CoffeeRTC, BSN 15,903 Views
Joined Jan 22, '03.
CoffeeRTC is a RN LTC.
Posts: 3,581 (23% Liked)
OP....come back and explain yourself! Why is this so important to you?
When the DR is out, does care suffer? Do other Drs pick up the slack or is there a huge delay of care?
As far as worrying about the paramedic, their base would be sending out calls if they needed them back asap? EMS crews work in pairs in my parts, where is the other one while this is happening? If anyone should be concerned, it would be his partner.
...and I'm the nurse that gets those patients admitted to my SNF for rehab....minus the Ativan, minus the Ambien, minus the Dilaudid/ Percocet/ Vicodin.
Yep, they were on all of those in the morning and might have even got their prns that morning. Now it is 7pm and I'm in the middle of doing their admission. Try getting an order for any of those.
Do it!!! I've been an RN in LTC for ever, so I see where you are coming from. If you are worried about the less pay...you can probably pick up hours prn at your current facility or any other.
Ruby Vee hit the nail on the head. Critical thinking....is asking why and what else? In LTC, you do more focused assessments and a lot of times you can miss the big picture. It is also about priorities. There are a million things to do, but if you have someone that needs meds, ivs, labs....those simple dressing changes are going to have to wait.
How big is your unit/ facility? I am in a 50 bed facility.
MDS nurse should do just that. I can't imagine having enough time to do anything but MDS, care planning and updates for managed care.
We have a referral manager/ admissions coordinator. This person does just that. They visit hospitals and make calls. They are more of a sales/ marketing person. Not a nurse.
We have not admissions nurse. We try to staff with 3 nurses with the RN being the charge nurse and handling the admissions.
Could you or should you? You can do anything you put your heart into, but should you....probably not.
Wow...stick with that place if you get the 40 days. That is very generous! There are many threads on this subject in this section..browse thru them to get a little more.
I would make a time line to plan the shift.
7a- 730 Report/ get cart ready
730-8 check for appointments/ therapy schedule..do a quick round to check residents/ treatments
8am -1030/ 11 am Med pass and treatments
11:30 start noon meds and accu checks
12 help with lunch
charting/ follow up calls etc until the end of the shift.
In the morning..residents might be going for therapy or dr appts..try and get them first.
Yep, you were right in this situation. The order said to call.
You will learn the docs quirks. Some want called for every little thing and some will give you leeway. When in doubt, always call them. I'd much rather get chewed out than miss something on one of my residents.
Do you have any more specific situations?
If you haven't been over to the LTC forum...go on over and read through the threads!
Well, you have us all confused with the little details. I'm going to try and guess at a few things.
MDS nurse....so you work in LTC? Was it false documentation from another nurse? Did they use your name on documentation?
I'm not sure what would make you leave so abruptly and abandon you position. I've been pulled into some deep situations but still have to scratch my head on what would make you up and leave? Did you give report to another nurse that was qualified to accept your duties? Did you call you malpractice insurance provider right after you left?
I have to agree, he is probably weaker in the evenings and requires more assistance.
How is he being taken care of when he is OOB all day?
Advertise With Us