BoopetteRN

BoopetteRN

LTC since 1972, team leader, supervisor,

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All Content by BoopetteRN

  1. Body Vac

    Our facility just got donated 10 Body Vac in bed bathing systems. It is kinda of like a vacum cleaner if you ask me. You fill the tank with warm water, it has a temperature gauge on it and will give an error message if it is too hot. Room temperature...
  2. Meds in food

    I also think hiding meds in food is illegial. They can be put in applesauce or ice cream. As long as it is documented and after 3 missed doeses the doctor is notified there should not be any problem. Sometimes it is very difficult to get residents to...
  3. depressed about new ltc job

    :nurse:I am so sorry that your experience has not been a good one. You do spend much time passing meds in LTC, but the more experience you have the better it gets. You become familiar with each resident, their meds, and the unit you work on. As you p...
  4. Longterm care nightmare job

    I could not imagine going through what you have been through. I have worked in the same place since I was 18, it is large, 304 licensed beds-4 neighborhoods. Each is different and each has its problems, but not taking off patches, giving medications ...
  5. Describe good and bad CNA's you have seen

    The worst CNA story I have is our facility partnered with the housing authority to provide jobs for CNAs they had trained. There were 17 of them, we gave them intensive orientation and worked really hard to help them succeed. It has been 2 years sinc...
  6. Funeral Homes

    We ask when they are admitted for a funeral home, and then upon death, check to ensure no changes have been made before we call for pick up
  7. How useful is a MSN in LTC?

    I have my MSN?ED, I graduated in 2006 and became the in-service director in the facility I have worked in since I was 18, I am now the DON. Is it needed, no, but it has helped me. I am an educator and that helps alot when dealing with staff issues an...
  8. Oxygen Administration

    CNAs can not in Illinois
  9. DON work hours question..

    40 hours what is that, right now I am covering for nights because I did not have a supervisor. By the time you put out all the fires in a large facility, there is no time to get ready for QA&A reports or anything else. It would be nice, and I do ...
  10. Rn's are better than lpn's???

    I was an LPN for 17 years and then went back for my RN. I still feel the same, there are more LPNs that I would want to take care of me or my family then RNs. Many times it is the experience that makes the nurse, the bedside manner, and how they deal...
  11. Nasty residents, smoking, and insubordination

    We are a non-smoking facility and one of the questions on the assessment is are you a smoker, it they are, the application is denied immediately. Upon enterence to the facility a form is signed that the resident will not smoke and will be asked to le...
  12. Assisting CNA's/not able to do my own work

    At times CNAs can make the job stressful. I have always found that telling them upfront that they are my eyes and ears for resident care is important, and that I would never ask them to do anything I could not or would not do myself, but, I have got ...
  13. set up for failure

    The surveyor said that the nurse failed to do an assessment, and I agree, the resident was transfered to the hopital, and had another CVA and passed. Looking at it from the nurse's standpoint, this resident had frequent emesises and dx that supported...
  14. Who do you think you are!

    In Illinois we do not have med aides, but that is totally wrong. I hope that something will be done with her. Does your facility have progressive discipline or is it union. I ask because my facility is union and at times that presents a problem when ...
  15. set up for failure

    Keep your dream, I am sure you would do well as a DON. Remember each facility is different. I have been lucky to work full time in the county nursing home, where we have no corporate bosses. The downfall to that is when there is a problem and you hav...
  16. Taking work home

    I do work from home sometimes, usually doing powerpoints for some inservice. I do it on my home computer and then email it to my work computer. I am on salery so it would not matter if I did at home or a work I guess. The only difference is I can do ...
  17. DON position

    We are licensed for 304 but only currently have 232 residents--one hall closed down on one neighborhood and one hall converted for Hospice made into private rooms but currently no one there (these halls were emptied about 6 years ago due to staffing ...
  18. Monthly summaries

    We have a flow sheet that follows the care plan, med changes, wt changes, behaviors, transfers, ADLs ect. Everyone usually is behind in their charting. One of our neighborhoods has had the night shift do the charting which I am not sure is such a gre...
  19. New DON cleaning house

    I have been at the same facility since 1972. The DON, ADON, lasted a year after the administer retired in 1978. Then we had a parade it seemed of administers, DONs and ADONs. In 1995 we got a new female administer who really got along with staff well...
  20. Role of SDC nurse during survey

    I am the in-service director and infection control person for a 304 bed facility and the job seems to never end, but it is rewarding. Monthly I have in-services with the CNAs reminding them of isolation procedures, how to use the lift, behavior docum...
  21. Body Vac

    It is not a bath tub, it actually looks like a vacum, water is sprayed out and sucked up at the same time with any debris on the skin. It also has a urine collection feature where you get the proper attachment and when the resident feels the urge to ...
  22. Where are all the nurses?

    Our facility also has a problem with staffing, however we do get new grads who actually stay. We are one of the sites they use on their clinicals which I think helps alot. They get to know the facility, staff, and how we do things. By being a clinica...
  23. Does Nursing in LTC make RNs bitter and mean??

    I don't think that it has made me bitter, I do get angry with the younger nurses who won't answer a call light or take a resident to the bathroom. I always say I will do what ever it takes to get through the shift, I never ask the CNAs to do anything...
  24. Need some encouraging words as new grad in LTC

    I am the in-service director at a large nursing home, when full we have 304 beds, it is really like 4 different nursing homes. I have all the new nurses and CNAs for 2 days than they go to the floor. I shutter when the nurses go for orientation on th...
  25. Preventing falls from low beds

    i have a question regarding the use of pads or mattresses on the floor next to low beds. our facility does not use any kind of pad next to low beds which are only about 10 inches from the floor. we found that by using them more falls and accidents ha...