BoopetteRN

BoopetteRN

LTC since 1972, team leader, supervisor,

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All Content by BoopetteRN

  1. In your experience have you seen this happen?

    BoopetteRN replied to Smith-Lee's topic in Geriatric, LTC

    I agree that your mom should be moved out of there. There should be a hotline number posted for public health in the facility. I would call that number and they will investigate that complaint. The...

  2. Question about making dr apts for residents

    BoopetteRN replied to kappykatlpn's topic in Geriatric, LTC

    We have unit specialists who make dr appointments and arrange transportation. They recornd residents weights on the computer and gives the sheet to the nurses if there is a weight gain or loss. They...

  3. the neverending med pass

    BoopetteRN replied to FROGGYLEGS's topic in Geriatric, LTC

    Have you looked at the meds given? Perhaps some of them could be moved to the 5pm pass, or may be some of the meds could be discontinued. Many times we continue to give meds that no longer are needed,...

  4. New Grad to LTC on 3-11 shift- help!

    BoopetteRN replied to jellocorp's topic in Geriatric, LTC

    On days you start with report, count your narcs, and start your am med pass. You will probably have gluco checks and insulin to give. After the med pass I always did my assessments, notified Drs, and...

  5. Survey is coming,need help

    BoopetteRN replied to monirockstar25's topic in Geriatric, LTC

    Just watch your 5 rights, do not call a resident honey, sweety, or darling, wash hands between residents, do not give insulin, inhalers, eye drops in a common area, have the resident rinse their mouth...

  6. Preventing falls from low beds

    BoopetteRN replied to BoopetteRN's topic in Geriatric, LTC

    I agree, a frequent faller needs to be protected, and I know that I am not the most graceful person and try to pay attention to the pads on the floor. My biggest worry are the wondering residents who...

  7. One on one supervision

    BoopetteRN posted a topic in Geriatric, LTC

    My medical director asked me to find out what other facilities are doing about one on one supervision for those residents that have been abusive to other residents. Currently our facility has at least...

  8. One on one supervision

    BoopetteRN replied to BoopetteRN's topic in Geriatric, LTC

    Once they are admitted we can not seem to find another place, no one wants our problems. There is only 1 psyc nursing home here in town and they are always full. Families are not always honest either,...

  9. One on one supervision

    BoopetteRN replied to BoopetteRN's topic in Geriatric, LTC

    We have to call in agency to cover, sometimes we put 2 residents who can be watched with 1 CNA, but it has really caused staffing issues. That is why we are trying to come up with alternative...

  10. How do you handle an unprofessional nurse?

    BoopetteRN replied to JavaMama98's topic in Geriatric, LTC

    Unfortunately sometimes we have to work with unprofessional people. I have had the same experience with not counting narcs with me, so, I would have the nurse who worked on the other side count with...

  11. New Grad to LTC on 3-11 shift- help!

    BoopetteRN replied to jellocorp's topic in Geriatric, LTC

    congratulations! long term care is a wonderful place to be. you will be fine. the hardest thing is trying to unwind after a shift, some nights are better than others. i always lay off the caffeine...

  12. MRSA and Infection Control in LTC...??

    BoopetteRN replied to WannaBeNrse's topic in Geriatric, LTC

    I am the inservice director and infection control nurse at a 304 bed facility. We use contact isolation for MRSA unless it is in the sputum then droplet. We try to isolate the infection, not the...

  13. So what is my problem?

    BoopetteRN replied to SuesquatchRN's topic in Geriatric, LTC

    I'm 53 too, I did not mean it in years, but the longer we do this, the more seasoned we become, nice to chat with someone my own age. Last night I had a bad night also, I stayed over on a pm shift...

  14. So what is my problem?

    BoopetteRN replied to SuesquatchRN's topic in Geriatric, LTC

    Suesquatch, I am also glad that you got a good review. Long term care nursing is difficult, you have med passes that are overwhelming at times, residents who are needy and at times demanding, and...

  15. Recruiting Staff

    BoopetteRN replied to CapeCodMermaid's topic in Geriatric, LTC

    We have had a hard time getting nurses to apply. Our main problem seems to be the hourly pay that we offer. Younger nurses are really not interested in the benefit package; they need the money because...

  16. Frustrated in LTC!!

    BoopetteRN replied to NurseyInFL04's topic in Geriatric, LTC

    All the things you have listed has happened at my LTC. No matter where you work, it seems like those kinds of things happen. The thing to remember is that we do what we for the residents, and yes...

  17. Lap buddies, do most LTC facilities still allow them?

    BoopetteRN replied to Kay28's topic in Geriatric, LTC

    A lap buddy is a foam pad that is placed in the front of a resident in a wheelchair that is attached through the

  18. Lap buddies, do most LTC facilities still allow them?

    BoopetteRN replied to Kay28's topic in Geriatric, LTC

    For our residents who turn off the alarm, we use a small black metal box that is pad locked, the key is available to the CNAs, our maintainance department made the boxes and they work well. We do have...

  19. night nurse who leaves everything undone..

    BoopetteRN replied to linzz's topic in Geriatric, LTC

    I also worked nightshift for many years and I too would get upset when people said I did not do anything. I was the house supervisor and did an entire unit. The acuity got so heavy that the DON...

  20. Does anyone really enjoy LTC?

    BoopetteRN replied to ihollie's topic in Geriatric, LTC

    I love what I do, is it trying, yes, the families sometimes are unrealistic, media coverage have made us sound like we are the devils, but do we give good care yes we do. I could not see me doing...

  21. Need ADON for LTC Facility

    BoopetteRN replied to tberscheid's topic in Geriatric, LTC

    I live in Illinois, and my facility has unit coordinators who run the unit, do MDSs, care plans and hold conferences. They problem solve and basically function as

  22. Nursing Home Rehab Units

    BoopetteRN replied to TheCommuter's topic in Geriatric, LTC

    Our Medicare unit is a tough unit to work on, but our DON and unit coordinator are very picky on who comes to the unit, which helps acuity. The most that I have ever seen on Medicare for each team is...

  23. Where do they find these caregivers?

    BoopetteRN replied to Blackcat99's topic in Geriatric, LTC

    I am currently the in-service director at my facility. Human resources have taken over the hiring for our facility and the people they hire are so scary. We are the county facility and years ago, the...

  24. impaction

    BoopetteRN replied to Ms.RN's topic in Geriatric, LTC

    unfortunately, yes we do remove impactions. cnas are not allowed to remove them. keeping track of residents bms is so important so this does not happen, but occasionally it will, even with good...

  25. Reality in the LTC

    BoopetteRN replied to pnurseuwm's topic in Geriatric, LTC

    From my experience, it depends on what type of LTC unit you work on. My facility has a Medicare unit, which also has all the tube feeders. When you are on this unit, you may not get out on time...