LittleMamaRomeoRN

LittleMamaRomeoRN

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All Content by LittleMamaRomeoRN

  1. Flow sheets/check lists for floor staff?

    LittleMamaRomeoRN posted a topic in LTC: Directors, Assistant

    How do you all keep your floor staff organized with all the bits and pieces that need accomplished? We are having trouble making sure that all the appropriate assessments, skin sweeps, and behavior...

  2. New ADON feeling overwhelmed

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

    I would love to just get new nurses in the building, I know many that do care and strive to do their best work. Unfortunately, our LPNs are covered by the union, which makes getting rid of nurses who...

  3. New ADON feeling overwhelmed

    LittleMamaRomeoRN posted a topic in LTC: Directors, Assistant

    This is only my 2nd week in my new position as ADON of a 212 bed non-profit SNF. I'm very excited about learning new things and hoping to be a positive influence on staff, but our survey window is...

  4. Nurses ignoring nausea complaints

    LittleMamaRomeoRN replied to ricksy's topic in Geriatric, LTC

    Good for you for acknowledging her complaints! Something should always be done. The physician should have been notified sooner, resident should not have been complaining for 2-3 weeks. Even if there...

  5. orienting: have different "opinions" on holding insulin. who do I listen to?

    LittleMamaRomeoRN replied to gigi918's topic in Geriatric, LTC

    As Amy says, DO NOT hold long acting insulin. It is meant to keep a resident at a normal glucose level and will not cause them to "bottom out". Read your facility's policy on sliding scale coverage....

  6. LTC "Brains" Do you use one?

    LittleMamaRomeoRN replied to Ginnym1981's topic in Geriatric, LTC

    15-25 patients isn't too bad! It is different than a hospital setting, unfortunately you don't get as much 1:1 time with your residents, but you will find a way to get it all done. If the facility has...

  7. New ADON feeling overwhelmed

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

    Thanks for the inupt thus far. As a matter of fact, the approach that tkt and Orca recommended has been my approach to subordinates throughout my career and one I continue to practice in my new...

  8. New ADON feeling overwhelmed

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

    Tasha, we have a lot of nurses that are not very thorough at my facility, and they are resistant to change and learning new things as well. I suppose I am just doubting my ability to get them to do...

  9. Going alarm-free

    LittleMamaRomeoRN posted a topic in LTC: Directors, Assistant

    Just wondering about others with experience making their facility alarm-free. I've read the research, my DON and I want to phase out alarms, but we need some ideas for other falls prevention...

  10. Going alarm-free

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

    I was concerned when the idea was first brought up, but it seems that more facilities are going this way, and the research does show that alarms do NOT decrease falls and just add more irritation and...