achot chavi replied to CapeCodMermaid's topic in Geriatric, LTC
I need the source for that ASAP- We have a meeting coming up and I want to include that info I didn't know it was official (although I suspected it) as I tell my nurses who else responsible for the...
achot chavi replied to CapeCodMermaid's topic in Geriatric, LTC
I can write a book with these heartwarming stories- it keeps me satisfied with our profession- after all its the little things that matter so much. We have a charity fund for buying the patients...
achot chavi replied to CapeCodMermaid's topic in Geriatric, LTC
Good For You- I always say the best way to deal with weak facilities is to vote with your feet. They must have more than a clue about skilled nursing- after all they hired you!! I had not noticed the...
achot chavi replied to CapeCodMermaid's topic in Geriatric, LTC
Here's ur opportunity to write the policy. In my facility all MRSA's are put together or alone , simply because the families would freak out if they find out that they were mixed- despite the...
There are two aspects of every admit- the administrative part and the professional part. Anyone - even a secretary (no disrespect intended) can do the administrative part as long as they are properly...
i hate to be sucked into this but if you look up the definition of lvn you will get: "an lvn is a licensed vocational nurse which is a nurse that is licensed by the state to provide routine patient...
CTM985- you just keep doing your job, ignore the others who are in essence abusing their position and patients by neglecting their responsibilities, I promise you that in the end good work will get...
I think you have a legitimate dilemma,. I would double check with the facility as to how much responsibility you will have in the event that the LPN manager makes a mistake in judgment. I would get...
achot chavi replied to gardenpartyy's topic in Geriatric, LTC
I have had this pleasant experience- it is certainly unlike anything you learn in Nrsg Schl, I have had sons who were drug dealers and yelled at the staff for stealing all his mothers money so she had...
achot chavi replied to Inquisitive one's topic in Geriatric, LTC
We keep a flow sheet with Dr's orders plus nurses signatures (which must be legible) for the Coumadin and INR results. The doctors get the blood results by computer so the doctor writes in the result...
achot chavi replied to Rascal1's topic in Geriatric, LTC
I Googled it, actually this site and page was listed fifth!!, didn't find anything worth posting- there are salsa style nursing uniforms, there are nursing homes that have salsa classes and parties,...
achot chavi replied to Lovely_RN's topic in Geriatric, LTC
Based on my experience, I would either have a frank and nonjudgemental talk with the DON, Perhaps outside of the facility and based on how that goes, I would either decide to look for a better place...
achot chavi replied to Schmoo1022's topic in Geriatric, LTC
You know with the improved diapers, most of our patients don't use absorbent pads under anymore- only when we have running diarrhea, or an extremely obese patient who is a heavy
achot chavi replied to Schmoo1022's topic in Geriatric, LTC
Let them put the absorbent pad under the drawsheet and see how they have to change that sheet every time the pt wets it!!! They will learn real fast that the pad goes on top of the
achot chavi replied to Schmoo1022's topic in Geriatric, LTC
Nurses do the treatments although I admit to cheating with a rash on the male private parts and I allow a CNA (male) to do it under my guidance and supervision. I have no problem with the area but...
When faced with such a situation, I do as you did but also inform the SW and if she is unavailable I inform our Adm. because I know 9 times our of 10 the families ignor messages and then blame
achot chavi replied to PeacefulHeart's topic in Geriatric, LTC
Whoa- the law is that you deserve and can take your vacation- it is the facilities job (read DON) to find the coverage- They make you find your own coverage? No wonder your burnt out!!! How many days...
achot chavi replied to MelodyRNurse's topic in Geriatric, LTC
Try: "Mrs. X needs her diaper changed, she had a BM" or " Physical Therapy wants the wrist brace put on Mr. Y. every morning, I don't want them to see that we are neglecting that" That way you're not...
achot chavi replied to MelodyRNurse's topic in Geriatric, LTC
I think this problem is rampant, when faced with it I remain calm, say as little as possible in response, write up the incident stressing that the poor behavior was done in front of a patient or...
achot chavi replied to pretty70's topic in Geriatric, LTC
CCM wrote:"Somehow I don't think I'll have to worry. I've already been told by most of the facilities around here that they would never admit me because I'm so noncompliant!" End quote. As the KING...
achot chavi replied to retread71's topic in Geriatric, LTC
Are yo stopping along the way to answer questions, take phone calls, do dressings? are the tubes patent or clogged? Do you have difficulty organizing your supplies? do you have to stop to order...