We make the doc,the psychiatrist and the family all aware of the pharmacy's recommendation.Many of the s/o's understand that dementia treatment is about comfort in the moment and are very adamant...
ktwlpn replied to SoggygranolaNurse's topic in General Nursing
I think it's inappropriate for LTC but ok for sub acute rehab...I can just imagine trying to juggle the needs of a resident on TPN on my unit of 42 LOL's. It's a "nursing home" Our DON would not have...
When the state comes they have already decided how many meds by each route they need to observe being administered.I have been observed ONCE since 1991...hehee.We were just reminded that finger sticks...
I hope he has great insurance coverage to pay for his $100,000 workup/vacation.I wonder if he was really out of hand when he presented to the er intially. Some of the worst patients I ever had were...
You obviously have forgotten your motto when you were still a floor nurse-we all heard it until we wanted to puke-let me remind you now " I can't wait until I'm in that office -I'll really back...
We have so many 1 on 1's that there are times we work our 42 bed unit with 4 cna's because we have to pull someone to sit...And we don't even charge extra for the
Well,spank me and call me "Sally" You must be a pharmacist for Omnicare If you have followed the thread you'll see that all of the points you just made in your lengthy post have been invalidated...
I'm full time and work every other weekend.I have a day off each week. THat's 80 hours- We have several set schedules-I'm a Thursday/Monday person-I love having Monday off after I have worked...
I do feel better after the vent-and I'm off for a few days so that helps:D. Everytime I find my self thinking about any aspect of that place I snap a rubber band I am wearing on my wrist.I don't want...
Killjoy....... But you are right-I never considered how it hangs close to the mouth when you are bent over performing a task-and then youmay lay your scope down-who knows in what? yuech -and pick...
KEY WORDS---"starting menpoause" You did get a lousy orientation IMHO but having been through menopause I can tell you the symptoms are crazy! Do some research -I had itchy...
Hey- I think that's a pretty good idea! I have a late stage Alzheimer's resident with a peg-she has pulled that sucker out a dozen times....And her family just don't get what she is trying to tell...
The DOH dinged us for not having meds during a survey a few years ago so we had to write a new P and P-if we circle a med on the MAR and document "not available" we have to call the doc,call the s/o...
The chain is in 47 or 48 states.I've seen stories on CNN about them and medicare fraud.We are a county run facility and we had to go with the lowest bidder.The DON is hoping to get rid of them when...
They are making a common mistake-many nurses think they know everything they need to know when they go from acute to LTC-they learn the hard way...When the citations start flying they will
ktwlpn replied to Inquisitive one's topic in Geriatric, LTC
I'll check tomorrow-we have a procedure dealing with every aspect of chart thining.For PT/INR's we also have a flow sheet that stays with the MAR.I think we thin off labs q 6 months unless it's an...
ktwlpn replied to gardenpartyy's topic in Geriatric, LTC
So-what do you have an armed guard at her door? Do you pull a cna or nurse to guard her? That's crazy-we have had situations with family and we have informed them that we can not stop anyone from...
Go to the doctor,get a note and call your resources dept.You may be covered under FMLA and the days you have already taken will be covered also. If you need to take a week to recover then do it...An...
I have to say my son didn't miss much school-if I didn't see body fluids or blood he went.I'm very compassionate at work but I have had little patience with him,the poor kid...Ironically he is a bit...
You can make an anonymous complaint to the DOH via phone or e-mail.Most of what you posted about could be observed by any visitor-if you really want to cover your tracks you can imply you are a...