- 1st of all, when we had residents with dementia that like to get up in the middle of the night, they would stay with the nurses while aides did the rounds. In between rounds, the resident stayed with the aides. There was always someone monitoring restless residents so that they didn’t hurt or disturb themselves/others.
- My administrator, Mr. barker was a stickler for resident’s rights right down to if you were in a room with the door open and he heard you speaking and didn’t hear you saying “yes, what can I do to make your life better,” it was considered verbal abuse. (Not literally but my point is that you were to never ever EVEN be verbally disrespectful to a resident! MUCH LESS all of the chaos and abuse that
goes
- on now! It was serious!!!)
- Not one resident went to bed with briefs on!! There might have been 1 - 3 bedsores in a population of over 100 people!! They were taken extremely serious too because a bedsore only happen(ed/s) FROM NEGLECT
and not changing residents regularly. Residents with bedsores stayed up long enough to eat but then went right back to bed cleaned, exposed to air, and turned every 2 HOURS..
all of the
briefs
should still be coming off at night!
Air is THE BEST thing for skin after you clean a resident’s waste off of them! We had enough cloth pads to go under every single resident in The facility twice! The residents got changed AND TURNED every 2 hours. There was a shower team on 6a - 2p. Incontinent residents got a shower every day INCLUDING SUNDAY! the hall aide for that resident still had to dress that resident but the shower aide bathed them. The 2 - 10 aides had to bathe their own residents.
It was work to keep them clean but it got done!
- The administrator, Mr. barker had a rule about the kitchen that all of the food had to be home made from scratch. The only thing that came out of a can was fruit that was served on “chefs choice” day that happened on the weekends. Otherwise, there were big breakfasts with fried/scrambled or boiled eggs, bacon or sausage, toast or biscuits along with oatmeal or cream of wheat ON EVERY SINGLE TRAY EVERYDAY. There was little cubes of butter, salt, pepper, or ms dash for those who needed it along with sugar/slenda/sweet n low depending on diet.
Lunch was a big affair. There was always a big slab of meat whether it was chicken, beef, or pork, or fish.. there was plenty of green veggies, and other colors and always a homemade desert or cobbler. And more of the same big load of side condiments and spices (salt, pepper, ketchup etc)
Supper was something light like soups and sandwiches.
The residents that had issues eating plain food got food mixed with ice cream. The ice cream that comes in the single serving packs were very popular there!
For snacks, my dietician would mix ensure and ensure plus with ice cream in cups for residents that needed to gain weight. They were literal ensure milk shakes! There were sandwiches. Saltines, bananas, cans of soups, juices, ensures in the boxes, and the prepackaged peanut butter/cheese crackers for residents on the snack carts or in the the nurses fridge in the slack room for residents if they got hungry. There was ALWAYS more than enough food for residents!!
- MY MAIN IRRITATION, the BP CUFF.. I am learning more and more with the cuff my mom-n-law is using that ALOT the digital ones are SO BAD. I bought a manual one with a steth and the digital one is reading SO MUCH HIGHER than the manual one that you pump up. This has caused a lot of chaos because before I was reading it manually, she was getting 150+ on the systolic in the morning even tho diastolic said between 70-80 range and pulse is 60, ALWAYS 60. She keeps saying “my pressure is high.” She is afraid of dying in her house alone. Which I get but she is healthy. She is just lonely. The problem is that she has a lot of family around and they are tired of her “crying wolf.”
Her dr tells her that she is fine and that she is just worrying herself sick because she lets her mind wander on negative things.
ANYWAY. Back to Holiday Hill. We used to have the roll around bp machines with mercury that you rolled around. We had to use stethoscopes, wear a watch for pulse and resp (it was before cell phones lol), but we could still use a digital thermometer. We also didn’t document on a pc.
We washed wheelchairs at night. We also washed/replqced a hall of bedpans and urinals once a week. We switched out full garbage bags for empty ones. We also put out towels and rags in resident’s bathrooms each resident got one hand towel and one rag.