LadysSolo 4,444 Views
Joined Dec 17, '06.
Posts: 200 (71% Liked)
I have seen it where they cannot be in the same room because one tries to take care of the other and it isn't safe. I have one resident who is in assisted living and her husband is in skilled care, so they are on different floors but in the same facility. Someone had to arrange for this, patients are not admitted to Nursing Homes without a POA signature.
I can't believe they made NO investigation! (Actually I can, and that's scary.) However, that is SHAMEFUL! They needed at least to look for corroborating evidence of the complaint. When there is a complaint against a nursing home in my state, the surveyors send out someone to investigate the complaint before any more is done. One would think the BON would at least take as much care. Apparently not. I ALWAYS recommend carrying your own malpractice insurance - I want someone whose sole focus is defending me.
I don't mind the OP (information-seeking) as much as I mind a non-nurse giving nursing advice (posing as a nurse.) In my state that is criminally actionable (a non-nurse posing as a nurse.)
It was worth it. When I did it it was with relatively low expectations - I would continue until either the money or brains ran out. I also was a single mom, working full-time, going to grad school, and during it just to add to the fun decided to build a house and move! And I finished. The only thing I would say is that if I had know in the beginning of my career that I would go on, I would have worked harder in my undergrad program (all of you RN students pay attention if you think you MIGHT go on to a graduate degree.)
As a female nurse who has been "hit on" by male patients, let me tell you that what turns females off is bigotry (one of the patients in attempting to prove he was a "manly man" told me how he could recognize a f*g at 20 paces and would do "whatever" to them, was trying to impress me with how "tough" he was, his "big truck", etc.) Other than I would never date a patient, if he has to brag so much I am DEFINITELY not interested. I prefer intelligence, looks fade......
[QUOTE=Asystole RN;9156612]Boo hoo.
"Who cares about someone's feelings when LIVES are on the line? The pursuit of organ donation should be aggressive and persistent. We owe that much to those who are dying and to the families to know what their feelings may cost."
Absolutely wrong. Each person has rights, and your rights/your family member's rights DO NOT take precedence over mine! I know you will disagree, but too bad. What if I wanted your car because it was prettier than mine? Do I have the right to just take it? What if I NEED rent money, and you have more money than you need? Can I come take it just because? What if I am having difficulty feeding my child, can I come in your house and raid your refrigerator even though you say no? Where does it end?
As has been stated, recommendations are not permitted. Staff is also not permitted to make recommendations. What you need to do (I am in various nursing homes 5 days per week) is to go to them and casually observe interactions. Do not be "put off" by appearances, often the best care is NOT in the "prettiest" nursing homes (I would prefer them to spend money on staffing rather than "pretty", and some do.) Observe the staff interacting with residents. ASK if they have any specialty at the facility. Ask your family member's provider which several nursing homes they recommend, or ask where they have residents if you want them to follow your family member there. And MOST important, go on more than one occasion to casually observe (any facility or staff member can have a "bad day.")
Read the article linked, "Abusing the gift of tissue donation" on page 7 of this thread, where the person from the Funeral Director's Alliance states that the for-profit trade in donated tissues is a legal gray area. Apparently donated organs (technically tissue) can be sold for profit, at least in some states. I am not in favor of this. Apparently it depends on whether the organ and tissue procurement person is for profit or non-profit. Apparently yours is a non-profit.
I have always marked my driver's license as an organ donor, but I am now thinking I may change my mind. I do NOT want my organs sold on the black market (as is said can happen with for-profit procurement organizations in the first link of the articles.) I was always believing that my organs would go a person on the waiting list, not get sold to the "highest bidder."
I am a wound nurse practitioner, and have been a nurse for over 30 years. You need extensive knowledge unless all you plan to do is put dressings on. You need a knowledge of circulation (wounds do not heal without blood supply) metabolism (diabetes/renal disease/circulatory issues again,) cardiovascular (circulation/edema,) nutrition (wounds do not heal without adequate nutrition for healing,) etc, etc., you get the idea. All body systems are integrated, and you have to deal with patient non-compliance if patients are not in-patient and they do not cooperate with the plan of care, patient-family teaching, arranging for home care/supplies.... I think a med-surg background would be a good idea before going into wound care. YMMV
I don't think trading is bad, the PTO could look bad though. Trades should not look bad, because no one has to agree to trade with you, they only trade if they want to, so no big deal. PTO is a bit more questionable.
NPs in my state make (average) $35.00 but most are on salary so you have to divide it out. I have 10 years experience as an NP and I make $32.00/hr (although I am on salary so I divided by my average # of WORKED hours/wk, no compensation for on call 24/7/365.)
At the hospital where I had worked for 23 years I was making about $1.00 more an hour than new hires when I left. I was actually making MORE than the RN maximum salary because I had been there so long. We ALL knew the salary scale, and we annually got a 1% raise unless there was an across the board cost of living increase, and once you were past the maximum you got a 0.05% annual increase (which is how people caught up.) But we all had a rough idea of how much everyone made. Technically we were not supposed to discuss it, but we did (usually on nights where "They don't pay us enough to do this!")
They wanted to CUT our staffing once. We asked a board member to follow us for one day to see what we did. The board member made it for 4 hours, and left the floor saying "CUT your staff?!? I don't see how you do what you do with the staff you HAVE!!!!!"
The hospital was only posting part-time positions for awhile (anyone remember when UPS was doing that about 12 or so years ago?) Our hospital thought it was a Great idea. I had been there long enough to know who to drop information to that it would get "carried" back to the powers that be efficiently, so I "dropped" that we were talking union. Suddenly, full time positions were being posted again. Imagine that?!?!
You make it work because it's all about the patients. I got out on time about the same # of times I got lunch - you could NO WAY keep up your charting under the circumstances, you make notes on the paper on your clipboard so you can chart later. I also am extremely anal about things, and very organized. I also used to joke that my patients were "well-trained," I would check into everyone's room about hourly, and they could ask me for what they wanted then (cut down on call lights), and their families got used to it too (I worked 5days/40 hours/week) so it made things better. I also knew from friends that it was no better anywhere else, so I stayed where I at least had good co-workers.
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