Bird2

Bird2

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All Content by Bird2

  1. Need job change advice please!!!

    Bird2 replied to annabrooke93's topic in Geriatric, LTC

    Will you be responsible for the restorative program? It is a very heavy job. You should receive more money as far as I am

  2. Help! New grad nervous about LTC state inspection!

    Bird2 replied to Elektra6's topic in Geriatric, LTC

    Wash hands /use hand sanitizer inbetween pts. Lock your med cart whenever you turn your back to it. If you don't know an answer to a question tell them "I will find out for you" then check with a...

  3. first nursing diagnosis

    Bird2 replied to sebring's topic in Nursing Student Assistance

    Check the internet for NANDA, your careplan book may list them, or usually in the back of one of your nursing books will have the list of Dx

  4. Need Advice ASAP-have been suspended

    Bird2 replied to robinregisterednut's topic in Patient Safety Issues

    Excellent questions. We don't have enough info to get the true picture of what occurred. Was the MD notified of the complaints of pain and of the phone calls? Was everything documented? We often...

  5. C Diff

    Bird2 replied to Perfectms10's topic in Geriatric, LTC

    We give the C-diff positive a private room or cohort with another c-diff positive. I don't think it is worth the risk of them sharing a room with another

  6. Risk assessment tool-LTHHCP-rehospitalizations

    Bird2 replied to cherricka's topic in Home Health

    I have not heard of such a tool but if there is one I would be very interested. Have you checked with your States Quality Inprovement

  7. Need job change advice please!!!

    Bird2 replied to annabrooke93's topic in Geriatric, LTC

    Wow. That sounds like a lot of work. What do you mean working a med cart? Does that mean every day the AM meds or all meds? How many residents will you be doing restorative with? Are they talking...

  8. Help on Question

    Bird2 replied to dearluv20's topic in General Nursing

    Yep, you are

  9. Esbl

    Bird2 posted a topic in Geriatric, LTC

    Are any of you seeing residents with ESBL? I'm curious of what type of Isolation you are using. We currently use Contact isolation with an emphasis on gloves and hand hygiene. It has been suggested...

  10. Could someone decipher this for me please?

    Bird2 replied to RNin2007's topic in General Nursing

    Did the MD just mark the wrong

  11. I got MRSA from my JOB

    Bird2 replied to liteskin_qtee's topic in General Nursing

    Had you been on antibiotic therapy often?? It is very, very low risk for a healthy person to get MRSa from a chart. Often people are on repeat antibiotic and become resistant to some of the...

  12. Hired but never called in to work!!!!!

    Bird2 replied to giada23's topic in Pre-Nursing Students

    If they are this unprofessional and disorganized from the get go I would not want to work in the facility. I would keep looking. Good luck to

  13. TB skin test, no bleb

    Bird2 replied to perfectbluebuildings's topic in General Nursing

    How wonderful that you asked rather than assumed. Many of us that give TB tests did the same thing as you when we first started. You will know in the future to redo the test so relax and have a...

  14. Sharing meds between patients?

    Bird2 replied to FlorentineBird's topic in General Nursing

    Your right it should not happen. Does your facility have a convience box for the nurses to obtain the most common drugs that they may need? If not you may want to suggest that the Pharmacy supply...

  15. Question about State Surveys

    Bird2 replied to Serenity USVI's topic in Geriatric, LTC

    The previous survey results have to be posted in a spot that all visitors can get to it. Do you work in the facility that you are looking for the results? Just ask someone in administration. It is...

  16. showers on nightshift and time for residents to get up in the morning?

    Bird2 replied to FROGGYLEGS's topic in Geriatric, LTC

    This is a sad situation. I agree with you that residents should not be gotten up prior to 5 AM. I don't think anyone should have a shower on midnights unless the resident requests it or they had a...

  17. How's your pressure ulcer prevention care on your residents like?

    Bird2 replied to Jubei's topic in Geriatric, LTC

    We use the BRADEN SCALE. It helps zero in on the main risk factors. These are done on admission, weekly for one monthe then quarterly. Preventive skin protocols are in place for all at risk...

  18. insulin med error

    Bird2 replied to flyladynurse's topic in First Year After Licensure

    Med errors do create an awful gut feeling but all of us have made them. My first known error was giving an extra long acting Morphine instead of a short acting breakthrough dose. That was the worst...

  19. The DPH/Corporate Blues

    Bird2 replied to CapeCodMermaid's topic in Geriatric, LTC

    I almost forgot that they were also very keyed into the grievance reports and the post fall investigations. They want full investigations on pressure ulcers, incidents, and infections. Can you spell...

  20. The DPH/Corporate Blues

    Bird2 replied to CapeCodMermaid's topic in Geriatric, LTC

    The floor nurses just do not have time to do complete skin checks on all of the residents. But, the CNA's are trained to report any deviations from the norm and they can report a problem to the nurse...

  21. The DPH/Corporate Blues

    Bird2 replied to CapeCodMermaid's topic in Geriatric, LTC

    I feel you pain. Corporate has been making us very long, detailed policies that are going to hang us with DPH. Some are 10 pages long. How can a floor nurses absorb and remember all the details?!...

  22. D.O.N. concerned more with census than NH residents care

    Bird2 replied to burrt-lpn's topic in Geriatric, LTC

    First off Welcome to Allnurses. Secondly, you are working off your license. So call the MD and notify them of any abnormal assessments and if the MD wants the resident sent to ER then they should go....

  23. I am getting fired:(

    Bird2 replied to Danianne's topic in Pre-Nursing Students

    Did your supervisor have the MD note in hand when she left you the message? You should check into a medical leave of absence. Just make sure all of the paperwork is in order and have your HR DEpt...

  24. 'rotting' not for weak stomachs...

    Bird2 replied to bebop1's topic in Wound, Ostomy, Continence

    My Goodness!. I agree with the others. Social workers, Omsbudsman, Dept of Aging should be notified. How about a Duragesic patch with the Hydrocodone for breakthrough pain. The odor will also be a...

  25. Isolation No Conatact Precautions?

    Bird2 replied to missninaRN's topic in General Nursing

    If you are going to touch or have a potential to touch any pt care items or siderails then wear a gown and gloves. If you are just walking in to say hello and drop off an item then you should be ok...