nursemid02

I was just wondering who does wound debridements in Long term care facilities?? Is it within an RN's Scope of practice to do Wound debridement!! thanks for your help

Be honest thats the only true thing you can do You have learned from you mistakes!!

They called to find out the History of the pt and what happened during death today

In all my years of working for a LTC facility i have never had a medical examiner call until today. One of our residents expired in the nursing home the family lived in the northern part of the state and we recieved a call from the medical examiner!!! can anyone tell me why they would even call as well as do an autopsy!!!! any help would be appreciated thanks

Dear kittie Please dont take this the wrong way!!! Im sorry if I sound Harsh thats not my intention!! I am a DON of a LTC facility these are just a few things that might help!!! The mistakes you did were serious as you know but you must pay attention even if it means blocking out the rest of the world. I know things happen and you dont want to here this kind of stuff so here is something I can suggest. The one thing I wonder is if the MARS are Highlighted for the times you give the meds that can help must be highlighted with the same color for that shift also another thing are you signing as you go??? Also do you look at the Picture of the resident and compare it to the picture on the MAR and the resident??? You must take your time !!! Those people arent going anywhere right?? Hope this helps

Hi I am 30 years old and from Southern OKLAHOMA and have been a nurse for 4 years I have done Home Health and Hospice for 2 years and LTC for 2 years I am currently in LTC and am the DON. Am glad to see some Okies on here!!! I have 2 children 11 and 8 and one terrific husband!!!

I have found that Calcium Alginate/Wound Gel works wonders for tunnelling sores, if you dont see a change in 2 weeks I would consider changing treatments!!! I also use Fibercol/woundgel and Polysporin powder!!!

Thanks for all your words of encouragement I really appreciate all your help!!! By the way I feel for you I have nurses that act that same way when it comes to a patient choking or in your case eloping! Thanks for your help!!!

i appreciate all the help yes i do to think it is relevant about when i graduated i graduated from nursing school may 2001 have worked in numerous fields ltc/home health/hospice in that time i have meet many obstacles. the 02 is for the number of children i have !! you cant imagine how long i worked late trying to get things straightened out so that the next day would be half way decent. i guess the reason for the attitude was due to the fact that i am stressed due to the fall of quality of care in the facility i feel like im in a constant tornado no one wants to work and take care of the ones who gave the there job the elderly!! every day i get out and see my patients and take care of them as a nurse should do!! i was a cna long before i became a nurse did 2 years as cna and 1 year as cma im only 30!!! believe me i appreciate all the help i can get but i do think people can choose words a little better!!! thanks for bringing it to my attention for my poor attitude and poor choice of words!!! i really do appreciate all the help i can get!! thanks for your support

Yes as a matter a fact i was because there was no MDS coordinator your talking to her yes i was calling the doctors making sure everyone was taking care of and yes I was dealing with family and staff that refused to work and dealing with call lights pharmacies and STATE along with taking care of IV starts being the RN 7 days a week so whats with the attitude It wasnt always like that there used to be a time where people worked And yes i did do alll the treatments I wasnt asking for your sympathy all i was asking for was a suggestion from you So thanks but no thanks i dont need your attitude i get enough of that at work

Hi I am im great need of information regarding DON's how to deal with staff that wont listen and people who wont work as a team is there anything i can do to help improve our quality of patient care?? I have been working my hardest but have been pretty much doing it myself!!! Im pretty much tired of doing and am to the point i could just walk away with a different job!!! If anyone can help please let me know!!! THANKS SO MUCH