cwgrlup85

cwgrlup85 ASN, RN

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All Content by cwgrlup85

  1. Tell me about your QA process

    cwgrlup85 replied to LTCRN4LIFE's topic in LTC: Directors, Assistant

    I do falls, skin tears, and bruises and any trends. Infection control resident and employees. We also discuss any new policies or anything new that we developed in our dept last quarter. We also...

  2. frequent call offs = termination = paying unemployment

    cwgrlup85 posted a topic in LTC: Directors, Assistant

    Where I currently work we have a pretty strict attendance policy. I follow all the steps with verbal and written warnings, followed by a 3 day suspension and then ultimately termination. I document...

  3. How to write a good nurses note?

    cwgrlup85 replied to Elaine Mickens's topic in Geriatric, LTC

    Well it would depend on what the resident it being charted on. For example a resident is on an abt for a uti, you would want to focus on: are they having any reaction to abt, are they continuing to...

  4. SIMPLY PUT

    cwgrlup85 replied to GLORIAmunchkin72's topic in Geriatric, LTC

    I often say "I have brought you your vitamins today" or "you know how those Drs can be but we have to do as they say to stay healthy" but I work on a dementia unit. Another one that works well is...

  5. Megace Suspension

    cwgrlup85 replied to moorebluejacket's topic in Geriatric, LTC

    I have seen it work on a few geriatric residents but I have mostly seen it be ineffective. I have even heard of it increasing people's appetite to the extreme of

  6. Post Fall Neuro Checks

    cwgrlup85 replied to psalazar's topic in LTC: Directors, Assistant

    We have a policy where anyone on coumadin or blood thinners who hit their head be sent to er for ct, unless family refuses. Otherwise any fall with head injury notify physician and monitor for any...

  7. cna's obtaining vital signs in a timely manner

    cwgrlup85 replied to cwgrlup85's topic in LTC: Directors, Assistant

    Thanks! I will try these things, great

  8. cna's obtaining vital signs in a timely manner

    cwgrlup85 posted a topic in LTC: Directors, Assistant

    It seems that in the different places I have worked getting the cna's to obtain vital signs in a timely fashion is near impossible! Their excuses are always "we don't have time" or "why can't the...

  9. Should I feel guilty?

    cwgrlup85 replied to CapeCodMermaid's topic in Geriatric, LTC

    In our dementia classes we are taught to use therapeutic fibbing, as they call it. It is much better than trying reality orientation. Bwsides, you made her smile and seem at ease at least at that one...

  10. Is this a complete MD order

    cwgrlup85 replied to Lundazi's topic in Geriatric, LTC

    You were right. Some physicians just have a "God complex" or so I like to call it, don't ever let them make you second guess

  11. frequent call offs = termination = paying unemployment

    cwgrlup85 replied to cwgrlup85's topic in LTC: Directors, Assistant

    I agree with you Nascar. We also have an attendance policy very similar to yours as well. I have even worked with staff based on individual circumstances and even given last chance

  12. Culture Change in a Secured Dementia Unit

    cwgrlup85 replied to ClearBlueOctoberSky's topic in LTC: Directors, Assistant

    I am a director of a dementia unit in Illinois. We allow our residents to sleep in and rise on their own. We have our own kitchen stocked with cereals, bread, yogurt, pudding, eggs, pancakes, and much...

  13. frequent call offs = termination = paying unemployment

    cwgrlup85 replied to cwgrlup85's topic in LTC: Directors, Assistant

    Thanks for all the words of wisdom! My administrator does fight against these and I have a hearing coming up. It just seems like it is so easy to get unemployment, at least I guess in Illinois. The...

  14. humidifiers

    cwgrlup85 replied to CapeCodMermaid's topic in LTC: Directors, Assistant

    A lot of LTC facilities avoid using them and have outlawed them for infection control purposes. Since this particular person is needing it you'll need to come up with a strict policy regarding it's...

  15. New Rn Unit Manager (long term care)

    cwgrlup85 replied to idobelieve's topic in LTC: Directors, Assistant

    I too am a new unit director of a dementia unit. I made it through my first survey recently without any deficiencies! Hopefully your staff is well seasoned and know what to expect when DPH is there. I...

  16. careplans for the resident whose family doesn't attend and hardly visit

    cwgrlup85 posted a topic in Geriatric, LTC

    Was just curious to see what other facilities currently do when family members of a resident choose not to attend careplans and they do not visit often. How do you document to prove that you do in...

  17. Combative dementia patients

    cwgrlup85 replied to Old and New's topic in Geriatric, LTC

    Sorry, thought you were referring to a LTC

  18. Combative dementia patients

    cwgrlup85 replied to Old and New's topic in Geriatric, LTC

    Yes, I agree with CapeCod. There must be some place you can send them if they are unsafe. Call their physician and then call ambulance. I am a director of a dementia unit and when a resident is...