RainRN1

RainRN1 ASN, RN

LTC

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About RainRN1

RainRN1 is a ASN, RN and specializes in LTC.


Latest Activity

  1. Directors covering open shifts

    Not all directors are the same. I wish I could just work that.
  2. New Grad- What did I just get myself into?

    That's not appropriate and an med error needs to be completed along with md and family notification!!!!! Complete crap. I have worked in ltc/snf'S for 18 years you wear gloves and you administer the correct dose of medication. That is resident abu...
  3. Directors covering open shifts

    It's killing me. I'm ready to quit nursing all together. I've been a nurse for 18 years I've never seen staffing this bad. I know one thing I'm done working all different shifts whether it's as a nurse or an aide. How do you put your foot down whe...
  4. Directors covering open shifts

    Not quite sure how. I feel I am responsible for the residents which means ensuring care. I know there is no way to do my job right and cover the floor. How can staff expect change and better work conditions when some of us are on the floor too muc...
  5. Directors covering open shifts

    It's feels like it's the norm now. I'm a new DNS and it's difficult to get down what I need for my responsibilities when I have to cover floor even the worry everyday about schedule is enough to cause a nervous breakdown. I want to be an effective ...
  6. Directors covering open shifts

    How often are you covering open shifts? Seems like it's common and if so how are you getting your job done?
  7. failed the nclex 4 times!!! need help/motivation

    I bought nclex 4000 when I was taking the nclex for the 2d time, and just kept answering questions it is what helped me the most. Its not so much the content its the way the questions are worded and this nclex 4000 mocks the nclex questions. I knew ...
  8. New ADON feeling inadequate

    I am in charge of in services, employee PPDS, I am in charge of one hall, in charge of restorative program. I have no time to sit and do much of any of these I listed due to constantly putting out fires. My DON is new to the facility also she start...
  9. New ADON feeling inadequate

    I have been in LTC since 1991 started out as an aide, LPN, and have been an RN since 2010. I have been head of MDS department since 1998. I recently took an ADON position, I absolutely love my new job and the people I work with right along with the a...
  10. Fun: Coke or Pepsi Nurses?

    pepsi
  11. Disagreement with medical director over wound staging

    I stage the way the RAI manual says to. I do not go by any other standard. I am also a RAC-CT have been doing MDS since 1998. If you go by too many things you will get confused.
  12. LPN= MDS?

    I have been Head of MDS department for 13 years as an LPN for 12 of them, with the DON signing and another LPN working under me. I decided it was time to further my education for myself. These comments almost make me feel bad for becoming a RN ??? I ...
  13. ICF resident returns skilled for short term

    If this person is medicaid and you give the significant change assessment an ard a day apart from the pps then what you are doing is giving this person a rug score on the medicaid side. I think that is what your corporate is talking about. But you ha...
  14. Combining assessment types

    There are only 2 assessments you cannot combine with another assessment and those are the entry and death in the facility I believe. There is a chart in the RAI manual that tells you which assessments can be combined and which ones can't so double ch...
  15. Combining assessment types

    Move the quarterly ard to the 18th I can't imagine it will throw you out of compliance unless you are using the 92nd day already Raine