MarggoRita

MarggoRita

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All Content by MarggoRita

  1. I received a "write up" warning at my LTC

    MarggoRita replied to Blackcat99's topic in Geriatric, LTC

  2. Tinetti balance score

    MarggoRita replied to erin21880's topic in Geriatric, LTC

    Toileting ur, ac & pc, hs, & prn is also standard practice, not a program. Toileting programs are resident specific, evaluated and reassessed to reduce incontinence based on each residents...

  3. Tinetti balance score

    MarggoRita replied to erin21880's topic in Geriatric, LTC

    Walk to dine can only be counted if the resident is otherwise in a wheelchair. If they walk at all times, either independently or with assist, then it is not counted, it is simply their standard...

  4. Tinetti balance score

    MarggoRita replied to erin21880's topic in Geriatric, LTC

    If they are independent with ambulation they do not qualify for walk to dine. If they are high risk for fall, then they should have assist with all ambulation and not be considered as independent. If...

  5. Section H: Toileting Program

    MarggoRita replied to erin21880's topic in MDS Coordinator Information

    This is standard nursing care at our facility, not resident specific, and does not count as toileting program. To be resident specific, you must monitor output for a resident for 24/day for three...

  6. Silent alarms

    MarggoRita replied to transamnurse77's topic in Geriatric, LTC

    Our facility got rid of audible alarms years ago, we only use silent alarms. Not only do they alert staff just as well if not better than the audible alarms since it goes through the system and you...

  7. Section O - Respiratory Therapy

    MarggoRita replied to mds2011's topic in MDS Coordinator Information

    Thanks again, very helpful the way you explain

  8. Section O - Respiratory Therapy

    MarggoRita replied to mds2011's topic in MDS Coordinator Information

    Thank you for the info, next question, the tx must be over 15 minutes, but do I have to stay with the resident for those minutes? Given that my resident in question received his Nebs through a face...

  9. Section O - Respiratory Therapy

    MarggoRita replied to mds2011's topic in MDS Coordinator Information

    What exactly constitutes as "trained" respiratory nurse? Aren't all nurses "trained" to assess lung sounds? Only asking because we are to document HR/LS/minutes to claim for neb tx's, but I have not...

  10. writing telephone orders

    MarggoRita replied to nurse4lyfe37's topic in Geriatric, LTC

    I have written a note in the chart after sending someone in to ER stating that they had been admitted and why, but it makes no sense to obtain an order as once they are sent to the ER they are no...

  11. Dogs in the building

    MarggoRita replied to CapeCodMermaid's topic in Geriatric, LTC

    Our facility has two dogs that belong to the facility. A couple of our residents take responsibility for feeding and watering them, and alerting staff when to let them out. Pets are a big draw,...

  12. Inservice

    MarggoRita replied to LovelyOverload's topic in Geriatric, LTC

    I would assume that, because it is Inservice, it is likely reiterating information that has already been taught? In regards to resident-care, as long as a nurse does the initial teaching the...

  13. Would love to hear your stories of rewards of long term care nursing.

    MarggoRita replied to Wokini1's topic in Geriatric, LTC

    I love LTC, I love being able to treat the entire person, not just their acute illness. My friends that work in the hospital setting are not even allowed to trim a jagged fingernail to bring a pt...

  14. med passes done on time?

    MarggoRita replied to HappyWife77's topic in Geriatric, LTC

    Then why not just make it prn? I guess where I am coming from is, are you who think it is ok just omit certain meds at leisure still signing that they were indeed given? I hold meds per nursing...

  15. med passes done on time?

    MarggoRita replied to HappyWife77's topic in Geriatric, LTC

    Our senna is on a card, we do not have house stock for anything scheduled, and yes we do report I administered medications regardless senna or norco. We are very very hard on ourselves and write up...

  16. Working with Medication Aides?

    MarggoRita replied to Kaligirl02's topic in Geriatric, LTC

    I love working with med aides, allows me to spend time focusing on my residents needs, tend to occurrences as they happen, chart throughout the day, and not have to meet the time demands of that ball...

  17. Staff meetings

    MarggoRita replied to Ccymom's topic in LTC: Directors, Assistant

    Make the meetings interactive, games to elicit participation, (toss candy for the right answers), seek volunteers from the staff to present on some of the topics, they can own that topic and become...

  18. New Title for Nurses, and other beefs

    MarggoRita replied to withasmilelpn's topic in Geriatric, LTC

    My facility had once talked about keeping meds in the rooms as well, I hope it never happens for the very reasons you spoke of, and I would insist on keeping my title as a nurse, after all I am a...

  19. Residents leaving facility with scheduled medications

    MarggoRita replied to JBMmom's topic in Geriatric, LTC

    I guess I am curious now, how is it considered dispensing? They have already been dispensed by pharmacy, they should have pharmacy labels with the residents name, and they are being sent with the...

  20. Residents leaving facility with scheduled medications

    MarggoRita replied to JBMmom's topic in Geriatric, LTC

    Wow, that seems a bit harsh. We send our med cards out with the family. I would not consider saying, "sorry, no meds" to them, they are 'their' meds after all, and it is well within their right to...

  21. Weekly Weights

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

    Where I work the bath aid is responsible for getting a weight at the time of the bath. Has never been a problem, and if we have residents with daily weights then the aid that gets them up grabs their...

  22. Nurses ignoring nausea complaints

    MarggoRita replied to ricksy's topic in Geriatric, LTC

    Sounds very much like one of our little ladies, and yes, many of our staff now have agreed it is likely a behavior. However, we did run labs, and have her and her medications evaluated before noting...

  23. Medication Errors....

    MarggoRita replied to momandstudent's topic in Geriatric, LTC

    At our facility the nurse that finds the error photocopies the mar and med card or makes a note of explanation of what was found, turns it into the don, and then the nurse who made the error is handed...

  24. Nursing Educators

    MarggoRita replied to Daltontna's topic in Geriatric, LTC

    *cognitive impaired residents that have learned to respond to a safety

  25. Nursing Educators

    MarggoRita replied to Daltontna's topic in Geriatric, LTC

    Analyze each fall, what was the resident attempting prior to? Often times there may be a scrap of paper or something that catches there attention on the floor and they are simply trying to pick it...