itthybitthythpider

itthybitthythpider

LTC, MDS

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All Content by itthybitthythpider

  1. RN supervisor

    itthybitthythpider replied to username33's topic in LTC: Directors, Assistant

    Yea, that's a little more confusing.... I only pass meds if the nurses are off the floor or we are short a nurse. Otherwise I "supervise" the nurses working the cart. But if you are only shadowing the...

  2. Coding patient in LTC

    itthybitthythpider replied to username33's topic in LTC: Directors, Assistant

    Definitely verify code status. If the resident is full code or wants CPR, then start CPR and call 911. If the resident is a no code, Attempt a set of VS, then report that you were unable to get the...

  3. Pain assessments

    itthybitthythpider replied to CapeCodMermaid's topic in LTC: Directors, Assistant

    We write it in the MAR: Assess for pain and document Qshift. If they have pain any time during the shift, it gets documented there. then we have a PRN flow sheet for giving PRN pain meds for the pain,...

  4. RN supervisor

    itthybitthythpider replied to username33's topic in LTC: Directors, Assistant

    Be able to fit into everything. If there is a hole somewhere, there the RN supervisor will be I love it! Keeps me on my toes. I do Tx, Answer questions the nurses have, answer questions the families...

  5. DNS/DON question

    itthybitthythpider replied to pixie120's topic in LTC: Directors, Assistant

    Glad it worked out! You sound like someone the facility needs to whip them into

  6. Pain assessments

    itthybitthythpider replied to CapeCodMermaid's topic in LTC: Directors, Assistant

    Our standard orders are QShift. I can't imagine doing it once a day.... Of course I don't like the BP orders that say "Hold if

  7. Does anyone LOVE Geriatrics?

    itthybitthythpider replied to geekchic's topic in Geriatric, LTC

    There are some things I enjoy, and some I don't. I love the cranky old people, but I hate working the cart. I don't mind the patients dying, because by the time they get to that point, most of them...

  8. LTC - What are my actions after receiving phone call regarding new orders?

    itthybitthythpider replied to username33's topic in Geriatric, LTC

    Get BPs for residents that have BP meds, whether there are parameters or not. Go slow and be careful not to make an error. Just cause everyone else is fast doesn't mean you should be, too. It'll come...

  9. Speedy med pass

    itthybitthythpider replied to sbostonRN's topic in Geriatric, LTC

    I hate the idea of working off the clock. I wish I could get admin and the "money men" to see that do give proper patient care, we need more nurses on the floor! Not more time clock

  10. gangrene in a very private area.

    itthybitthythpider replied to nola1202's topic in Wound, Ostomy, Continence

    Penile Erosion? We have a resident with that developing. We put steristrips around the member where it was splitting, and so it seems to work. Do you know what the name of the gel is that you put on?...

  11. RN aphabet letters for MDS completion

    itthybitthythpider replied to pixie120's topic in MDS Coordinator Information

    And yes, I signed for all autopopulated questions, since I was the one that opened the MDS, unless someone else "verified" the answer was

  12. RN aphabet letters for MDS completion

    itthybitthythpider replied to pixie120's topic in MDS Coordinator Information

    Nursing did F100, SS did the first half of F, and Activities did the last half of F. I did do all of F on occasion, though, when one or the other was unable to get her part done. At some point or...

  13. Training with Nurse who apparently doesn't like to train

    itthybitthythpider replied to beatrice1's topic in Geriatric, LTC

    I know I'm more of a doer, so when I was in orientation, I asked to do everything. However, that comes back to bite me in the butt when I try to train someone. I just "do" cause that's the kind of...

  14. Speedy med pass

    itthybitthythpider replied to sbostonRN's topic in Geriatric, LTC

    You work 12s? That's rough! You don't have noon

  15. New nurse

    itthybitthythpider replied to username33's topic in LTC: Directors, Assistant

    I remember crying so much my first few months, just cause I was so overwhelmed! It does get easier. I agree with Nascar Nurse, report all med errors to your supervisor. That way you can fix your...

  16. NHPPD for California

    itthybitthythpider posted a topic in LTC: Directors, Assistant

    Who all is included in the nursing hours per patient day? I've seen facilities where they count the MDSC, but not the ADON, or they DSD counts but not the MDSC, or the ADON counts but the DON...

  17. I would like some interview answers from a don, adon, or manager

    itthybitthythpider replied to loveu123's topic in LTC: Directors, Assistant

    You may want to sit down with a DON/ADON in a facility near you to get the answers.... I think that's the point of the project. That way you can see their face, have a conversation, and really get a...

  18. What's your nursing kryptonite?

    itthybitthythpider replied to ktliz's topic in General Nursing

    Mucus in the mouth or coming out of the mouth. I can do stool, wounds, vomit, boogers, whatever, but not

  19. RN aphabet letters for MDS completion

    itthybitthythpider replied to pixie120's topic in MDS Coordinator Information

    When I was MDSC, SS did A500-1400, D, E, first half of F, Q, Activies did last half of F, Dietary did all of K except the questions about IV and GT feedings, Therapy did the minutes for O. I did...

  20. Careplans and Quarterlies

    itthybitthythpider replied to txdon's topic in MDS Coordinator Information

    If they are being skilled for Part A, it needs to be very detailed. If they are working with therapy, nursing needs to document what they are doing and if they see any progress. For wounds, you need...

  21. Skin Prep QUESTION

    itthybitthythpider replied to nurserin's topic in Wound, Ostomy, Continence

    According to the Smith and Nephew site, it's only used to "prevent friction from the removal of tape." http://global.smith-nephew.com/us/SKIN_PREP_8631.htm I may have to try it to peri-wounds. We have...

  22. Speedy med pass

    itthybitthythpider replied to sbostonRN's topic in Geriatric, LTC

    I take my census sheet and, in red, write who needs their meds crushed and mixed (abbreviated C/M for myself), GT feeders, and I put little red boxes on the right side for FSBS. If I don't know who...

  23. Long term care is really THIS bad???

    itthybitthythpider replied to hilzaberry's topic in Geriatric, LTC

    When I was in nursing school, I heard all the horror stories, but not all of them are true! It really depends on the staff and management. It sounds like you found a bad place, unfortunately. When I...

  24. Wound Care

    itthybitthythpider replied to txdon's topic in LTC: Directors, Assistant

    Ooh thanks guys. So you don't monitor until they are gone, just for 72 hours to make sure they don't get

  25. Wound Care

    itthybitthythpider replied to txdon's topic in LTC: Directors, Assistant

    Ok, so I just need to be faster . We have the CNAs fill out skin sheets on shower days, but I'm talking about DCing old bruises. Is that done by the wound nurse, too, in your building? To me, it...