donmomofnine

donmomofnine

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All Content by donmomofnine

  1. chemical dependency/addictions nursing

    We welcome recovering nurses to work with us!! In fact, we have some still in the nurse recovery program. They make wonderful employees, as you have noticed!!
  2. chemical dependency/addictions nursing

    I am being considered for a DON position at a detox center. I am very excited about it and hope that I am hired. So much to learn, but it's challenging to learn new things!
  3. Common raise amounts?

    I am budgeted from 0-4%. Any disciplinary issues at the time of the eval leads to goal development and a chance to get a "good raise" if goals are met in 30 days. This is better, I think, than no raise at all for minimal performers. Top performers ge...
  4. Expecting too much???

    Spoiled! Mine are two with an assignment of 22 residents, a unit manager, a unit clerk, someone to do treatments. All they do is pass pills with a computerized (faster) med system and chart. I'm back. Thanks for checking in on me!
  5. Complicated issue re: a fall

    Sounds wise to me! This is a good situation for a portable xray, though, if available.
  6. taking a new ADON position

    I guess I would just say that for the ADON position, more than any other, you need a clear job description/task list. That's because, in my experience, the ADON is a catch-all kind of job with seemingly unrelated odds and ends. Sometime this would ...
  7. Umm...I will have 47 residence to care for !!!!!

    When I got an email about this thread, with the title in it, my first thought was "do I make the grammar correction now or just keep my mouth shut?" *smile*
  8. Staff eating with residents

    I am in PA and have not encountered those issues. We do have a wing where we try to keep our dementia residents. We try to put folks with appropriate room mates. We can place residents in whichever dining room we feel is best for their abilities. ...
  9. Staff eating with residents

    We are fortunate to have several dining areas so that we are able to group like-mannered residents together!
  10. Staff eating with residents

  11. Staff eating with residents

    Where do your short term residents dine, if not with other residents? (sorry to get off subject, just curious).
  12. Staff eating with residents

    The staff does get their own break! Away from those "icky" residents. They can choose to dine with the residents, if they wish. This is on the clock, not a break. geez.
  13. Staff eating with residents

    Amen and amen!
  14. Staff eating with residents

    Nope. We are being inspired by the Institute for Caregiver Education. We are also being assisted by Quality Insights of PA (CMS). There is so much going on out there in the world of culture change (resident centered care) that any steps taken in t...
  15. Staff eating with residents

    Our central bath was remodeled into a beautiful spa! We have designated "spa techs" who do the bathing experience with our residents. They use aromatherapy, dim the lights, and play music while the resident soaks in the tub. The resident has nail ...
  16. Staff eating with residents

    Donmomof nine, what has your facility done to promote culture change? Well, attended a lot of seminars! Actually, we have a wonderful spa program. We have dining that is steam table service for lunch and dinner where nursing, dining and housekeepin...
  17. Staff eating with residents

    As part of culture change at our facility, we are looking at permitting staff to dine with residents, not as their "break" time, but as a social thing. How many residents say to staff who are feeding them or serving them, "aren't you going to eat?" ...
  18. Good books on conversing with Alzheimers & dementia pts?

    that book is a GREAT resource!
  19. Code Procedures Please

    No, we do not! Again, as I have said, residents and families know this when admitted. It is not illegal. We can select what residents we take and potential residents can select which long term care facility they want to live in!
  20. Code Procedures Please

    If someone wants life sustaining measures, we call the paramedics and get them out of the facility BEFORE they arrest.
  21. Code Procedures Please

    We really don't think of ourselves as a health institution, but rather as our resident's last home. We concentrate on making their time there as good as we can for them. We have compassionate and honest physicians who talk frankly with residents an...
  22. Code Procedures Please

    No, we don't need to start CPR and residents and families know that when they come here!
  23. How do they post DNR in the patients rooms at your LTC

    I think that it's not a problem when outsiders wouldn't know the signifigance of the symbol.
  24. Code Procedures Please

    We have a no CPR policy. We tell folks who want the "full code" status (even after we try to educate them) that we will call the paramedics and they will initiate CPR. Those few who are full codes? Well we try to get them out of here as soon as we ...
  25. Need advice

    I am a DON and I would definitely want to hear from you!