gracenotes1

gracenotes1 has 20 years experience and specializes in Director of Nursing Long Term/Subacute.

Latest Activity

1. Help am New DON FOR LTC

   gracenotes1 replied to nursemid02's topic in LTC Directors

   Ahhhh A nurse after my own heart. You sound just like me!!! Care and compassion go hand in hand. You know it does not matter if you can insert a PICC in 5 second flat--if you are not skilled in compassion hen you have missed the entire reason for nu...

2. Disrespectful Employees

   gracenotes1 replied to CapeCodMermaid's topic in LTC Directors

   Well down here in Alabama we don't have contract nurses so I don't really know what they do or where they come from. Maybe they do have an attitude. Just do the best you can for your facility. But if it were me and someone talked to me that way--I wo...

3. Help am New DON FOR LTC

   gracenotes1 replied to nursemid02's topic in LTC Directors

   Anyone that expects the state to come in a pat them on tha back IS in the wrong place in LTC. They are there for one thing and one thing only--to find out your problems and prove they are happening. If you have been DON for a year then yep it is your...

4. Why I am a LTC nurse

   gracenotes1 replied to lovingtheunloved's topic in Geriatric

   oh and the one threathening to blow up half the buidling needs to be reported to the authorities. I would call the police and make a report. Were there any witnesses to the threat? that one needs attention!!!

5. Why I am a LTC nurse

   gracenotes1 replied to lovingtheunloved's topic in Geriatric

   Sounds like you have some irrate family members. Get to the bottom of each problem--take it one by one. Just like there is a source to every odor--there is a cause of every problem. Take each one one at a time and try to see where all of this is com...

6. Frisky Residents! Some Questions

   gracenotes1 replied to VivaLasViejas's topic in LTC Directors

   Great--you are doing the right thing. Just make sure that when the family comes you have an answer to the question--"well what are YOU going to do about it?" :)

7. Thinking of taking a DON offer

   gracenotes1 replied to suzqpart's topic in LTC Directors

   I would take the job. Just remember that the job length expectancy of a DON in LTC is about 5 years. But, you will learn so much!!! And I have heard of DONs staying in their jobs for a very long time. It will be the experience of a life time. There ...

8. Frisky Residents! Some Questions

   gracenotes1 replied to VivaLasViejas's topic in LTC Directors

   I also wanted to add that you might as an intervention put them both on behavior management. Just an additional thought.

9. Monthly summaries

   gracenotes1 replied to CapeCodMermaid's topic in LTC Directors

   I would ask myself if this is the only nurse who doesn't get her summaries done? Is it a facility wide problem or just a lazy nurse problem. My nurses didn't tell me but one time that they didn't have time to do something. When they told me that I la...

10. Frisky Residents! Some Questions

    gracenotes1 replied to VivaLasViejas's topic in LTC Directors

    It is definetly a fine line. When I was DON in LTC I had this problem but both were consent adults with repsonsiblity for themselves. So we closed the curtain and door and gave them privacy. Both of these residents you have have been declared mental...

11. Why I am a LTC nurse

    gracenotes1 replied to lovingtheunloved's topic in Geriatric

    Long Term Care Nurses are the best of the best. The stigma of old has changed. Long Term Care nursing is nursing at it's best and most basic. Care and compassion are a must. I never thought I would want to work in LTC but I took a job as an ADON---q...

12. Alzheimer's question

    gracenotes1 replied to Bigmama's topic in Geriatric

    I don't know how big your unit is--but activties for them must be individulaized. What works for one might not work for another. It is sad to think that someone is getting paid to do such an important job and they don't like it. People like that ten...

13. Help

    gracenotes1 replied to CapeCodMermaid's topic in LTC Directors

    She is right about that. Some of the older nurses have gotten set in their ways and it takes dynamite to change them. I remember having to terminate a nurse that had been at the facility for 25 years. She was lazy and I found out and proved that she ...

14. Help

    gracenotes1 replied to CapeCodMermaid's topic in LTC Directors

    Ahhhhhhhhhh now I feel at home. I am so glad I found this site today. My name is Angela and I was a DON for 7 years in 103 bed Long Term Care facility. I know this may sound crazy but I miss it so bad. I even miss the lazy nurses that eat on their m...