nckdl

nckdl

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  1. Post fall root cause analysis report...

    Our employers told us you do not need all 5 whys filled out to come up with an answer. Another poster was correct, you sometimes will find no reason for the fall. I would have put after he is unable to use callight, it's because he has poor safety aw...
  2. What exactly is an Exelon patch supposed to do?

    Well I am a nurse on an Alzheimer/Dementia unit and I love the Exelon patch! It does not help everyone, but it takes place of Namenda and Aricept, so that helps with the residents that hate taking pills. Also we have found it helps with the "want to ...
  3. 12 hour shifts cut.

    Well found out that they are eliminating a full-time 1st shift position on my floor when they go to 8hr shifts. I don't have seniority so I'm probably out. I'm not the only one either. There are probably a dozen or so people, maybe more, that will be...
  4. 12 hour shifts cut.

    Has anybody ever worked in a facility that had 12 hr shifts, but then changed them to 8 hr shifts? How did it affect all the personnel involved? I also heard that you could apply for unemployment if you got bumped from your job or offered another shi...
  5. Yes my facility also started this about 6 months ago. It took awhile to get things started and get paperwork for it, but it does get easier. The only complaint I have is that Hospice people are suffering when they get a new order for Roxanol or Ativ...
  6. Lost Eye Glasses

    HaHa I have to laugh because on a weekly basis I'm always looking for something, may it be glasses, teeth, hearing aids, canes, jewelry. Now for some, we nurses and aides have to actually sign off in our books that we took whatever and locked it up a...
  7. Thanks all for giving us the reassurance we need. He has had a rough childhood and is doing better so my husband thought with his mother now. Now we aren't so sure. I think we will have to have a heart to heart with his mother and talk her into him s...
  8. My 13 year old step son was at the pediatrician's office for an illness and only after 15 minutes he was back with a prescription for Depakote with a diagnosis of bipolar. He said he told the Dr. he couldn't control his anger sometimes and his mom to...
  9. Nursing home not able to admit medicare patients

    Are you sure you are closed to ALL Medicare admissions? A couple months ago my facility learned that we couldn't accept certain admissions that we normally would have due to a change in Medicare reimbursement. There wasn't anything that we did wron...
  10. Alzheimer's Train Ride

    How sad this story is about the long journey of Alzheimers. I will be posting this on my own dementia unit to remind others how our beloved residents see things and how we seem to them. Thank you for sharing.
  11. We just had our survey and the nursing part went pretty smooth, they were really nit picky and cited us for maintenace things. When they have to watch my med pass I make sure to use the resident with the most meds that takes them whole and won't ref...
  12. No meds for this Schizophrenia patient.

    Social Security told him he could not refuse and they just added it to his normal check.
  13. My brother has had a dx of Schizophrenia for about 20 years now and I'm just so sick of the government changing Medicare and Medicaid so much, I swear it's just to drive sane people insane! It all started 5 years ago when my father died, since my bro...
  14. hobbies to keep dementia pts happy?

    The simplest things are great activies for dementia pts. Singing is the number one for us. Another could be tossing a ball around the room to music. It's a great rom excercise and it's alot of fun in which most of them think it's hilarous when they ...
  15. Question about insulins

    I'm with all other posters that to not mix Lantus with any other insulin. Also as an FYI the new insulin that is out Symlin, also cannot be mixed with any other insulin. I had a pt that had Symlin, Lantus and Humalog. Poor thing had to have 3 shots. ...