MarggoRita

MarggoRita

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All Content by MarggoRita

  1. what needs to be done for a new admission

    MarggoRita replied to SleeepyRN's topic in Geriatric, LTC

    Yes the duties can be split up, do take vitals and assess for any immediate concerns/safety issues, notify appropriate staff of diet order and if on thickened, and of any swallow or fall risks. The...

  2. double briefing

    MarggoRita replied to delgwood's topic in Geriatric, LTC

    Our facility does not allow double padding for the very reasons you stated. I am curious, how is double padding supposed to aid in making a willful resident compliant? Wouldn't it only add another...

  3. LAWS

    MarggoRita replied to ricksy's topic in Geriatric, LTC

    I find that cna's are able to provide better care when they understand the patient history. My facility allows all nursing staff full access to the charts, but have rarely seen cna's use the chart to...

  4. When residents go to Doctor's appts, activities, home visits, etc....

    MarggoRita replied to nervousnurse's topic in Geriatric, LTC

    Also, activities outside the facility require a facility cell phone be carried by the aids to retain instant communication with the charge

  5. When residents go to Doctor's appts, activities, home visits, etc....

    MarggoRita replied to nervousnurse's topic in Geriatric, LTC

    Our activities personnel are required to be cna's, only take a manageable number of residents out at a time, the residents are stable and require dr permission to be out of facility. Meds are given...

  6. help

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

    Depending on what type of prescription drugs, check you facility policies. At my facility, any employee who is taking narcotic pain medications can not work while taking them, a dentist appointment...

  7. Need help!! First week in assisted living

    MarggoRita replied to Shell5's topic in Geriatric, LTC

    Document your findings and all interventions you are putting in place, inservices for staff education and such, make a record to show them that these problems have been identified and you have started...

  8. Cognitive stable and cognitive impaired residents' living arrangements

    MarggoRita replied to Norubit15's topic in Geriatric, LTC

    To prevent our wanderer s from entering others rooms, we placed Velcro and about 18" of fabric across the doorway at chest level. These were made by our wonderful laundry lady and care planned for...

  9. RN Supervisor (weekends ONLY) in LTC/SNF?

    MarggoRita replied to nervousnurse's topic in Geriatric, LTC

    Our regulation state an RN is required for a minimal of eight hours in every 24 hours, so, as long as no more than 16 hours pass without an RN scheduled for regular shift length we are

  10. Restorative Nursing

    MarggoRita replied to TigerxLiLy's topic in MDS Coordinator Information

    Restorative belongs to nursing, and is a nursing program, though helpful it is not necessary to go through skilled therapy to initiate

  11. Discouraged with LTC. Advice?

    MarggoRita replied to RoxieRN0511's topic in Geriatric, LTC

    Curious why you think it would not be legal? The work that CNA's do is the nurses work that can be delegated, certainly you should be qualified to do the parts of nursing that can be delegated to...

  12. New to LTC, does signing off MD orders mean something different here?

    MarggoRita replied to auntiedebe's topic in Geriatric, LTC

    We utilize teamwork, if I answer the phone and receive orders, sometimes for say ten residents at a time or however many that dr is responding to in that one phone call, I am not likely to stop my med...

  13. New to LTC, does signing off MD orders mean something different here?

    MarggoRita replied to auntiedebe's topic in Geriatric, LTC

    Sounds like your speaking about telephone orders? At our facility, whoever receives the order writes it on the telephone order slip, signs their name and time the order was received. They may not be...

  14. LTC-What is meant by "The skilled nursing area of LTC"

    MarggoRita replied to Blackcat99's topic in Geriatric, LTC

    The skilled part of ltc, as it was explained to me, is when a resident requires the skills that only a nurse could provide, assessment and evaluation. Requiring assist with adl's, med pass, and...

  15. Serious staff shortage. Any ideas?

    MarggoRita replied to Datev's topic in Geriatric, LTC

    Still working on resolving our shortage, and about to lose another great CNA d/t her feeling she gets no respect from the administration for all the hard work she puts in. I do feel treating the...

  16. POLL LTC Nurses... please answer

    MarggoRita replied to Finallydidit's topic in Geriatric, LTC

    How does using cloth diapers save money? Taking into consideration the costs of laundering them, staff hours involved in hoppering folding and restocking, costs associated with the skin breakdown...

  17. Oriented X 3

    MarggoRita replied to beatrice1's topic in Geriatric, LTC

    Half of our residents are able to state exactly where they are, the other half have varying degrees of dementia, and we are rural with many of our residents not from our area, so as long as they are...

  18. Oriented X 3

    MarggoRita replied to beatrice1's topic in Geriatric, LTC

    For place I ask "can you tell me where we are"? If the answer is correct regardless of what it is, such as "in my room...in my bed...if they name the town or building name....or even if they simply...

  19. Managing burnout

    MarggoRita posted a topic in Geriatric, LTC

    The LTC facility where I work has been dealing with staff-wide burnout d/t not enough staff to allow for time off, increasingly higher acuity new admits, staff quitting without notice, very few...

  20. Should I feel guilty?

    MarggoRita replied to CapeCodMermaid's topic in Geriatric, LTC

    Sharpiemom, your story reminds me of two different residents I cared for, both Alzheimer's, the first a lady who had lost her husband and per family request we were instructed to tell her the truth...

  21. stuck myself with needle

    MarggoRita replied to SleeepyRN's topic in Geriatric, LTC

    I know how you feel, the more honest I try to be the more it comes back to haunt me, sorry for your situation. My facility also does not have sharps containers in the rooms since that would not be...

  22. CNA's who spend their time talking to each other in the hallway

    MarggoRita replied to Blackcat99's topic in Geriatric, LTC

    If a CNA finds a fallen resident, they are not trained to assess prior to moving them, plus at our facility we obtain ortho BPs before getting the resident up. Having a CNA move a fallen resident...

  23. Has anyone heard of getting fired in LTC because of overtime?

    MarggoRita replied to Blackcat99's topic in Geriatric, LTC

    I feel I would rather receive a write-up for staying late to do my job than to receive a write-up for failing to do my job, I would just feel better about that if those were the only

  24. Fair LTC starting pay (esp. in Mass.)?

    MarggoRita replied to ivyleaf's topic in Geriatric, LTC

    Those who work in LTC are usually not in it for the money, and if you truly have two CNA's per 10 residents and would only be responsible for 20 yourself then that is a wonderful ratio compared to...

  25. Combining Med Passes

    MarggoRita replied to wearinwhite's topic in Geriatric, LTC

    In SD, and no problems with state, problems meeting the hourly schedule was what initially prompted us to change to a more open format, we have had this set-up for three years now and it is a great...