Bird2

Bird2

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All Content by Bird2

  1. Laundry HELP for stained lab coat

    You can try the packets of Rit Rust Remover that can be purchased in the laundry section of the grocery store. Soak it over night in two packs. If that does not work Suzannes suggestion is the way...
  2. First off congrats on your new job. Most LTC nurses really care about their jobs and most LTC's are nice. I am fortunate to work in a nice facility. The term ghetto is offensive. I am glad that...
  3. a question about MRSA

    Can the MRSa positive residents be put in a private room? If not they can be cohorted. I don't think it is a good idea to cohort denture swappers. I would only cohort a MRSa + resident with a clean...
  4. unsure to stay in management

    CGRN1002 I hope you get the chance at management. When I replied to this thread I was at my lowest but am on track again. Management is not easy but when problems are being solved and best practices...
  5. Nurse Not Doing Her Job

    I agree that ratting in this case is protecting the pt. BUT... is there any chance that she used another glucometer. We have 4 throughout our building. I just want to make sure you are thinking of...
  6. Handling Admissions in Your Facility

    Marketing does all of the front end work. A nurse usually the MDS coordinator does a final screen, usually she goes to the hospital to see the pt and review the chart. The floor nurse does the...
  7. Major shakeups at my ltc

    Passing meds to 70+ residents is a med error waiting to happen!!! Thank God the State stepped in. Once the State insists that a change be made it is difficult for the facility to back slide. So,...
  8. Need encouragement PLEASE Nclex tomorrow

    Good luck. Relax! Don't look at the number of the test
  9. Lost my first patient.

    I am so sorry that you had a rough night. It sounds as though your nursing instinct was very right reguarding your resident. Why did the ER send her back?? Sounds as though your resident was to...
  10. What about those signs in residents rooms

    We can only hang a sign if we cover it with a blank paper. This defeats the purpose. So, we don't hang them any
  11. Calcium Alginate and Duoderm

    What may work is to have the different companies come in to inservice. That way they can explain to the nurses how to apply the dressing, how to monitor them, the appropriate use, and how long the...
  12. Calcium Alginate and Duoderm

    Seems like over kill to me. I would never use the treatments together. I use alginate for draining wounds. If I need to cover the alginate with more than gauze I use a foam. I only use a...
  13. Anyone Taking The Exam Tomorrow July 29

    Good luck today. Try to take a deep breath and relax. It sounds as though you are well
  14. We don't place anything in the room to show the code status. We color code the name bands. We always have a few that we have to careplan because they refuse the bands. Whenever we have tried to...
  15. medicare charting and documentation

    Antibiotics - vitals and assessment until antibiotic is completed. Incidents - 72 hours -then if they have a bruise, skin tear etc continue to chart at least daily until resolved. Admits - 72...
  16. Modern Facilities

    We do the computerized charting and it is sooo nice. Labs can be checked via computer. We have come a long way. 10 years ago when I first started in LTC we did not have fax machines, bladder scans,...
  17. Orientation-not enough

    I have worked in LTC for > 10 years and have never passed meds to 78 residents. It sounds dangerous. We run for approx 100 residents 5 nurses on the day shift and 3 on the evening shift and we...
  18. dsg won't stay on

    That can be such a difficult place to keep a dressing. Have you tried applying skin prep first. That might help. You might need to try another dressing such as Allevyn Adhesive but also use the...
  19. Skin Tears........

    Oops , just wanted to add that your DON needs to look at the cost savings when using Opsite. The dressing change can be once weekly. The nursing time saved compared to a a guaze and bacitracin that...
  20. Skin Tears........

    How sad that your DON does not want to follow policy. Opsite is wonderful for skintears and stage 1 and 2 pressure ulcers. They can be left in place for 5-7 days. The only time that I dont use...
  21. transition to management

    I have been in your shoes. At times I discovered that the other management couldn't answer the question because they did not know the answer. I ended up getting a group of contact people that I...
  22. Catheter problems

    There is a lot of literature that supports the use of cranberry capsules to prevent UTI's. The juice is ok but one has to drink quite a bit to be effective. The cranberry caps are especially useful...
  23. Wound classification

    Are you wanting the descpritions of what a stage 1,2,3,4, or an unstageagle pressure ulcer looks like? If so I can send you that information this week-end. We also track all other wounds but do not...
  24. Catheter problems

    I'm so sorry that he has all these problems. Does he truly need the catheter? It puts him at such a high risk for infections. I've had 4 pts recently that everyone swore they could not be w/o the...
  25. The books cost me a little over a 1,000 dollars for the entire proram.