Latest Comments by CelticGoddess

CelticGoddess, BSN, RN 8,039 Views

Joined Jun 6, '11 - from 'Somewhere in the US'. He has '6' year(s) of experience and specializes in 'Palliative, Onc, Med-Surg, Home Hospice'. Posts: 770 (75% Liked) Likes: 3,183

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  • 1
    macawake likes this.

    Quote from Alberto73
    i'm just wondering why you weren't so shocked when Obama banned words like Christmas...
    Link please?

  • 2
    Here.I.Stand and IdrisSedai like this.

    Quote from Ibyn26
    So I'm just trying to figure out a way to challenge my schools grading scale. They use a jupiter system and according the schools policy you have to have a cumulative grade of 78 on your exams before they add your out of class works, projects, and other assignments that you work so hard to get done in order to pass the class. Then if u don't get the 78 for ur exams they'll deduct the amount u would've got from your out of class assignments. Now is this fair to anyone? How could I fight this grading policy I'm not sure if this is legal or if this school have the right to grade like this?
    I have a couple of comments: As far as I am aware, there is no law (state, local or federal) that dictates what grading scale a nursing school has to use. The grading scale your school uses is actually more generous than my schools. You had to have an 80 to pass. We had to do class projects but they didn't count towards our grades at all. You don't do projects when you take NCLEX either btw.

    Nursing school should not be about spoon feeding you facts. My instructors uses power points but it was expected that WE, the students, studies to understand the concepts. There wasn't enough time in the day to go over all the material, so they touched on it and made sure we didn't have questions.

    And, as others have pointed out, if you can't maintain a 78% average, the grading scale and outside work is not your problem. You won't be given an option to do outside work to add to your score when you take NCLEX.

  • 1
    mmc51264 likes this.

    TJC has nothing to do with reimbursements, they are an accrediting body. CMS is about reimbursements and if you go to the CMS website (or search CMS and EHR) you should find plenty of information.

  • 0

    I'm curious as to why you didn't call hospice yourself? I know that if one of my patients fell, I would want to be notified immediately, regardless of time or date. If something like this happens in the future, and patient is on hospice, please call them. Please don't pass it off onto another person.

  • 1
    Purple_roses likes this.

    Quote from Addie56
    What can someone who is allergic to benadryl take
    That is something that is best discussed with your MD. We can not give out medical advice.

    If you are a student, let us know what your thoughts are.

  • 5
    KatieMI, h00tyh00t, CardiacDork, and 2 others like this.

    Quote from NuGuyNurse2b
    While I know the stress of the acute setting and priorities, but this is like the second thread I've read where the communication breakdown involves such a simple task. Just get them their water...
    And then when the patient aspirates on the water or ice chip, then what? I've aspirated on ice before, because a tech got me ice chips before they assessed my swallowing and before the intensivist wrote orders for me to have ice chips. I have also seen otherwise healthy people aspirate on water/ice because "their young, healthy". The priority is not water nor should it be with patients who are sick enough to be on the unit. The initial assessment is more important.

  • 1
    Meriwhen likes this.

    Quote from LTC_DON
    What do you use in your facility to disinfect glucometers between residents?=
    We would use Saniwipes at the hospital and that is what I clean off my equipment after I visit my hospice patients. You should be able to find out what is recommended for the particular device you use from the manufacturer.

  • 4

    I started off in LTC and it took me a while to be able to finish my med pass in the window. A lot of patients do have more than 10 meds a piece plus breathing treatments, plus eye drops plus insulin, and on and on an on. It's hard, that is for sure.

    You won't lose your license for not passing meds in your time window. Make sure you are safely passing meds. You'll learn the residents (It can take time) and that will help improve your pass. You'll also learn how to speed things up safely. It's sad that you only got 4 days of orientation but that is typical of LTC. I got 3 days. I was precepting after only 3 mos.

