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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...

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 ...

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...

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...

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...

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...

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...

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...

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...

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.

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...

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...

Social Security told him he could not refuse and they just added it to his normal check.

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 ...

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. ...

I have a couple of comments. First I work in an Alzheimer's unit and I love it dearly. I have noticed that all my patients receive the same care because the nurses and cnas do not know who is on medicaid/medicare or is private pay. Secondly the famil...

I had a small one the other day. We have a very restless resident that was out like a light so we put him to bed and placed the usual wedges, body pillows and mats to the floor because he falls alot. He started snoring right away so about 15 minutes ...

At the ltc facility I work at, lpns do all admission assessments and all assessments thereafter. The rns then sign off making sure we have all info recorded in the chart.

I currently work in a locked alzheimer/dementia unit. It is the best and the worst job I have ever had, but I wouldn't change it for the world. We too have a lot of former nurses and reasearchers, teachers and nuns. It saddens me when family members ...

I live in fear every day I work. I too work in a ltc facility and in my time there I have been "verbally coached" and wrote up for the silliest things I have ever heard of and none of them has to do with my actual job! The last one being that I suppo...

At my nursing home we had a concoction made up called "power pudding" its a mix of prunes, whip cream, applesauce, bran in equal parts and blended into a pudding mixture. It is supposed to help regulate their bowels. I think we started residents out ...

Well there was the time I had started having diarrhea before I went home and had that and vomiting for the next 8 hrs so I called in for the next morning. The supervisor said Well do you think you could at least work part of the shift? This was 3am m...

I agree on checking urine and blood work to rule out anything. We had a resident that did the exact same thing day after day. She ended up being harmful to herself and other residents and staff. She was moved to a geriatric/psych facility that has a ...

Yes it is a big problem and we were cited for ted hose not on when they should be. I have a habit of checking those who have the order for them, as they come into the dining room and if they don't the cna/stna can turn them around to their rooms to a...

I keep a log of all the stuff I have to do, because even though I am young in age, my brain feels old. :chuckle I get interrupted so many times a day and usually during med pass, so I right it down to accomplish later. I do take it home and keep it ...