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WE DO BEHAVIOUR MAPPING WITCH COVERS 24 HRS AND 14 DAYS. iT GIVES US A RECORD OF BEHAVIOURS, APPROACHES TRIED, AND RESULTS. WE THEN HAVE A RECORD FOR THE DRS WHO CAN REQUEST GEREACTIC PSHYC TEAM TO GIVE THEIR APPROACH. WE THEN GET THE DAY STAFF INVOLVED IN GIVING SAY RESPERIDAL OR OLAZAPINE MID AFTERNOON ON A TRIAL BASIS IN SOME CASES OR HAVE FAMILY VISIT BETWEEN 4 AND 6PM. AS YOU SEE CHARTING IS THE KEY. AND ANY SHIFT CAN START THIS PROCESS. ALL STAFF ARE THEN INVOLVED. PS IN OUR NURSES MAG. WE ARE NOW HAVE THE TOP MOST DANGEROUS JOB!!! MORE DANGEROUS THAN BEING A FIREMAN OR POLICEMAN ECT!!!

re take down: This is total abuse! Under no circumstances should this be tolerated. You did the right thing by reporting it. Is there any policy for very agressive pt such as a code where help is available to ensure your safty and your otherpts?Mine is code white where staff( specially if males are available)come to assist you. You then have enough people to safely defuse the situationwhere no one is injured

Re: Domestic Violence, Have been working with a nurse who has been in a dv situation. After having her head split open she has finally left him .Now we are all trying to keep her from going back! So far we are succeeding and with professional help we are seeing a wonderful woman emerge. It will take time for you too .Hang in there !God Bless

have wored in ltc for many years and like the comments befor, have been punched sctatched spat at and been just about bitten . This can be an every days occurance in long term care wirh the cognative impaired. You learn very quickly how to approach alzhimer pt with great caution. They are some of the most challenging pt you can come across!!!

I too work in long term care and have the same problems! We will do basic vitals tuck them in then next shift does the paper work all 32 page admission forms!!!

Can any one tell me when under manditory evacuation that this nursing home was not?????

may god bless you all effeced by this event. To the nurses coping with the results ,may you find inner and physical strength.for the work load in your city's time of need.Myprayers are with you.

May the good lord bless all that have been effected by this senceless event.To our nurses dealing with the aftermath may you find an inner and physical strength to cope with it all.

you are in our prayers take care we are there for you

Now your learing will begin! Hope you have a position soon and enjoy the fruits of your studing !!!!

Rather have the alarm go off than accidents! also don't you have a restraint log that has to be filled in hrly? toileting repositioning drink or food can reduce alarms Do they need hs sedation to let them sleep ? and getting them up is the last resort. I am of the generation that didn't have these alarms and know what a boon to resident safty they are ! Let them ring!

wow!!!!!! this is nothing but abuse. You are your resident's avocate Please report this to the appropriate people asap. One day you could be that resident!

sorry for your bad news but am with you 100% for your next atempt am sure you will do well! Keep your chin up! we will throw a :balloons: for you when youdo

Iam an rn in ltc in canada We have an rn on each floor on my shift with 2 lpns(each floor has 99 residents) Our lpns are not allowed to take drs orders in my facility so you have to have rns. we also have a superviser who is over all in charge of the building. Other facilities have gone to lpns with just one rn and they are having trouble keeping their one rn. I work with super lpns and wouldn't change them for the world. Our union keeps telling us to make sure we keep our nursing duties and not let them be deligated to other clasifications. Any one else finding this? Hope you were safe in that last hurricane Iam glad all we get is snow storms!

wow! andI thought canadian nurses are under stress! WE are unionized across the country by each province so nurses have rights as well as management. We can change where we work in hospital as well as in ltc and can reduce hours if part time positions are open. we seem to have a better support system for our nurses I was very sad to hear you are leaving nursing and other nurses feel the same. WHo will look after us as we grow old