Inquisitive one

Inquisitive one

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All Content by Inquisitive one

  1. RN Pronouncement

    What would you include in a nurse's note for an RN death pronouncement? Could someone write an example of a thorough note? Thanks.
  2. Mds obra scheduling tool

    I may have found what you're looking for. Try googling - obra scheduling tool. Hope this helps.
  3. Some more PICC questions

    What is the definition of external catheter length? I would think it means from insertion site to hub of the Picc. Does the length of the catheter from insertion site to the IV connection ever need to get measured? Do all Picc brands have a hub? I...
  4. Nurses week and nursing assistant week

    Just wondering how nurses week and nursing assistant week are celebrated in other facilities. Who gets involved? For nursing assistant week, last year in my facility the nurses made speciality baskets/trays for the nursing assistants. We ended up...
  5. Full Code

    In Massachusetts LTC'S a RN can pronounce death and CPR can be withheld in a person who is a full code provided certain criteria are met: decapitation, decomposition, rigor mortis, dependent lividity. There must be a very specific assessment done and...
  6. My DPH survey manual is about 5 years old but there is a section under Medication Errors, F332 and F333 that talks about med errors with enteral formulas and enteral formulas with dilantin administration. You may want to check this out.
  7. Your welcome. Sometimes free water is ordered in between feedings so you may want to include that. Also there is one medication, Tegretol or Dilantin I believe, which the TF needs to be held for a certain amt of time before administering. I'd have...
  8. Just a few things off the top of my head. You may want to add residual checked, amount of residual, MD orders to hold TF for whatever time presecribed if residual is greater than____ (whatever the order states), TF intake if it's not recorded somewhe...
  9. The nursing process which drives the careplan can be applied to any life situation/problem. It can be used for personal long and short goals. I haven't used it formally as in a written plan for myself but tend to use the process daily for whatever wi...
  10. Witch Hazel

    So, think a bit further. You got what witch hazel does, the end result, but how does it do this? What's the body's physiological response to get relief? This may get you started but I know there's more information available on other sites http:/...
  11. Nurses note question

    I work in long term care and last evening I read a nurse's note that mentioned the names of other nurses who assisted this nurse with an assessment. For example, patient's BP 62/palpable. "Jane Doe RN" also got same results. Reported to charge nur...
  12. Role of SDC nurse during survey

    I have a coworker that will be interviewing for a staff development/infection control position with the company we work for (long term care). We are trying to practice interview questions to prepare her for this. Could someone detail the role of the ...
  13. Valproic acid for pain? Really?

    http://wiki.answers.com/Q/What_is_Depakote_and_how_does_it_work
  14. Valproic acid for pain? Really?

    http://wiki.answers.com/Q/What_is_Depakote_and_how_does_it_work
  15. How to classify blisters?

    here's another link that may help you pdfhttp://www.npuap.org/pr2.htm
  16. How to classify blisters?

    Perhaps this link will help you. It's the 2004 CMS guidelines regarding presssure ulcers. I don't know if there is a more recent update. Pagse 19-20 go over staging. http://www.cms.hhs.gov/transmittals/Downloads/R4SOM.pdf
  17. Oral care

    You could mix mineral oil and alcohol free mouth wash 1:1 ratio and swab with toothette every 2 hours. Sometimes we add hydrogen peroxide in the same ratio. There's a product called OASIS that I believe is over the counter.
  18. Salary positions

    Just wondering if there are LTC RN/LPN nurse managers out there who are classified as exempt (salaried) employees? How does this status work in your facility? (regarding holidays (worked/not worked), leaving work early. flexibility in your schedule...
  19. TPN Policy and Procedure in LTC

    You may want to call the facility's pharmacy to guide you on this. Our pharmacy supplies us with protocols to use. I believe accuchecks are done 4x/day with sliding scale insulin. Sometimes insulin is added to the TPN bag. Also know what to hang a...
  20. OMG! The State is coming...

    This is not something new and you should have been oriented properly from the beginning. From your resident responses it seems that this protocol isn't followed by staff on a daily basis. You will get dinged by the state if you're noted to do finger...
  21. very nervous: Narc missing!!

    When narcotics are received they need to be signed for by the nurse who received them. The signature is written on a carbon copylike invoice, one copy is left with the facility and one goes back to the pharmacy. If the med was delivered the pharmacy...
  22. Filing PT/INR results

    Active charts in LTC can become very 'thick' quickly and legally there's only so much that can be pulled out and filed. Since PT/INR's are drawn so often, how many weeks/months worth of PT/INR's do you keep in the active charts? These results are f...
  23. magor brain cramp guys.......

    http://www.medicinenet.com/tuberculosis_skin_test_ppd_skin_test/page2.htm Dose should be 0.1 ml intradermally
  24. Do you know the right answer?

    If before you leave means at the end of your shift vs. when you leave the room..... Would it be clock out?
  25. Do you know the right answer?

    Thank/praise the CNA for bringing the issue to the nurse's attention?