CoffeeRTC, BSN 18,083 Views
Joined Jan 22, '03.
CoffeeRTC is a RN LTC.
Posts: 3,691 (24% Liked)
Sounds like they want to save money by using an LPN in that position and their mind is made up. i don't thnk it would hurt to ask though.
I've been in the business since the '80s. Limited duty was only offered to employees who were injured on the job, never for post op people or those who were injured on their own time.
Most SNFs I've worked at are very relaxed when in comes to these things. You could submit a letter to the DON, but what about just asking for a meeting? Go in and tell them you want the position and tell them why you would be a good fit
Honestly? It is the pay that keeps me coming back. I've worked other places PRN, so I realize that it is the same type of problems in alot of the facilities. I'm starting to wonder though, lol.
Um, No. I'm all for team player and helping out, but this seems excessive. Aren't there other unit managers that could be filling in?
If you are prn, I woun't rock the boat. As long as the meds are given, that is what counts. When we did montly refils, we used to go by the date. I loved this for my OCD, lol. Now it is a free for all . Some start at #1, some start at #30. Narcs are always counted back from the largest #.
What type of place schedules that far in advance? Why would you need to give that much notice as a PRN employee? 2 weeks to a month is standard. Quit putting yourself out.
I think people were asking if it was homework because most experienced nurses would see that it is a med error. At first it just screamed "homework assignment"
IVFs are medication. Giving the wrong med or dose is a med error. Plain and simple. Every facility has their own policy on how they deal with med errors. At the very least, stop the iv immediatley, assess the patient and then call md for further orders.
What is POS? ED and AED?
We are still paper charting. Only nurses check them every month to make sure the orders are correct.
I think that is a great breakdown of the shift work. I think the ratio really depends on the acuity of the residents. If they are more LTC and less skilled, then you might have more meds, but less assessments. The med pass is what needs streamlined. There are way too many meds on stable LTC residents.
I am glad you found your happy place. My experiences have only been in LTC. I'd just like to mention that not all nonprofits are the same. I worked for a huge for-profit chain. While at times, it felt like it was all about the $$. Looking back, it really wasn't all that bad. There were systems put in place, a clear organizied corporate structure and a policy for everything. Sounds overy structured? yep and I really miss it.
Now, we are owned by a nonprofit. There is no structure. There are random consultants, there is little consistency. While a huge corporations isn't "making all the money" someone still is. We run short on supplies, we are accepting diffuculty admissions, vendors have changed...now much cheaper etc.
When we heard "nonprofit" we were all thinking more resident centered care. What sets nonprofits apart is who is running them. The Babpist home up the road....The have a mission. They have fundraisers and donors. We do not.
I work in LTC. The Assessment coordinator/ RNAC or the social worker sends home a form letter to the family letting them know that a care conference will be held on a certain date. We ask that they confirm that they will be able to attend. We try to give them at least a weeks notice or more depending on what type of care conference they are having.
Normally, there is a nurse from the unit, a CNA, dietary, therapy representative, social worker and activity director in attendance. At this meeting, the plan of care is reviewed and we discus how the resident is progressing if on thereapy or if there is any decline. When possible, the resident is also in attendance. We discuss any other issues at this time. (family complaints, etc)
Sounds like she needs something more than just when the pain is unbearable. I would have given the tylenol and then called.
What ended up happening? did you get a different order.
I am considering taking a Risk Manager position in a smaller facility. Being pulled to the floor is one of my concerns. (I'm actually a staff nurse there now)
Sound like the ADON needs to go and maybe the rest will follow? Any way to use temp or agency nurses to fill in the slots? Is the DON on board with getting rid of the bad seeds? I second starting a paper trail. How the heck are they getting by without and MDS nurse?
I've had a similar thing happen to me. Its been a while so I don't remember the exact details. I reported missing narcotics and it was reported to the state. Someone from the department of health did call me at home for more information. I only work part time so it was easier for the call than having me go into work.
Did you call back??
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