! Are you part of a CCRC? Where do your residents go when the no longer qualify? We are fortunate to be part of a CCRC and we just move them to a nursing...
  22. Why don't they like part-time nurses?

    I would hire you for whenever you could work! Good help is hard to find! I would say that two thirds of my 3-11 professionals are pool staff and :balloons: I LOVE
  23. Patient centered care prototype

    I have heard of it in my area. The one facility didn't work out well, from what I hear from their ex-staffers. I have seen in work in an assisted living dementia environment,
  24. Conferences for DON's

    Our state DON (PADONA) group has an annual conference. I am a new DON and didn't go last year, but I hear it's
  25. Okay, it's "weekly summary" time !

    We do "monthly" summaries for the first three months after admission or hospitalization. Then we only do quarterly summaries to coincide with MDS. We us a form with checklists or blanks to fill in...