txdon

Latest Activity

1. Bathing in LTC

   txdon posted a topic in LTC: Directors, Assistant

   Okay, I need more help or suggestions. My facility has serious issues with the number of resident's who receive daily baths. There are two sides to my facility, one side gives atleast 14 baths per...

2. Resident Rights

   txdon posted a topic in LTC: Directors, Assistant

   Does a resident have the right to demand who his caregiver will be? Is that consider a resident right? I have had two residents who have demanded or refused care by a caregiver because they only...

3. In Survey - facing G tag!

   txdon posted a topic in LTC: Directors, Assistant

   Help! My facility is having its annual survey and we are possibly facing a g tag. I am apprehensive talking about this situation online but really need so guidance from someone who understands...

4. 2 Questions

   txdon posted a topic in LTC: Directors, Assistant

   First, does anyone have a clear job duties list for CNA's on nightshift. This shift is my weak link. Basically they think their job is just to answer call lights and maybe clean a few w/c's....

5. Complaint Survey

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

   What are T&P clocks and audits? All residents are on air mattresses, these particular wounds were acquired from sitting - both were on strict orders to only be up with meals. The surveyor felt...

6. Complaint Survey

   txdon posted a topic in LTC: Directors, Assistant

   I just had a complaint survey that resulted in a G tag for wounds - F314. Both cases involved failure to do enough to prevent further progression with a facility acquired wound. Both started as...

7. Careplans and Quarterlies

   txdon replied to txdon's topic in MDS Coordinator Information

   My facility cencus is 89 with 19 Qmix. Thanks for clarify careplans and quarterlys. At my facility we don't have unit managers to oversee this process. Each nurse is now responsible for...

8. Medication Unavailable

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

   I think a large part of the medication not being available is due to nurses not reordering the medication in a timely manner. Usually this occurs towards the latter part of the weekend, leaving the...

9. Careplans and Quarterlies

   txdon posted a topic in MDS Coordinator Information

   Ok, I will admit I am not at all familar with MDS. I am a fairly new DON and need some MDS advice. The current MDS nurse wants the floor nurses to do careplans when they write new telephone orders...

10. Medication Unavailable

    txdon posted a topic in LTC: Directors, Assistant

    Recently our corporate pharmacist did an audit and identified several times nurse's circling their initials on the MAR and writing on the back," Medication unavailble". Can someone tell me what...

11. Wound Care

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

    Thanks for all the wonderful advice. At my facility the "wound nurse" is responsible for doing weekly documentation on all pressure and non-pressure wounds. She follows the resident weekly until...

12. LTC Wound Care Program

    txdon posted a topic in Wound, Ostomy, Continence

    I need help developing an effective wound care program at my LTC facility. I currently have a wound care nurse who does all the wound measurements for pressure and non-pressure wounds weekly. She puts...

13. Wound Care

    txdon posted a topic in LTC: Directors, Assistant

    DON's I need your help. I need help developing an effective wound care program at my facility. I currently have a wound care nurse who does all the wound measurements for pressure and non-pressure...

14. Non-healing Wounds

    txdon posted a topic in LTC: Directors, Assistant

    Help, we have a resident who is declining rapidly. She developed a stage II and within a couple of week's time it has progressed to a Stage IV! She was just put on hospice but I am concerned how to...

15. IDT Notes

    txdon posted a topic in LTC: Directors, Assistant

    My facility policy is to write an IDT note on every person with a non-pressure wound. We are expected to write a note weekly until healed. The problem is I have multiple residents with non-pressure...