rapkeygurl

Latest Activity

1. Nurse Educators, Introduce Yourselves!

   rapkeygurl replied to VickyRN's topic in Educators

   Hi all, I am a certified nurse assistant instructor in New Mexico, Actually I have been teaching for several years in Texas. Any information on the new mexico training differences would be greatly appreciated. I start my new class of 25 students on ...

2. Significant change or not?

   rapkeygurl replied to jessie26's topic in MDS

   A “significant change” is a decline or improvement in a resident’s status that: 1. Will not normally resolve itself without intervention by staff or by implementing standard disease-related clinical interventions, is not “self-limiting” 2...

3. GETTING BURNT OUT OF LTC - suggestions please!

   rapkeygurl replied to bossynurse101's topic in LTC Directors

   Wow you sound just like me. My back is killing me from the last 3 night of working 35 residents, One nurse aide and I might have been there by myself. We have had state in our building all week again for a follow up visit. I am going to drive 4 hours...

4. How do I stop getting my feelings hurt?

   rapkeygurl replied to SuesquatchRN's topic in Geriatric

   Sue, I feel for you in my small town in the last 5 years they have ran off every new DON that comes in. Really good ones too. I dont think they will run off the current one He frankly has cahunas to put it bluntly. When he came in I was relieved bec...

5. How do I stop getting my feelings hurt?

   rapkeygurl replied to SuesquatchRN's topic in Geriatric

   Sue, I feel for you in my small town in the last 5 years they have ran off every new DON that comes in. Really good ones too. I dont think they will run off the current one He frankly has cahunas to put it bluntly. When he came in I was relieved be...

6. Why do many nurses look down on LTC?

   rapkeygurl replied to Kitty Hawk's topic in Geriatric

   I did complain to the CEO and the second time I tried to meet with them they where in the office but "in a meeting" But that was one bad apple but it left a horrible taste in my mouth and I will not soon forget it. If I would not have been laying the...

7. Why do many nurses look down on LTC?

   rapkeygurl replied to Kitty Hawk's topic in Geriatric

   I was in the hospital ER to have some staples removed after my c-section, and low and behold the er room next to mine was one of our residents, a very confused man with alzheimers and they had him restrained, and I overheard 2 staff one nurse -- said...

8. Crazy Work Environment

   rapkeygurl replied to carbaminohemoglobin's topic in Geriatric

   Oh gosh sweety, you sound so like me, I was pregnant and ADON and then the DON quit while I was 7 months pregnant and she was also our RN consultant, so I had noone to turn to in nursing but agency RN's we had a couple that were helpful but not knowi...

9. what do you think of this policy?

   rapkeygurl replied to Ms.RN's topic in Geriatric

   we have a similar policy due to our recent ij involving not notifying md's of change of condition. Ours is to call the md first then the DON, but also if there is a change we are to let the DON know the entire details of the events leading up to the ...

10. New nurse looking for advice

    rapkeygurl replied to 1uvakindmom's topic in Geriatric

    YOU WILL GET BETTER, I felt the same as you almost 20 years ago at 19, but you really have a great ratio of nurses and CNA's which is not the norm were I am at we have 40 plus with 2 on and a restorative aide who usually is gone on transports which I...

11. state survey and a bad reputation

    rapkeygurl replied to dulcemorena's topic in Geriatric

    yeah I am still confused, we had reported 5 incidents with injury and one of them there was no incident report and we really did not know how the fx happened. So we went into extended survey and with that lost the NATCEP training class in a very rura...

12. What MDS data entry and resident management software does your facility use?

    rapkeygurl replied to catnip3's topic in MDS

    We use Obra-EZ which is from MDI achieve out of Dallas, when you call them they say Quick Care but it is not? When we first had this system we were in dos, we had to change over all data from dos to winobra, that was crap and we had no training with ...

13. Is there a clearinghouse or forum where LTC facilities can share survey issues?

    rapkeygurl replied to ChesterCountyMSN's topic in LTC Directors

    you should check out mds forum and there is a section about survey stuff we just had a doozy lost our natcep program due to quality of care issues surveys. I have been seriously bummed, but I am going to hang tough-- got new DON today hopefully we ca...

14. state survey and a bad reputation

    rapkeygurl replied to dulcemorena's topic in Geriatric

    the worst part of the whole thing is that we lost the nurse aide program that of course I teach.. so I feel personally punished. I called the nurse aide creditialing office in our state they say I know it is not FAIR but.... you can not teach the cla...

15. Typical day in LTC nursing?

    rapkeygurl replied to LovePurple's topic in Geriatric

    One of the things I did not see was rounds, before I take on an assignment as a charge nurse I go look at everyone, make sure they are all there. then get report then get typically if working 10-6am get all needed vitals and o2 sats, change any peg t...