noc4senuf

noc4senuf

Geriatrics, WCC

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All Content by noc4senuf

  1. Need spreadsheets or worksheets please!

    noc4senuf replied to soshore's topic in LTC: Directors, Assistant

    b3nch08 I sent you a PM with my contact

  2. Any wound nurses out there?

    noc4senuf replied to pedsrnjc's topic in General Nursing

    Never debride on the heels. That is what i was taught by an WOCN. Use only dry dressings for protection and keep pressure

  3. no wash cloths!!!!

    noc4senuf replied to NurseEmRN's topic in General Nursing

    I would certainly be complaining if I was handed a wipe to cleanse my

  4. Who you gonna call??? (not Ghostbusters!)

    noc4senuf replied to mondkmondk's topic in Geriatric, LTC

    Been there, done that. Then you just make sure the resident themselves are aware. There is no one else to

  5. Sorry another ques. Was this write up justified?

    noc4senuf replied to mondkmondk's topic in Geriatric, LTC

    With the only sign that was off being a resp rate of 32. I wouldn't have immed called but, kept a close eye on him. What was his normal rate? Some do run higher than

  6. How much education to be a state inspector?

    noc4senuf replied to mondkmondk's topic in General Nursing

    Not where I have seen. I know surveyors that are ADN's. But, most of them have been DON's and multiple years of experience under the belt. It isn't the degree they are looking for but, the

  7. What exactly can a CMT do in LTC?

    noc4senuf replied to mondkmondk's topic in Geriatric, LTC

    No, he can not do dressing changes. TMA's (CMT) can only put lotions, creams, etc on. Some places allow for them to do the blood sugars and others do not. He would still be considered a CNA for the...

  8. can you be a DON/ADON without having your license?

    noc4senuf replied to fallinnstyle's topic in LTC: Directors, Assistant

    I would think most states that when a nurse has a suspended license, they can not perform any duties of a nurse, including writing orders, etc. Those could be done with a limited or conditional...

  9. Need spreadsheets or worksheets please!

    noc4senuf replied to soshore's topic in LTC: Directors, Assistant

    Sent you both a PM for

  10. Admissions RN in LTC. what are the responsibilities?

    noc4senuf replied to jhowannaRN's topic in LTC: Directors, Assistant

    If you live in a managed care area, either know or have the ability to quickly learn what all the different haelth plans will cover (payor sources). Be able to not only screen what a resident's needs...

  11. CNA's and Fire Power

    noc4senuf replied to newtress's topic in General Nursing

    This is not the place to take out your anger on someone just making suggestions to you. Bug Out made her own observations and she is not the reason you were terminated. I have never terminated for...

  12. CNA's and Fire Power

    noc4senuf replied to newtress's topic in General Nursing

    That is why I always say to document, document, document. When I have terminated staff, i have a trail of paperwork to prove the reasons

  13. CNA's and Fire Power

    noc4senuf replied to newtress's topic in General Nursing

    From listening to my staff, I have found that most CNA's just want some respect for the things that they do. Having been one myself back in the 70-80's, i totally understand. They would like it if the...

  14. absentee/tardiness policy

    noc4senuf replied to sls0703's topic in LTC: Directors, Assistant

    As for unemployment, make sure your policies are clearly written. THey should include examples of what is excused and what is not. A signed paper upon hire that they were either givien a copy of the...

  15. CNA's and Fire Power

    noc4senuf replied to newtress's topic in General Nursing

    I must be missing something here. You waited until the end of your shift to wonder about your medicare vitals? My staff are required to get them right at the beginning of the shift, in case there is...

  16. "I Don't Care if You are Sick...Come to Work Anyway!"

    noc4senuf replied to flashpoint's topic in Geriatric, LTC

    The reason for needing to know what the symptoms are is due to the H1N1 and the Seasonal flu. We have had a couple of employees come down with them and have been told by the medical communities that...

  17. "I Don't Care if You are Sick...Come to Work Anyway!"

    noc4senuf replied to flashpoint's topic in Geriatric, LTC

    Our employees need to call 3 hours prior to their scheduled shift, or it is a tardy. Two tardies equal an absence. Three absence is a verbal warning; 5 absences is a first written warning; 7 absences...

  18. Are SNFs required to have RNs at all times?

    noc4senuf replied to nurseinpa's topic in LTC: Directors, Assistant

    THe requirement of 24 hours for inpatient hospice care is for "hospice" centers, not SNF's. An RN needs to complete the plan of care, and make routine visits but, not be there

  19. Nasty residents, smoking, and insubordination

    noc4senuf replied to CapeCodMermaid's topic in LTC: Directors, Assistant

    We don't have a choice in our facility. The state allows no smoking in any public buildings, including, bars, nursing homes, hospitals, etc. All of our visitors have to sign in at the front desk, it...

  20. Are SNFs required to have RNs at all times?

    noc4senuf replied to nurseinpa's topic in LTC: Directors, Assistant

    Each state is different in any additions to the federal regs. The least you can have is 8 hours daily, but you always need to have an RN on-call if not in the

  21. Bachelors vs. Associate

    noc4senuf replied to NickieSever's topic in General Nursing

    When I started nursing school, I had 4 kids with the yougest being 4 months.... and newly divorcedsingle mom to boot. A lot of late nights and early mornings to study and write papers but, it was...

  22. Is there a clearinghouse or forum where LTC facilities can share survey issues?

    noc4senuf replied to ChesterCountyMSN's topic in General Nursing

    THe DON/ADON forum is good for a lot of different topics but, when it comes to surveys they might differ by state do to their particular regs. Do you have a group of homes in your area that you may...

  23. Assisting CNA's/not able to do my own work

    noc4senuf replied to hollyjolly's topic in LTC: Directors, Assistant

    mid2348, you may have left a message for another CNA but, you are posting on the LTC: DON/ADON forum. I'm not sure how many others are looking here. Morte did make a good comment when referring the...

  24. Do you send meds along on a Leave of Absence?

    noc4senuf replied to DPRN's topic in Geriatric, LTC

    Payor sources are all over the board from private, medicaid, insurances. I believe MN limits the LOA's to somewhere around 35 overnights. Don't quote me but, that number sticks in my hea necause we...

  25. Do you send meds along on a Leave of Absence?

    noc4senuf replied to DPRN's topic in Geriatric, LTC

    As of today, I am looking at how we dispense to families. Due to refill on demand and insurances, we won't always have the amount of needed meds in-house if they are going for an extended stay. But,...