ssmandile

ssmandile has 30 years experience and specializes in R.N. Med-Surg, LTC, Geriatrics, Dialysis.

Latest Activity

1. ltc to hospital job

   ssmandile replied to nazareth's topic in LTC Directors

   I don't get it, the apparent self-loathing that occurs in LTC, it seems everyone wants to be somewhere else, don't get me wrong I think upward mobility is great and I think everyone should seize opportunities when it present itself, but it seems that...

2. DON interview

   ssmandile replied to Nascar nurse's topic in LTC Directors

   Congrats, on taking the job, how do you like it so far?

3. HELP! Need help with documentation of blood sugars and sliding scales.

   ssmandile replied to CapeCodMermaid's topic in LTC Directors

   I agree with another post that sliding scale insulin is becoming a thing of the past, we do baseline blood sugars on our new diabetic admits, just to get an idea of where they are, and then usually DC the sliding scale altogether especially if they a...

4. Better Communication System

   ssmandile replied to txdon's topic in LTC Directors

   Just a suggestion, our building started using a kardex/careplan originally for the CNA's but it never got looked at, so we started having the day shift and evening shift select 2 kardexes (one for each shift) per day and take that into report, we al...

5. DON fired during state survey

   ssmandile replied to americanTrain's topic in LTC Directors

   I just signed up the chat boards and I read your post, how did your lawyers meeting go, any recourse for you with that employer? Your experience did not surprise me, but like the others said they usually wait until after survey not during to let DON'...

6. Need a plan

   ssmandile replied to txdon's topic in LTC Directors

   Great advice, I wish I had signed on to this board much earlier, I identify with bzyadon regarding being new to the position and just being thrown in, yikes, I found myself in that very same position 9 months ago and just now feel that I am getting c...

7. Rn's are better than lpn's???

   ssmandile replied to lisa41rn's topic in LTC Directors

   Thank you for posting this, I have worked in long term care for over 20 years, and have been on the receiving end of some very hurtful comments regarding the "quality" of care and nursing knowledge and practice, especially from ER nurses. LTC is a sp...

8. State Tags

   ssmandile replied to txdon's topic in LTC Directors

9. State Tags

   ssmandile replied to txdon's topic in LTC Directors

   I am new to this site but I have to agree with your statement that the focus of each year depends on the facility and their past history, I was a surveyor for a while and I can tell you the focus for each facility is determined more on the past five ...

10. Need advice about working in LTC-subacute floor

    ssmandile replied to Shayrey's topic in Geriatric

    For long term care this is pretty much average, but it an be alot at times especially when you are new to the long term care environment, but what is nice about long term care even in sub-acute is you have time to get to know the patients for a longe...