dinkymouse

dinkymouse

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All Content by dinkymouse

  1. G-tube site infection

    dinkymouse posted a topic in Wound, Ostomy, Continence

    What type of treatment would you use on an insertion site of a g-tube that has become infected? Our wound nurse is using 4X4's cut with a space to fit around the site. The 4x4 strings are getting...

  2. Orientation-not enough

    dinkymouse posted a topic in Geriatric, LTC

    I figure this is a frequent problem but I need to rant! When I accepted the job at my nursing home I told them I had not worked in 11 years and said I wanted a thourough orientation. "No problem you...

  3. Dealing with on call Doctors

    dinkymouse posted a topic in General Nursing

    xxxHow do you deal with an oncall doctor who doesn't want to do anything? It has been a while since I have dealt with this. Our facilities physician was on vacation and we had to deal with a md that...

  4. How do they post DNR in the patients rooms at your LTC

    dinkymouse posted a topic in Geriatric, LTC

    Everywhere I have worked there is a place in the room where it states DNR. This facility posts a heart if they are a code. I would much prefer knowing a patient is a dnr without having to look for...

  5. New dermal nurse doesn't seem to know what she is doing!

    dinkymouse posted a topic in Wound, Ostomy, Continence

    Our facility just hired a new dermal nurse. She is not certified and doesn't seem to know what she is doing. We admitted a woman with a Stage IV on her buttocks. It is gross, smelly and causes her...

  6. Federal Investigation and employee confidentiality

    dinkymouse posted a topic in Geriatric, LTC

    An RN in our facility had 2 days of orientation and was then put on the floor as a charge 3-11. A patient died and she did not start CPR. An aide had accidently told her the patient was a dnr. The...

  7. Federal Investigation and employee confidentiality

    dinkymouse replied to dinkymouse's topic in Geriatric, LTC

    The people who were questioned didn't bad mouth the facility, they just answered the questions truthfully that they were asked. One was how long of an orientation did you receive? 2 days was about...

  8. communicating with CNA's

    dinkymouse replied to beaglelover's topic in Geriatric, LTC

    Our Cna's are required to attend report and before they leave I make sure they know what to watch for and what I need to know

  9. Federal Investigation and employee confidentiality

    dinkymouse replied to dinkymouse's topic in Geriatric, LTC

    Not excusing her actions, but during orientation we were told to send someone to check the chart for code status. That has changed to have someone bring you the chart. The investigators were both...

  10. I got written up and it's bringing me down

    dinkymouse replied to porterwoman's topic in General Nursing

    I have been writing up by 2 different nurses, once for not checking that what the previous nurse told me was true and once for not passing something on in report. The last one I refused to sign...

  11. How many Pt do you take care of?

    dinkymouse replied to Franlpntorn's topic in General Nursing

    LTC-Iowa 70-80 residents-days 2 nurse managers, 1-2 nurses and 7 aides plus 2 rehab aides evenings-1 nurse, 2 med techs ( on a good day) 5-6 aides nights-1 nurse, 1 med tech, 3-4 aides I am usually...

  12. Umm...I will have 47 residence to care for !!!!!

    dinkymouse replied to BigB's topic in Geriatric, LTC

    I am generally charge, 3-11, of 70 residents. We do have 6 aides most of the time and I have at least med tech to pass 1/2 the pills. On a good day I have 2 so I only have to do the tube feedings,...

  13. How do they post DNR in the patients rooms at your LTC

    dinkymouse replied to dinkymouse's topic in Geriatric, LTC

    When I started this post it was just a hypothetical question but in the past few weeks it has become a reality. I was the only nurse on one night when a patient went into cardiac arrest in the dining...

  14. pain management for bone ca

    dinkymouse posted a topic in Hospice, Palliative

    :angryfire I have never been a hospice nurse but have worked with them when a supervisor for homecare. They have always worked hard at keeping the pts pain at a low level. I work ltc now and we have...

  15. any facilty overdocument???HOW FRUSTRATING

    dinkymouse replied to johnson0424's topic in Geriatric, LTC

    I agree that a good assessment is necessary and charting must be detailed. What I find so awful is that many of our forms have the same redundent questions. On a typical 3-11 shift as the only nurse...

  16. Am I too slow or too thorough?

    dinkymouse posted a topic in General Nursing

    I am a 3-11 RN charge at my ltc facility. Generally I have one med tech and we each take a wing to pass meds. We have 21 diabetics, many of whom get insulin twice during this shift. Of course I...

  17. Call-off policy

    dinkymouse replied to TeleRN44's topic in Geriatric, LTC

    Our facility has the 2 hour before shift policy and if you are gone 3 days or more you have to have a doctor's excuse before you can come back. No one has to make up the shift but we are...

  18. CNA Problems

    dinkymouse replied to dinkymouse's topic in Geriatric, LTC

    Update-the first cna is still too slow and the other aides are starting to stop helping her. If it didn't affect patient care I wouldn't mind it. Luckily most of the CNA's I work with know that if I...

  19. CNA Problems

    dinkymouse posted a topic in Geriatric, LTC

    I have 2 different CNA problems. The first is that there is a CNA who tries very hard but is very slow in her routines. She is open to suggestions and so I watched her do a get up this weekend. I...

  20. I can't stop crying... need encouragement...

    dinkymouse replied to LoriAlabamaRN's topic in General Nursing

    I have to say that when I am about to lose it and can take no more I sneak away outside to have a cigarette (yes a nurse who smokes) and if I had a pc I would probably I written a short note to a...

  21. Calling family for TX!!!

    dinkymouse replied to Antikigirl's topic in Geriatric, LTC

    Unless it is a specially ordered tx that we don't have stock supplies for the price of tx's are billed to medicare. What medicare won't pay for the corporation eats. Some of our residents are...

  22. CNA Problems

    dinkymouse replied to dinkymouse's topic in Geriatric, LTC

    "I sympathize with you... when *any* part of your team is not doing their job, it disrupts the whole unit. I am the type of person who will go out of my way to make my people happy...because I feel...

  23. The bedpan incident, this is long

    dinkymouse posted a topic in Geriatric, LTC

    Most of u know I mostly work weekends. Sat. I went in and listened to report, went to start meds and was called to res. room. On her bottom was a bedpan shaped area. It matched our bedpans to a...

  24. The bedpan incident, this is long

    dinkymouse replied to dinkymouse's topic in Geriatric, LTC

    :angryfire It happened again. Different resident. A 3-11 aide that I had to write up twice last night, left a pt on a bedpan, went home at the end of her shift and never told anyone that she was on...

  25. ADON job offered to someone outside & not me. Need opinion.

    dinkymouse replied to Shell5's topic in Geriatric, LTC

    I agree that there are many issues that would disqualify you as a candidate. The board issue is one of the biggest. Someone talked about the liability to the company and the heavy fines. My...