Had one of these moments today when one of our primary nurses called me to her room to verify an increase in a Fentanyl drip. I slowly opened the door a crack to reach the keyboard, when I realized...
I have been waiting for a thread like this for a long time. Sounds like the OP is saying that the emperor has no clothes and quite a few are shocked and insist that they always see clothes on the...
icu/don replied to NurseGeorgiapeach's topic in Geriatric, LTC
No, California does not have nursing ratios for nursing homes. Actually the ratios got written into the law, but are not enforceable because of budgetary restraints. The binding staffing in...
icu/don replied to ChickenJoyRN,BSN's topic in Geriatric, LTC
look at a current copy of title 22 in california. the ratios for snfs are in the law but they can't be enforced because of budget issues. it would cost the state way too much to implement because...
I think I agree with you. but... What is the purpose of the different training? Why not omit the LVN/LPN training and have one licensed nurse? The individual nurse will then develop skills based...
I know of a ADON in California who is an LVN but acting DON. The actual DON of this facility is actually the DON of the hospital district so I don't think she (RN/DON) has any part in the actual day...
In my facility we (meaning DSD,DON, MDS nurse) put pain assessment on the MAR q shift for anybody on a "pain management program" (meaning everybody on routine pain medicine). If the resident does not...
Well, as my name implies, I am both an ICU nurse and a DON. 8 years ago I left a full time ICU position for my current DON job. I stayed on per diem at the hospital and still work there 2 shifts a...
Culture shock is right!! As my sign in implies, I work as an ICU nurse per diem and DON full time +. I happened to work in my current facility as a CNA for 5years while going to school, so in a way...
Wow!! I guess I am pretty spoiled. Our General ICU of 35 beds is split into three units with a charge nurse for 11-12 pts. The charge nurse does not take any pts. except in an extreme crunch....
I think alot of our confusion in this discussion is that we each have different definitions of "futile care." As an ICU nurse, running a full code on a patient that has already been in the unit for...