Aem1215

Aem1215

Member

  • Content

    30

  • Visitors

    2,462

  • Followers

    0

  • Likes

    0

All Content by Aem1215

  1. Help...do I want to do this???

    Aem1215 replied to dcrawford1's topic in LTC: Directors, Assistant

    I would be asking about the training you would be receiving first of all. I have spent my entire nursing career in LTC, and I am always glad to see someone interested in it, but sadly I have seen more...

  2. What clinical servcies does your LTC facility provide

    Aem1215 replied to jiggetts45's topic in LTC: Directors, Assistant

    My facility does IV Lasix, IV Solumedrol, TPN, maintenance weight based Dobutamine infusions, and maintenance weight based milrinone drips. I know it seems scary, but really it's not as bad as you...

  3. New NP in LTC

    Aem1215 replied to momnurse6's topic in Geriatric, LTC

    Mom nurse, take heart. If you brought this to the DON's attention, she may well have done something about it. My facility has a progressive discipline policy, and I imagine most do. The other thing is...

  4. Doesn't It Make You Want To Scream, part two

    Aem1215 replied to CapeCodMermaid's topic in LTC: Directors, Assistant

    Sadly, I have been in this EXACT situation! These ladies and gentlemen do not understand how lucky they are that I have such a good filter because they would be shocked and horrified if I said to them...

  5. LTC geri chairs

    Aem1215 replied to Neats's topic in LTC: Directors, Assistant

    We have a shower bed at our facility. I have wrapped the arms of the shower bed with bath blankets to protect skin during the shower. It's considerably less costly to purchase the shower bed than to...

  6. I'm back!!

    Aem1215 replied to LTCRN4LIFE's topic in LTC: Directors, Assistant

    When I first started to be a DON, for the first few months, I kept thinking that once I got all the fires put out, I would really be able to get some stuff done. At about three months in, as the DOH...

  7. I just need to vent to people who understand

    Aem1215 replied to thisismyname's topic in Geriatric, LTC

    Hang in there! I'll bet new grads in hospitals working on their own for the time feel the same way. Speed comes with time. Its not even about taking shortcuts, but becoming comfortable in your...

  8. New Grad in SNF

    Aem1215 replied to rene2010's topic in Geriatric, LTC

    This is not just you, and this is not how LTC usually is. Please do those patients a favor and approach the DON about this

  9. First RN job at LTC.. Please I need help badly!

    Aem1215 replied to racs09_RN's topic in Geriatric, LTC

    2 days of orientation just isn't enough. My nurses get 10 days of orientation and more if they ask. Put in 2 weeks notice though if you quit, you'll be doing you professional self a

  10. Admissions...who decides?

    Aem1215 replied to CapeCodMermaid's topic in LTC: Directors, Assistant

    I sympathize with your nervousness! Neither of my admissions people are clinical. My company employs people who are positioned in our feeder hospitals, some are nurses, some aren't. What chaps me is...

  11. Administering IV Lasix & Albumin

    Aem1215 replied to futurern4's topic in Patient Safety Issues

    For fluid overload and ascites, you need to treat the immediate need of fluid overload first, so IV Lasix first. Overload can cause respiratory difficulty, so Lasix is the quicker fix for that. Then...

  12. Wound teams

    Aem1215 replied to paddler's topic in LTC: Directors, Assistant

    We have a wound team at my facility that consists of myself, my DCDs and the dietician. We round weekly and measure and document on the pressure ulcers. The floor nurses are responsible for the day to...

  13. does your facility have a defibrillator?

    Aem1215 replied to ltclovnrn's topic in LTC: Directors, Assistant

    We have an AED and a basic crash cart. I actually have used it many times now, but I have to tell you, AEDs shock when they detect v- tach or v- fib, thats it. It doesn't shock for asystole, it just...

  14. New Nurse, when to send a patient out.

    Aem1215 replied to beatrice1's topic in Geriatric, LTC

    Don't sweat too much. You did the right thing or the resident wouldn't have been admitted to the hospital. Speaking from the point of view of a DNS who has been working for a long time in LTC,...

  15. How many residents is too many for one nurse?

    Aem1215 replied to arabstarRN's topic in Geriatric, LTC

  16. How many residents is too many for one nurse?

    Aem1215 replied to arabstarRN's topic in Geriatric, LTC

    I am a DNS and I gotta tell you, I have worked every nursing position on every unit in my building on every shift before I took the position I am in now. Part of the problem here is we get a picture...

  17. How many residents is too many for one nurse?

    Aem1215 replied to arabstarRN's topic in Geriatric, LTC

    LeeLee, you are misinformed. LTC is the most federally regulated industry in the US. We have more regulations than the nuclear power and waste industries,

  18. NO, NO, NO!!

    Aem1215 replied to PintheD's topic in General Nursing

    I'm going to guess said MD became a doctor when Florence Nightengale was still nursing?

  19. Abuse Allegations

    Aem1215 replied to txdon's topic in LTC: Directors, Assistant

    I haven't seen a website where our reportables are public, just the ERS system which is a secure website. I was under the impression that if you have an IJ, the surveyors can't leave your facility...

  20. Family diagnosticians: just Google it!

    Aem1215 replied to fulzgold's topic in LTC: Directors, Assistant

    Revisit the benefits of the medication, and, if that doesn't work, give them the doctor's office phone number and tell them he/ she would be happy to hear their

  21. Abuse Allegations

    Aem1215 replied to txdon's topic in LTC: Directors, Assistant

    Let me just ask, not to offend you, but are you sure about that? Do you have access to the investigations to know for 100% guarantee they are not completed? Do you have access to your corporate...

  22. Abuse Allegations

    Aem1215 replied to txdon's topic in LTC: Directors, Assistant

    We report all allegations of abuse confirmed or not, even the ridiculous. I do investigate each case, and make sure the resident is interviewed. What I don't do is talk about an ongoing or concluded...

  23. on call rotation

    Aem1215 replied to fulzgold's topic in LTC: Directors, Assistant

    We only do on call rotation with nursing management salaried employees. Labor laws here say that hourly employees have to be compensated for call time even if they don't get called

  24. Bathing in LTC

    Aem1215 replied to txdon's topic in LTC: Directors, Assistant

    I have 140 bed facility, three separate units. Each resident gets a shower twice a week, and they are divided between 7-3 and 3-11 with no showers on Sundays. If a resident prefers a different shower...

  25. New DON

    Aem1215 replied to fulzgold's topic in LTC: Directors, Assistant

    I spent my first few months as DON thinking that once I got all the fires put out, then I could really get some stuff done. Then, in the midst of a complaint survey, I came to the realization that...