geriRN1993 replied to nursebabygurl's topic in Geriatric, LTC
WOW I'm impressed with your staffing. I am a DON in a facility of 123 beds and we staff 3 nurses on days, 3 on PMs, and 2 on nights. (granted 24 of these beds are assisted living and we only pass...
geriRN1993 replied to fuzzball's topic in Geriatric, LTC
Unfortunately I have worked in a situation as an ADON where I received the call from the coroner that one of our nurses was found dead in her own bed. After investigation it was found that she had...
When you have someone who is this violent it is required that you have them admitted to a psych unit for a period of medication adjustment. He is a danger to himself and especially to others. You...
geriRN1993 replied to nrsbetrn's topic in Geriatric, LTC
I would start by having the pharmacy do a med pass administration inservice. This will give them the refresher that they need. Continue the audits regularly. Daily for about a week then weekly....
geriRN1993 replied to Blackcat99's topic in Geriatric, LTC
We had a similar incident in my LTC. In our case there was an investigation by the Illinois State Police months later. Believe me it was not fun. The initial incident occurred where the aides said...
geriRN1993 replied to debRN0417's topic in Geriatric, LTC
That is exactly how the founder would like to see LTC. He wants people to drive by a nursing home and say, "I want to work there". He made a comment in his speech about how people react when you...
geriRN1993 replied to debRN0417's topic in Geriatric, LTC
I recently went to a Quality Assurance Forum and the guest speaker was the physician who founded the Eden Alternative. He is an awesome speaker. I'll have to get his name when I get back to work...
geriRN1993 replied to Purple Princess's topic in Geriatric, LTC
Many companies are going to Career Ladders with many opportunities in each position for advancement. I like the idea of "growing quality nurses" from good quality nursing assistants. They are a more...
geriRN1993 replied to StormyCD's topic in Geriatric, LTC
Medicare charting is so very important to the reimbursement of the facility that it be correct. What I teach and prefer is a written nurse's note not a form because it allows the nurse to give much...
geriRN1993 replied to Purple Princess's topic in Geriatric, LTC
I agree totally with you. I am a DON in a LTC facility and help with the CNA's everyday that I work. I feel that they are as their titles say, my "assistant". One of the best policies that nursing...
geriRN1993 replied to MamaCheese's topic in Geriatric, LTC
There's what we like to refer to as the "green med pass" it consists mainly of Oyster Shell Calcium with Vit D!!!! But anything for constipation will work too.
I am a DON in a nursing home and find that missing signatures is a serious problem for all shifts but especially the dayshift. They have 2 medpasses, 2 meals, and appointment scheduling and...