Latest Comments by michelle126

Latest Comments by michelle126

michelle126, BSN 12,182 Views

Joined Jan 22, '03. michelle126 is a RN. Posts: 3,466 (22% Liked) Likes: 1,469

Sorted By Last Comment (Past 5 Years)
  • 6

    It is different in each SNF. It depends on the size of the facility. Sometimes just being the RN on duty makes you the supervisor. ASK to see the job description.

  • 0

    Will the RT be there with you all shift? Its been years since I worked in a facility with vents so I really don't remember much. What are the other skilled residents like? High acuity? Is this 11-7? or 3-11?

  • 0

    I think a STNA is a state trained nurse aid aka CNA?

    I've worked in large facilities with 200 beds down to a 50 bed facility. The politics are everywhere. Seems worse in the smaller one though. If you are a supervisor or manager, stay consistant and fair. Go by the rules, don't play favorites. Don't get caught up in the gossip. It will pull you in and drag you down. Same applies for the staff nurse.

  • 1
    RATMLPN likes this.

    I've seen this before too. Some places require all OT to be approved by the DON or supervisor...even if it is mandatory and a no brainer (no relief). It is different in LTC since there are little staffing regs. The one nurse to 32 is probably legal. Sounds like they were willing to run with one nurse to the 32 and have you go home. Safe? No.

  • 0

    Quote from kiszi
    After the patient is admitted to the hospital for a period of time (I think 24 hours) they are discharged from the nursing home. The NH can then accept the patient for readmission, or not. It's not really an eviction, though I'm sure it feels that way to the resident.

    In my state, Medical Assistance (Medicaid) pays for a 15 day bed hold. After that the facility doesn't need to hold the bed.

  • 0

    Help me understand "the nursing budget". What is included in it? When you became a DON, how much experience did you have with the budget? What is your role in managing the budget?
    I'm guessing the biggest part of the buget is nursing hours with OT and agency (in places that use it) are the biggest part?

    I just ask, becasue we are constantly hearing about how staffing needs to be cut and our PPD is too high. I tend to agree that the nursing hours are out of control. Too much OT due to call offs, not replacing staff and the incrimental OT.

    So, what else?

    One day i will take the plunge again but............

  • 0

    I've been in LTC/ SNF/ Rehab for almost 20 years.

    I started as a CNA in my last year of school, worked as a GN then staff nurse, charge nurse, supervisor/ unit manager, one year as an RNAC, fill in DON and now just as a staff nurse/ weekend supervisor. How do I sell this? I've been at the same place for my entire career but worked PT/ PRN at one other. I have no resume


    I'd like to look at home health or hospice.

  • 1
    AbigailJo likes this.

    This is a great question! I'd love to use this at our next nurses/ CNA meeting. Would be an interesting exercise. Maybe have everyone write a few key points and put in a box and pull them out. Moral is so low where I am.

    I want to work with some one that really truly cares about the patients we take care of. You don't have to like them personally, but care enough to do you job and not treat them like a room number (I work SNF/ LTC)

    I want to work with someone that is a team player and realizes that we are there 24/7 and each shift has a role.

    I want to work with someone that isn't afraid to ask for help and give me help.

    I want to work with someone that isn't afraid to laugh.

    I want to work with someone that will tell me what the correct spelling is for diarrhea and will also tell me how to chart about this one weird wound (I'm thankful for my coworker that does this )

    I want to supervise staff that want to do their jobs. I was spoiled for years with an awesome staff. Before I could delegate things, they were done, they came to me and told me what I needed to know before I even knew I needed to know it

  • 2

    Was the balloon still inflated? How much saline was in the the balloon you took out?

  • 0

    Help me understand "the nursing budget". What is included in it? When you became a DON, how much experience did you have with the budget? What is your role in managing the budget?
    I'm guessing the biggest part of the buget is nursing hours with OT and agency (in places that use it) are the biggest part?

    I just ask, becasue we are constantly hearing about how staffing needs to be cut and our PPD is too high. I tend to agree that the nursing hours are out of control. Too much OT due to call offs, not replacing staff and the incrimental OT.

    So, what else?

    One day i will take the plunge again but............

  • 9
    bell1962, jlha, SassyTachyRN, and 6 others like this.

    Quote from kidzcare
    Ha! Little shyster!

    I, on the other hand, failed at being the tooth fairy last night. Don't my kids know that the tooth fairy carries no cash??? They need to lose teeth only during banking hours.

    Sometimes the tooth fairy gets really busy and might come on the second or third or 7th day after you lose a tooth. Truth.

  • 2
    sharpeimom and MrNurse(x2) like this.

    Quote from Cattz
    Michelle- Come to Missouri. No certification required, and we have an amazing State School Nurse Consultant. I am the School Nurse that I am because of her. True Story.
    Hmmmm. Tempting, but my kids would probably find me Can anyone point me to the laws/ regs for PA?

  • 0

    Flushing with meds is normally covered in the policy/ protocol. I would contact dietary for the flush order if the MD is unable to order flushes.

  • 5
    Atlas15, LadyFree28, NutmeggeRN, and 2 others like this.

    Hmm...I remember this probably more than the birth. My epidurals never really worked that well. It was more of a burning type of feeling. I also remember they had the mirror up (not my choice) and I caught poor cath technique and stopped that right away.

    I've also needed to straight cath myself a few times due to retention with one of my babies. It hurt, but the pain from the retention was 100 times worse.

  • 2
    cori_ and Mrs_Momma_RN like this.

    Do you work the same days every month? If so, see if you can get changed to PT status...unless it is a pay cut. I've been weekends in LTC for the last 15+ years. It fits my schedule with kids.


close
close