fluffwad

fluffwad specializes in MDS coordinator, hospice, ortho/ neuro.

Latest Activity

1. 

   dnr in geriatrics

   fluffwad replied to ulmaulma's topic in Geriatric

   It's usually the families that won't allow the DNR. Too many think it = "leave them in a corner to die". I spend A LOT of time correcting misconceptions about this.
2. 

   How do I stop worrying all the time?------LONG

   fluffwad replied to trmr's topic in Stress 101

   Ditto to all of what Angie said + the realiztion that we are not responsible for the function of the universe or almighty enough to make sure everything goes right. Everything happens for a reason, even the bad stuff; and it doesn't happen according...
3. 

   Another one bites the dust......Nurse Kevorkian strikes again!

   fluffwad replied to TazziRN's topic in General Nursing

   In LTC, it's not unusual for the folks to go in batches......esp. when the seasonal viruses start coming thru, but also at the change of seasons. We just lost 9 this month (10% of census).......all different reasons. The weakest ones just don't seem ...
4. 

   Psychosocial care plan for dementia

   fluffwad replied to werlp's topic in General Nursing

   potential or actual alteration in psychosocial function / status related to [whatever is making her delirious] resulting in impaired social interaction / mood changes / impaired emotional control you might also want to care plan delirium / resulting ...
5. 

   MDS Coordinators on call question

   fluffwad replied to Autofocus's topic in MDS

   At my facility, the MDS nurses have no on-call, no weekends, no holidays.
6. 

   Has anyone taken the CRRN exam lately?

   fluffwad replied to underpaidrn's topic in General Nursing

   How did insurance changes effect CRRNs? I've had my CRRN since about '97, but I have to say I rarely ever meet any other CRRNs. I absolutely agree that you should get the core curriculum from ARN. The test was like taking boards all over again.
7. 

   What is a compounding pharmacy?

   fluffwad replied to justme1972's topic in General Nursing

   It's a pharmacy that can make special preparations themselves...not just sell prepackaged medications, we have one here that makes a topically applied cream with Ativan in it. (They don't manufacture the drugs) I think these used to be a lot more com...
8. 

   Pureed Sweet & Sour Pork and other Reflections on LTC

   fluffwad replied to SuesquatchRN's topic in Geriatric

   I agree that the pendulum has swung rather far in the other direction.....but I was doing LTC when half the patients were zorked on Haldol, people used restraints on anything that moved and tied the patients to the rails in the hallways. Sounds like...
9. 

   mds coordinators

   fluffwad replied to orrwhat24's topic in MDS

   I've been at it 7 years. At least 4 months is right, maybe a year before you get the sense of the finer points of the thing. Get yourself sent to training / seminars / etc. Subscribe to AANAC, take their courses. Learn and stay up to date with all th...
10. 

    How do I get my job back after resigning?

    fluffwad replied to PostpartumNurse'07's topic in Canada

    if that's a phrase that the nurse managers used i would just move on before things get ugly.
11. 

    nurses who are disabled or injured

    fluffwad replied to pdxrn's topic in General Nursing

    Have you considered the telephone triage nurse positions like Kaiser Permanente has? Possibly MDS nurse in a LTC.
12. 

    mds coordinators

    fluffwad replied to orrwhat24's topic in MDS

    My typical day is lots of assessments, lots of meetings, keeping an eye on all kinds of stuff. Ever done the MDS before? OCD is a plus here, being well organized is a must. check out aanac.org
13. 

    I cant shake this feeling...

    fluffwad replied to angel o' mercy's topic in Career Support

    Sounds like you need a change of pace / scenery / co-workers. Consider a different unit or facility. Some companies just have a 'mentality' that runs thru the whole place, sometimes just in certain parts of it.
14. 

    Should I tell my friend or not?

    fluffwad replied to DutchgirlRN's topic in General Nursing

    Don't say anything to her now. It's not your place, and it would just create problems. If they don't keep her and she brings the subject up afterwards, be supportive.
15. 

    NO weekends,puhleaseee!

    fluffwad replied to rxrn's topic in General Nursing

    MDS coordinator....although, sometimes I miss having a weekday off........it's tough to get appointments on the weekends or after work.