BackInTheGame

BackInTheGame

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About BackInTheGame

Just getting back into the game after a 12 year hiatus. Things sure have changed a lot.

Latest Activity

  1. Giving pain meds.

    We d/c unused pain meds too and our DON is the only person who has the authority to destroy d/c'd meds with the facility supervisor as witness. What gets me fired up is a doc who d/c's pain meds that ARE being used on a regular basis. Had a pt once w...
  2. Giving pain meds.

    I personally would wonder why the aide is so adamant about you not asking the RN about it. I agree with so much that has been said here and one can never overemphasize the need to DOCUMENT DOCUMENT DOCUMENT!! Maybe you could say something to the RN ...
  3. Can u believe my resident???

    You said it happened to two others. Any times where she said that and it turned out not to be true? The way I see it, if she's 100% accurate, then cross your fingers and get ready for a lot of congratulations. Yes, I think that sometimes people, and ...
  4. Over-Restaining Patients

    The woman to whom I was referring demanded to get up out of bed. She wasn't forced, nor is any patient in the facility forced to get up or sit up all day. According to her, she wasn't raised to lay around in bed all day and as long as she had her say...
  5. Over-Restaining Patients

    We have floor mats for fall prone residents when they're in bed. They're like larger versions of kindergarten mats so they fold up in thirds to make getting to the bed a lot easier... some times.
  6. Over-Restaining Patients

    Ok this is going to sound horrible but there are times where I miss restraints. Not for my convenience but sometimes, they are needed for patient safety. We have a ZERO restraint policy and we get yelled at just for putting both siderails up on a bed...
  7. Med Pass/interruptions

    Yeah, it's the same here. Multiple med passes even though we try to standardize times, there's always those who need meds at "odd times". On my unit a full house is 35 patients. On my 3-11 shift, I'm the only licensed staff so med orders aren't an is...
  8. Giving pain meds.

    I agree. When a person is admitted for "comfort measures", then give them COMFORT, whether it be narcs or not. We have families not wanting us to put family members on oxygen because they consider it "life support", but when we explain that it's a co...
  9. Giving pain meds.

    NOT counting narcs??? Never heard that one before. We have a doc that refuses to believe that her patients have pain. We fight tooth and nail and toe to toe with her over this issue. She won't even let us give Ultram without a fight and actually went...
  10. What to do when state comes in?

    Last time State showed up on our doorstep, it was because of a family complaint... later proved to be totally unfounded. One of the RN's was getting a census sheet for shift change and someone came up and asked if we had daily census and staffing she...
  11. Help with sundowning residents (long)

    Oh and one more VERY important thing.... DOCUMENT, DOCUMENT, DOCUMENT!!! If the person is verbally abusive to staff or others, quote every word... even the four letter ones.
  12. Help with sundowning residents (long)

    Oh God love the sundowner's because sometimes it's hard for the rest of us to. As far as #1 "problem child" goes, I agree with a lot of these suggestions. Had one like this, major league blow ups around 8pm. Luckily his doctor happened to be on the ...
  13. Giving report in LTC

    I agree with you on "report books". Ours simply contains the census sheets with our notations that are passed along in report. We use the census sheets rather than a kardex. As a matter of fact, we don't even use a kardex. On our Rehab and Recovery u...
  14. Please Help! Encouragement needed

    oh yeah i definitely agree. give me a floor with good aides and i am one happy camper. luckily i'm on a unit like that now. the two "regulars" are top notch and when they're there i know that it will be a good evening. that's why i know tonight will ...
  15. Please Help! Encouragement needed

    i just realized that it sounded as if i was unconcerned with the death.. i wasn't. the supervisor was handling the details and making the calls and the room was filled with family and staff who were close to the woman. i'd leave the room occasionally...