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catskillrn

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  1. staging pressure ulcers

    catskillrn posted a topic in Geriatric, LTC
    how are you all staging your pressure ulcers? Is a stage 3 always a healing stage 3 until resolved? or is it a 3, then a 2, then a 1, then resolved? thanks!

  2. cna assignments

    catskillrn posted a topic in Geriatric, LTC
    I am a DNS in an 85 bed facility. CNA recruitment and retainment is difficult. We practice primary caregivers- cluster assignments. This means a senior CNA has the same residents every day. Previously this meant quality, efficient care. However, new CNA's/floaters are having trouble getting done, care is suffering, etc. Now I wonder is it time to rethink the way we assign? Do others practice team nursing? How do you assign residents? Does anyone have any creative approaches? We have minimum staffing requirements, mandatory OT. Days 11 CNA, Ev 9, Nights 5. We also have a hydrator. Sometimes we have a bedmaker. Any ideas would be appreciated. Thanks!

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