MarggoRita

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 personal pattern.

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 care. Restorative programs are to be above and beyond...

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 they wish to have more freedoms, see if therapy c...

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 days. Note when they are incontinent. Then careplan...

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 do not need to be in earshot, but they also decreas...

Thanks again, very helpful the way you explain it.

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 mask and we know he receives the entire tx because h...

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 been "trained" beyond nursing school, is that enoug...

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 longer in your care until they return, and what happen...

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, gives the resident a sense of purpose to tend to them,...

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 unlicensed staff can continue to reinforce the teaching. ...

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 comfort if that is not part of their admitting dx.

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 judgement, and chart to show that it was held. Everyone...

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 any and all med errors because it keeps us from bec...

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 and chain med cart. The med aides report all prn ...

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 the go-to person. Not only does it improve retentio...

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 nurse, and that does not make me un-homelike, it makes...

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 resident they belong to. Also curious, does the insura...

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 go out of the facility with their family. At what ...

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 weight on the way to breakfast.

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 it off as possible behavior. Never hurts to rule ...

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 the photocopies and incident report to fill out, ...

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

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 up, so assure floors are clean and clear of temptati...