dallet6

dallet6

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About dallet6

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  1. If its late it will come up asking for a note to explain why it was administered late usually. Depends on your system. Do you have alot of people with meds scheduled at specific times rather than just pm or hs or such?
  2. National Nursing Home week

    We have to spend the week doing trainings for our new computer system. I didn't work the floor today, but at the desk I saw that one of the supervisors brought cookies...
  3. Problems at the SNF

    I have to agree. You verbally abused a resident by your own admission. Most states requiring no warning, you would get fired and the state would get called with an investigation required. Everything they did to you was wrong, but unfortunatly you ...
  4. I'm my own worst problem

    I do this as well. when I'm on a floor where I know the resident's and their meds and how they like them, I can do those extras. When I'm working on the floor with faster turn around and residents with higher accutiy needs, I still feel like I need...
  5. Skilled Notes

    We recently stopped having to chart transfer and adl items. MDS checks transfer status and keeps it updated in their computer. They said what we did was a waste of time and not helpful to guidlines. Half the people weren't recording things right. ...
  6. Vitals

    they showed us that today, but then said we couldn't use the one from the day before. After quite a bit of negative comments, the trainer realized it was an actual problem and said she'd discuss it with the DON. I hope they are willing to let us do...
  7. Bombed my second shift on my own

    Do you not have a charge nurse? Our charge nurse is the one who is in charge of making the calls and doing the paperwork if someone gets sent out or passes away. Also, they transcribe orders that come in from the dr. We don't. We write our own pr...
  8. Raises/ending pay

    REally? more? LTC here would start you out from 22-25 most likely. No idea what the top out is but probably no more than 30 for a floor nurse. Hospital nurse starts at around 26-27
  9. Vitals

    I work in a typical ltc facility. We have a combination of medicare A, medicaid and private pay residents. We are going to pointclickcare program in 2 weeks and just started training today. In the past when we gave blood pressure medications there...
  10. How Long does it take you?

    No idea, the aids do that. We have a bath aid who specifically is in charge of the baths
  11. How is this acceptable? 50 patients ltc/skilled DAYSHIFT!

    I still can't figure out how you could go through all the mars, tars, pull cards, do chemstix, give insulin, change dressings etc. on 50 patients in 2 and a half hours. Our AM med pass is 6-10 although you usually can't start till 6:30 because of re...
  12. How much training did you get?

    As a new grad I started on NOC shifts for the first three months of my job. I received 7 shifts of training before I was on my own. When I started dayshift, I got new training, as it is completely different from nights. We get 3 days of orientation...
  13. Overnites documentation LTC? relying too much on CNA?

    My rule is cover your basics for your Med A, MDS, cover alerts and anything new. Cover it briefly. We have some nurses who chart about things that we just don't need to know about. If you have time to do that, you probably have time to do somethin...
  14. No that's common. I, however, would not feel comfortable being the only nurse on staff. My facility is one of the best in our state (not , exaggerating we are listed as such), so our ratios are better than other places in our area. We have a 75...
  15. New Charge Nurse at LTC Facility

    I agree. You're a team, forge a relationship with them by being on the floor talking to all your staff directly, not just sitting in an office only responding when they are desperate enough to come ask for help. Charge nurses have alot of responsib...