violetrose

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1. Need advise/Retire or stay

   violetrose replied to violetrose's topic in Geriatric

   Thanks to all who replied to my issue, update: I'm retiring - I'll work part-time but not in the same position. I'll be looking for something less stressfull. Thanks again, for all your replies it really help me make my decision what to do.

2. Need advise/Retire or stay

   violetrose posted a topic in Geriatric

   "]I've worked at this facility for 13 + years, been ADON/Charge Nurse for 5 years. I do 80% of all MD calls, orders, admissions, resident concerns, staff concerns, end of the month MARS/TARS prepare for MD rounds and what ever else the DON wants me ...

3. Faxing or not faxing

   violetrose posted a topic in Geriatric

   As RN, chg nurse I do much of the reporting to the MD's on the day shift I generally fax the chg of condition or updates to the MD, and wait for his response, if no response by the end of my shift I call the MD. I always call on anything I need a...

4. Lpn in ltc assessment

   violetrose posted a topic in Geriatric

   I am a RN nurse manager/ADON I have been informed that LPNs can not assess a resident condition or change of condition, it must be done by an RN. However, if the lpn does assess a chg of condition and if the RN agree's with the assessment and will...

5. Steps of a wet to dry dressing

   violetrose replied to oxyjen's topic in Wound

   So,so, True, I Work In Ltc, Frequently Get An Order For W-d Drsng. I Have To Call The Md To Clarify And Explain. A Wet To Moist Drsng Is An Exceptable Treatment.

6. Tired Out

   violetrose posted a topic in LTC Directors

   i'M A ADON, I'M SALARIED. I DO ALL MD CALLS UPDATES, ADMISSIONS, FAMILY CONCERNS, PT/OT/ST ORDERS/RECOMMENDATIONS/DIETARY RECOMMENDATIONS, ASSIST ON THE FLOOR AS NEEDED. ++++ WORK APPROX 50-60HRS A WEEK. DON IS CONSTANTLY ASKING ME TO DO THIS, DO...

7. would you finish work from previoius shift?

   violetrose replied to Ms.RN's topic in Geriatric

   We get lots of heat when we work overtime, frequently admissions come in after lunch it is difficult for that shift nurse to even start the assessment. A quick admission note is all they can do,sometimes. Our day to day work load is terrible and ou...

8. taking a new ADON position

   violetrose replied to couchdogs's topic in Geriatric

   I agree, catch-all job. My job title was charge nurse, I do all MD calls, orders, charting, family updates, admissions, discharges etc, etc. It involved working 10 - 12o/day. The admin, didn't like paying me the overtime but no matter what I tried...

9. New Policies

   violetrose replied to wildcard47833's topic in Geriatric

   We have a shower aid, she gives the showers starts at 5:30am, does weekly BP, weights, nails, monitors changes in skin condition. Documents all the above. Helps with bkft and feeding. Usually done with this by 11:00AM, then helps in the dining roo...

10. Med Pass/interruptions

    violetrose posted a topic in Geriatric

    I'm a charge nurse in LTC, I make most of the MD calls and orders, do MD rounds monthly plus many other tasks. I have an issue with interrupting the nurses while doing there med pass, so when I have to put these orders in the MAR it is very difficul...

11. Geri-psych?

    violetrose replied to PeachPie's topic in Geriatric

    In our facility propective residents are screened very carefully, we don't accept them if they have combative or disruptive behavior. We were sited big time by the state when we had a resident transfered from our Alzheimers Unit to the SNF because h...

12. Help with sundowning residents (long)

    violetrose replied to Elektra6's topic in Geriatric

    After you have exhausted all suggestions and you still have problems. This is dementia care, sundowning is symtom of the disease. 1:1, oh sure on LTC staffing, interventions, activities helpful but lasts only a little while do to the poor attenion...

13. No Overtime! Period!!

    violetrose replied to Monica RN,BSN's topic in Geriatric

    Monica::rotfl: I am having the same problem with NO OVERTIME!! I'm a chg nurse in a 78 bed facility. I do all the MD calls, updates ect. I try to get my faxes out if the fax machine works or calls by 10AM. Invarabily the Docs don't call back unt...

14. How many people do you have to wake up at night?

    violetrose replied to Blackcat99's topic in Geriatric

    I agree don't wake resident up at night except for repostioning and incont care which are essential. Treatments a NO,NO!! If I have a TID treatment we do the night treatment at the time of repositioning. ***I have a concern related to starting med ...

15. LTC is getting the best of me!

    violetrose replied to NursesRmofun's topic in Geriatric

    I have your sympathy, I'm also a "Charge Nurse, Unit coordinator, Patient care coordinator, babysitter, ADON (don't have the title). My day starts at 8:00AM-4:30-5:30-6:30 sometimes 7:30PM. I am so so tired of being dumped on, by all the other nurs...