Destinystar

Destinystar

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All Content by Destinystar

  1. Made to Falsify Documentation :(

    Destinystar replied to shel_wny's topic in Geriatric, LTC

    the fact that you cannot get your work done is no excuse for falsifying documentation. you can initial the boxes, put a circle around it and in the summary write, these times are only an...

  2. I lost my twins....can anyone help me?

    Destinystar replied to OHmom2boys's topic in Ob/Gyn

    "I feel like you care more about what happened then you do about how bad I feel right now" That will give an insensitive person something to think about. God Bless you and your unborn children Love,...

  3. Is this legal? What can we do?

    Destinystar replied to Chad_KY_SRNA's topic in Geriatric, LTC

    Most facilities can guess the approximate time the rountine annual survey will be and try to make preperations for it in advance. But in California if a complaint is called in the health department...

  4. Is this legal? What can we do?

    Destinystar replied to Chad_KY_SRNA's topic in Geriatric, LTC

    you are under the old policy until they give you a formal inservice about the new policy. if it is a new company they can go in and fire every employee there with no virtually no consequences. you...

  5. Is this legal? What can we do?

    Destinystar replied to Chad_KY_SRNA's topic in Geriatric, LTC

    In order to get the correct information call the Labor Board. In California no one gets paid for their 30 minute break. In California a full time employee is defined in the employee handbook, usually...

  6. Care Plans an Exercise in FUTILITY??????

    Destinystar replied to Destinystar's topic in Geriatric, LTC

    out of curiosity what federal or state reg. were you cited under?i dont see anything in ca state reg (where i am from) or in obra that states where in the medical record you have to place them. i...

  7. Care Plans an Exercise in FUTILITY??????

    Destinystar replied to Destinystar's topic in Geriatric, LTC

    lets say nurse worse actually believed in care plans. believed without question that they were absolutly necessary to take care of residents. so, she followed them to a t. can you imagine the...

  8. Care Plans an Exercise in FUTILITY??????

    Destinystar replied to Destinystar's topic in Geriatric, LTC

    Seems to me they were a good tool to utilize when we were going through nursing school to develop our nursing skills. I would agree we can take report, look at the res., read the MD orders, review...

  9. 1st person care plans

    Destinystar replied to kilbylake's topic in Geriatric, LTC

    according to obra federal guideline f279 "the facility must develop a comprehensive care plan for each resident that includes measurable objectives & timetables....". federal probe 483.20 (d) (i)...

  10. Pts in LTC must be offered plastic surgery

    Destinystar posted a topic in Geriatric, LTC

    according to the federal regualtions (obra) and i quote f279 "the requirements reflect the facilitiy's responsibility to provide necessary care and services to attain or maintain the highest...

  11. New Management Is Killing Me

    Destinystar replied to Chad_KY_SRNA's topic in Geriatric, LTC

    these are all the things you can do to take back control and improve resident care. the best defense is a good

  12. 1st person care plans

    Destinystar replied to kilbylake's topic in Geriatric, LTC

    before i can answer that question i need an example of one of those care plans. care plans should be individualized that is written for that specific resident and meet the standard of care guidelines,...

  13. Pts in LTC must be offered plastic surgery

    Destinystar replied to Destinystar's topic in Geriatric, LTC

    i was trying to be

  14. Ideas for CNA recognition?

    Destinystar replied to burger914's topic in Geriatric, LTC

    everyone loves to have a coupon for fast food. its the type of item anyone can use. i used to bribe discharge planner with them and they really worked. another thing that works are big hershey bars....

  15. Ltc: Same Circus Different Tent

    Destinystar posted a topic in Geriatric, LTC

    :balloons: :kiss As far as staffing ratio, reimbursements, regulations, turnover, staff burnout, stress, etc. all nursing homes are the same. The only difference is the ability the Administrator and...

  16. adl coding, section G & significant changes

    Destinystar replied to MDSinNE's topic in Geriatric, LTC

    First of all if you are going to implement a new system the best choice would be to do it gradually. Second of all you should implement these new forms only with new admissions, and for residents...

  17. What can we do to improve working conditions in Nursing homes?

    Destinystar replied to Destinystar's topic in Geriatric, LTC

    :crying2: The staffing ratios are only the minimum amount of nursing hours that the State and Federal Regulations require. But if you accept an assignment and something bad happens to a patient YOU...

  18. Ltc: Same Circus Different Tent

    Destinystar replied to Destinystar's topic in Geriatric, LTC

    You are making a very Reasonable decision to get out of LTC before something worse happens to you or a patient. Even though the LTC is following minimum guidelines that keep them in compliance with...

  19. Is LTC really this bad?

    Destinystar replied to Sheri257's topic in Geriatric, LTC

    2/3 quit. What about the staff that are involuntarily terminated? It is a labor intensive profession. Until the federal and state regulations mandate a smaller CNA resident ratio the seriouse problems...