mwaldon

MRSA.. the gift that keeps on giving. I agree that you should keep MRSA patients together. We take MRSA patients, but we use special cleaning agents and we clean the rooms several times a day, and PREACH infection control. You are able to contain it, with good practices with your staff!

I can tell you from experience..... NOT ENOUGH! :chuckle

My son is a crohnie also! Welcome to our family. My experience as a nurse leads me to believe that maybe if they would have diluted the push before giving it, the burn wouldnt have been so bad. Phenergan is a very damaging medication and should be given slow (helps). Sorry to hear about your experience, hopefully we all learned something from it.

in reply to the "nervous" or "bossy" family, what I have found to help is give this family lots of attention for about a week. Have a CNA or nurse or anyone make frequent room checks and reassure the families. I believe once they realize that you are attentive.. they can let their "gaurd" down. Families are usually difficult when they feel guilty that their loved ones are in a home or they are afraid of the horror stories they have heard. But once they are reassured and feel comfortable.. they usually fade away!

LEGAL? I hope not!! Sheesh... Come work for me... you might get 15 pts with 4 CNA's!!!

I cherish our CNA's and I tell them on a regular basis. I also tell them when I have a issue with them. I sometimes give them a "cha cha" (candybar, coke, thankyou hug) but I always praise them infront of other staff and family. You can ask any CNA that I have... they know they are wonderful!

I also believe that it should have been reported immediately. If a patients condition even for a second makes you think abuse, it should be reported and followed up. In my state elder abuse is reportable as is child abuse. I think it is our duty as health care professionals to report any.. neglect and abuse PERIOD!! No cover ups, no placing blame on others..

I believe that Long Term Care Nurses are very special ppl. I do realize that not all LTC's are the same. I am blessed to work for a facility as their DON that compassion matters, having fun matters, hugs matters, and quality of care MATTERS! I have the cream of the crop CNA's and Nurses, the houskeepers are outstanding and love our residents, our dietary dept is the best that anyone could want! Don't give up on nursing, there are so many areas to go into, when you find your niche, you will know what nursing is all about. There is something for everyone!

As a DON of a very productive SNF unit, I must add my two cents. We receive patients from area hospitals that are in the same type of shape. I have done much research into the wound issues and have taken part in our states quality init. We were part of a pilot program for wounds. Many of these wounds are unavoidable due to disease process. However, when we get a bad wound patient, we look into all areas that could have caused the problem, e.g. medications, diseases, nutritional issues etc. We try and reverse what we can, however, in the meantime if this same patient has to go back to a hospital, their staff ASSUMES we did this to them, when in fact we received them in this condition and sometimes this condition was unavoidable. Now I grant you there are times that neglect could play a part, and if you suspect that. REPORT IT TO YOUR STATE AGENCY! :) Thanks for listening.