    Do your best, be safe and go ahead and start looking. If you are only per diem, you have a good reason to put on your applications or when you interview. Don't quit until you know you have something though. And don't burn bridges. Give notice when you quit. It's a small world. Best of luck to you.

  • 0

    Quote from Meenerh Adam
    Discussion on nursing theory
    What about nursing theory? It's hard to to have a discussion when all we have is a title. Please give us some of your ideas. Then I'm sure you'll get more hits. A good place to start is your text books (if a student) or even google.

  • 8
    llg, ruby_jane, Ella26, and 5 others like this.

    You can't know what all is going on with HR> They very well could be keeping a paper trail. My former nurse manager was incompetent (but not a bully) and multiple complaints were made against her, and it appeared as though nothing was being done. It took HR and her boss a year but she got her walking papers. We had NO clue until the day they announced the interim NM.

    The fact is that the nurse in question is no longer charge. You don't know what is going on behind the scenes, nor should you. Avoid her, and if she continues to be an issue for you, keep a paper trail. But I would tread lightly now that she is no longer charge.

  • 0

    The scope of practice of an RN encompasses all the scope of practice of an LPN (and then some). There is no reason to take the LPN exam because you are already a nurse. If you want an RN job in LTC, go to and look for jobs there. I googled RN LTC jobs in PA and got some hits.

    I started my nursing career in LTC as an RN, and I have several friends who are RN's in LTC (and they are not management, they a floor nurses) LTC is not an LPN only proposition. I wish you the best of luck in your search.

  • 1
    Brenda F. Johnson likes this.

    Quote from VivaLasViejas
    I went through menopause about 10-11 years ago, and I still have responsibilities. Darn it all! ;-)
    I'm in the throes of menopause and I have way to many responsibilities. I was just born in the wrong era! But then again, having access to a walk in cooler comes in handy sometimes, like when those hot flashes rear their ugly heads!

  • 0

    When I sign my charting, paperwork for admissions or paperwork for any facilities that I am visiting (I am a hospice case manager), I sign it CelticGoddess, RN. My work email has the sig line "CelticGoddess, BSN-RN". That's the only time I list my BSN. Except, as a previous poster wrote, for job applications.

  • 1
    sevensonnets likes this.

    What all the other say. Get your nursing degree. Best of luck

  • 2
    Crush and Coloradonurse1983 like this.

    You have a lot to learn. One thing you need to learn is it is NOT a good idea to make statements like "I believe that this patient died because the nurse and physician failed." It can come back and bite you in the butt.

    It's great that you want whats best for your patients but as a CNA (and not even in the nursing program) you are not privy to a lot of information about a patient. Add to that you have changed your story. You told the CNA but you couldn't find the CNA, you took vitals but you couldn't take vitals because you didn't have your equipment, you didn't know the patient but you knew the patient. It does make one question the veracity of your statement.

    When you are a nurse, you are going to learn that what one person sees is NOT necessarily the whole story, especially if the person as a UAP and not privy to all info regarding the patient. I know a CNA who complained to the manager, educator and a residents attending physician because her patient was hungry and we were mean for not getting her diet changed. The patient had cholangiocarcinoma with mets, as well as other issues. The CNA ultimately pulled a number much like you did, blaming the lack of action by the nurse and resident on the patients death. She had a hard time finding a job, because she developed a reputation.

    As a CNA, you should always tell the patients nurse your concerns, particularly if there is a sudden or significant change. But please do NOT assume that the nurse doesn't care if you don't think she is doing enough. You don't know what was done before, what was done after (you yourself stated you went about your day) and you aren't privy to what is happening to the patient. IF you have a question, ask the nurse, if you don't think the nurse is doing enough, ask her. But don't assume she hasn't done anything.

    And for gods sake, unless you see someone actually do something that would lead to the patient death, I would be very very careful tossing around blame. The patient in my scenario did die, but she died from her disease process. No amount of food would have changed that.