steelcityrn RN

Why Lord, Why?

I would vote med surg due its ever changing events that can take place. At least when its LTC, you are used to the patient and families.

All the above and to add it can be up to 72 hours now and called out patient care. This also is used to prevent another re-hospitalization used as a negative statistic against the hospital. Hospitals cannot bill for a diagnosis r/t previous admissio...

Insurance companies are not going to pay for acute care without a licensed professional taking care of them. There may be virtual nurses used in the future, but I do not believe they will ever be used for the total care of a patient in an acute care ...

Agree with the others. Time to walk to H.R. They know how to deal with this.

My point was maybe there was nothing to document, as it was not a true wandering situation. Now that your saying it was, I like the other agree you do not document on anything you did not witness or was present during the incident. Why doesn't your s...

I would probably want more information about a patient "attempting"to wander. Was it something as simple as walking towards an elevator?

Oh yes, fell in a wet floor. leople probably thought it wasn't anything big, but besides a knot on my head and a sore back, I had a very rare post traumatic cataract form immediately. If you hit your head that hard, not a good situation!

My point is "Its all nursing".

Nursing also happens behind a desk. Upon looking at pages and pages of documentation, I cannot tell you how many times I have to talk to the direct care nurse to have a patient re-evaluated for a problem, call the physician for a change dressing, med...

I recently met a distant relative at a funeral who is diagnosed with bi-polar. He could not sit still at his own mothers funeral. He was her only child. He was disheveled, had no one there who he could call to give him a ride to his own mothers funer...

If a medication is not ordered as a prn, you need to report the lethergy to the physician. The order may be changed to 1-2 prn qhs. Once the patient has been on fentenyl for a while, they may need the order changed again to qhs.

If that is your facilities policy to ask all of those questions, then so be it. I usually say something like " I know there are alot of questions here for you to answer, do you want family in to help, keep in mid some may be personal"? Usually this i...

Yup, nothing like a negative person to try and spoil the teamwork. Work even harder to over come this.

Continue to monitor as you are a supervisor. Continue to be aware of the need to assess her medication rounds. You as a supervisor need to make her aware that you are making sure all medications are delivered and signed off as given at the correct ti...

It may not be the wrong field, just the wrong place to work.

LTC is hard. Its very demanding work, and you have alot of family contact. Its not for everyone.

I can see how facebook can cause alot of problems! Many times people portray themselves in a certain way, maybe for a laugh. But today, whatever you say on these type of sites can be read by everyone. Just like the OP said, thru a friends page. I hav...

This is public information. You can read deaths in papers or online. They usually say where a person passed away at. I do not see a legal issue here at all. Now if she stated why or how the patient passed away thats a different asituation all togethe...

Only one side of the story here folks. This was a good nurse with a good reputation. Im on her side, and I don't care what you others think. Im not going to pull quotes here and rip others apart. When someone says someone "APPREARS", this is not proo...

I would put the house supervisor down. If they ask for the other name and number then you provide it. She really could only say that you were employed there during that time period, but you never know.

You do alot of venipunctures in homecare. I would say we see as many labs ordered as I.V.'s.

What if she said she took half a benadryl to help her sleep and it was still making her tired hours later. What if she said she took 5 hour energy and had alot of nervouse energy, a darvacet for for extreme cramps or back pain. My point is many nurse...

Thats one benefit from electronical records. This would come up immediately for the staff to address.

Usually where I have worked, ordered labs would fall to a certain time where routine labs are drawn. This would be 4 pm, 7pm, 10pm ect... Stats would be drawn asap. There would also be timed draws that would pull the routine draws with it. It does no...