djewel

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1. Long term care SNF staffing

   djewel replied to djewel's topic in Geriatric

   Hello, did your DON have also a charge nurse along with the ADON and MDS Cordinator? I know my DON is very busy, never said she sat on her behind??? I have been a DON and never had the privledge of having a ADON or MDS, I did it all, but it was not a...

2. Long term care SNF staffing

   djewel replied to djewel's topic in Geriatric

   Thank-you. So how big is your facility and what is the day staffing for a SNF? I am curious on how other homes are ran. Does your DON delegate any of her responsibilites to other staff, like her MDS, or a charge nurse? I know for a fact that a nurse ...

3. Long term care SNF staffing

   djewel replied to djewel's topic in Geriatric

   So what is customary for staffing for a SNF in Mng? I have too, been on both sides of the fence. I am not saying that any one job is easy. I am just wanting to know what to expect from Mng.? Should the Don have an MDS plus 2 nurses on her shift? This...

4. Long term care SNF staffing

   djewel posted a topic in Geriatric

   I am wondering what the staffing should be for a LTC facility which is a SNF. This is a 50 bed SNF that has a DON, MDS, and two nurses and a DON assistant all whom work in the day shift. Is this customary? The last LCT facility I worked in had only...

5. I saw my first patient that died today...

   djewel replied to heartlover07's topic in General Nursing

   You cannot escape the sadness you feel when you loose a pt. I never said it was easy, it gets better, you learn to cope. You have got to understand dying is apart of living, and it always hurts no matter what. This may sound really corny, but we are ...

6. would you be a RN for $11.00/hr?

   djewel replied to PHLEBOTOMIST_TO_RN's topic in General Nursing

   Definately I would, no question. I started at $12 an hour 15 years ago. It was not about the money when I started, it was the fact it was in my heart to become a nurse. Yes, I too needed the money, but it was a small part of why I became a nurse. { i...

7. I saw my first patient that died today...

   djewel replied to heartlover07's topic in General Nursing

   I think it will get easier. I remember my first pt, that died. I was very emotional about it, I was crying so hard, my instructor told me not to be in the room with the pt. after the death. I still remember that day, it was very hard. I think I grew ...

8. I saw my first patient that died today...

   djewel replied to heartlover07's topic in General Nursing

   I think it will get easier. I remember my first pt, that died. I was very emotional about it, I was crying so hard, my instructor told me not to be in the room with the pt. after the death. I still remember that day, it was very hard. I think I grew ...

9. Long-term Care Advance Directive

   djewel replied to djewel's topic in Kansas

   Thank-you for your all of your imput.

10. Long-term Care Advance Directive

    djewel replied to djewel's topic in Kansas

    Can't a living will or Advance Directive be the same as the DNR? I don't really understand why you have to have a DNR, if you have an AD or LW. I had been gone for several days, and the day nurse did not report that this pt. was actively dying. I cal...

11. Long-term Care Advance Directive

    djewel replied to djewel's topic in Kansas

    Also, how long does the Nursing home have to update the chart after a readmit? Nothing was redone in the chart, after this readmit 24 hrs after. Then I am the nurse comming on duty, working part-time not able to find anything in the chart only the AD...

12. Long-term Care Advance Directive

    djewel replied to djewel's topic in Kansas

    Okay, this re-admit was done 24 hr. ago before my shift, and this nurse tells me that this lady was modeling upon return from the hospital. I could'nt find anything in the chart except the AD, and thats what I went by, with the other nurse telling me...

13. Long-term Care Advance Directive

    djewel posted a topic in Kansas

    Hi, I was wondering if a pt. has an Advance Directive, and it does not conscent to CPR, then is'nt that all a nurse needs to have in the chart to not start CPR? I am being told by my DON that CPR should have been done on a pt. She did not have a DNR ...

14. Good Bye to Nursing for me...

    djewel replied to healer27's topic in General Nursing

    I want to tell you to not give up. I too, had a bad experience in a hospital. I had a Nurse tell when in nursing school, that I would never make it as a nurse. I was one of the outstanding students in my class. I tried very hard and was very dedicate...

15. MDS Cordinator

    djewel replied to djewel's topic in MDS

    Thank-you. Can you explain the MDS 3.0/ I have'nt done any skilled MDS yet. We call the Physician order sheet, the POS. What is the PPS? Thanks a bunch! Our facility is 48 beds.