Mama Jules

Mama Jules

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About Mama Jules

Mama Jules has 26 years experience.


Latest Activity

  1. My first dump and run

    I've seen my share of all different kinds of family dynamics in my 28 years of long term care. And as a stepdaughter of a stepfather who had a godawful case of dementia along with almost every single kind of chronic illness you can name, I suffered t...
  2. Qualifying for Medicare A - Talino, can you help?

    Thank you. I thought I was right....but you know every now and then a newbie comes along with a new perspective and makes me second guess myself. Do you have link to the page in the manual I could refer to? I know I've seen it in there, but I have s...
  3. I have many years of experience but right now cannot put my hand on the Medicare reg about qualifying stays. Here's my predicament: 01/09/2015: Resident admitted under Part A services after a qualifying event. 01/22/2015: Discharged from Part A afte...
  4. How to deal with an aggressive dementia patient

    I agree with the other posters that it may be time to discuss this resident being admitted to a lockdown facility. The problem is, at least in my state, the few places that have them stay full. I also agree with the poster who stated long term care f...
  5. RN never feels guilty when calling out

    I call out if I'm afraid what I have is contagious (i.e., fever, sore throat, chills, diarrhea, n/v) but not for headache, fatigue, soreness, general aches and pains ( I'm almost 50 with too many 12 hour shifts on cement floors). However, I have alw...
  6. Professionalism....name your irritation here!

    Did you even read my post? He was not "near" the nurses' station, nor was he in the "official" break room. He was across the entire PACU floor, in an empty nursing station, where he clearly couldn't hear the call system. It wasn't "quiet". A call bel...
  7. Professionalism....name your irritation here!

    Well, you have a point, VANurse; maybe I was overly emotional. After all, I was only concerned that my husband not have to undergo unnecessary treatments for avoidable post-surgical complications. You would have reacted differently? You're right, on...
  8. Solutions for Tired, Achy Feet

    As a sufferer of plantar fasciitis, freezing a water bottle or two and rolling it under your feet at the end of a shift, or a walk or run, helps as well. Also, there are some terrific you-tube videos illustrating ankle exercises that can strengthen t...
  9. Professionalism....name your irritation here!

    Mine is (coming from a LTC perspective) hearing nurses tell inquiring family members, "That's not my patient (or resident)", and walk away. No, they may not be under your direct care, but in my mind, it is ANY nurse's responsibility to help family m...
  10. Professionalism....name your irritation here!

    I'm with you. I work as a Medicare Reimbursement Specialist in an LTC facility. I have my own office, but I still leave mine OFF in my drawer or purse and cut it on only during breaks. My husband recently had a TURP done and I was staying with him i...
  11. Dehydration CAA

    Yes, I usually do; there are lots of reasons residents receiving tube feedings may develop dehydration; at the very least they are at risk simply because they are dependent for their hydration needs. I have always been of the mindset that having a ca...
  12. Microbiology practice exam

    Login to Excelsior. Your home page should come up. Click on "Microbiology Practice Exam" When the Blackboard opens, click on the exam. Click on "taking and reviewing your practice exam". In the table of contents, scroll to number 8, practice exam For...