whatdidigetmyselfin2, CNA, LPN 2,519 Views
Joined Apr 12, '12 - from 'NC'.
whatdidigetmyselfin2 is a LPN.
Posts: 49 (37% Liked)
What are the best corners to cut to finish your work in time without risking your license?
other "team" members that love to say "I'll tell your nurse" or "Your nurse will do it" We are talking about opening mail, getting an extra pillow, plugging in a cell phone to recharge or just even flushing a toilet.....OMGosh.
Do not trust anyone. Especially regarding medications. Give your meds as ordered by the physician. Assess your own patients. Always report to your supervisors and document everything.
In an effort to satisfy my fellow students who would like my study docs, I have attempted to attach them here. If this doesn't work I'll try again. I got an enormous amt of responses from my last post and I'm so sorry if for taking forever to get to the people I haven't sent to yet so even though I didn't really want to post them on here, I decided to do it anyway because the month of June has been rough for me and I do work full time so I hardly get time to respond to everybody. I try to do as much as I can on my phone but i've been getting more responses, so hopefully this will work and anyone that wants them can just save them from here. They're very simple and some things may look repetitive but believe me, they've been checked out and they work. Happy studying ;-)
Now everyone won't have to rush to finish before July 2015!
I appreciate the feedback we received about my earlier announcement of changes in the nursing theory examinations. After careful consideration, we have decided to continue to offer nursing theory examinations as one of the options for completing program requirements in the nursing theory series.
Beginning with the Fall 2015 trimester, students who have completed the prerequisites will have three different options for meeting the nursing theory requirements in the associate degree curriculum:
Oh, they are concerned with liability.....but when something goes wrong, they'll throw the nurse(s) under the bus. That is why you should carry malpractice insurance at all times, wherever you work. It doesn't mean you're not a careful and conscientious nurse, because you are---it's to protect you in case something goes sideways and you get blamed for it. And with the working conditions in many LTCs, it would be foolish not to carry insurance.
This is not meant to scare you. LTC can be very rewarding despite staffing problems, overgrowth of management and lack of mentorship. You will learn FAST how to improvise, how to optimize your time, even how to handle your CNAs. And at the end of the day, you'll have the satisfaction of knowing that you did the very best you could, even though you wish you could do more.
Most of my coworkers are on some form of anti-depressant. I have a long history of GAD and depression which has worsened while working in the ED. I stopped taking Lexapro because I could no longer afford it while in nursing school . I've been fighting going back on it but I am not doing myself any favors. My sleep schedule is nonexistent, I have frequent panic attacks, spend a lot of downtime in bed...life shouldn't be a series of living day to day like it is for me. You miss out on too much. Therapy is great if you can afford it/feel ok with it. My mom is a therapist and I know all of her coworkers (only place I could afford to go for therapy) so that is out for me.
The good administrator, who had been firm but fair? No, I would not enjoy watching her fail on the floor. I would feel empathy for her and do my best to help her adjust.
The one who had been clueless and indifferent and never supported her staff? Crash and burn, baby.
I think that it’s a bit misplaced to direct one’s discontentment against middle managers.
I think that a more appropriate target, is those who have the actual power to create a meaningful change of employee working conditions.
I would recommend you hurry and get as many Nursing Theory exams completed as you possibly can before July 2015 and the new "course" requirement goes into effect.
Update: It's been 4 months since I started to work at this SNF and it's still humanly impossible to finish all meds within the "correct" time frame. At this point I sincerely believe SNFs have nothing to do with patient care. For god's sake I have to bring in my own blood pressure cuffs because the ones in the facility can't even be inflated. I told the central supply to order some new ones and it took them almost TWO MONTHS to get that done due to "budget problem." Oh well, I guess it's about time to start job hunt again.
The order shouldn't have been d/c'd, unless specifically written to do so. The #60 was meant for the pharmacy. The DEA regulates how often a hard copy Rx is to be signed by the MD. After 60 tabs have been dispensed than the MD needs to sign a new Rx for the pharmacy, they cannot fill the order until they have that hard copy or have spoken directly to the ordering MD. We've never d/c'd an order when there are no refills left, we just have the MD sign a new hard copy Rx and send it over to the pharmacy.
Do you speak any other languages? Certificates? Volunteer hours that are medical? Talk about being a loyal employee, fast learner, compassionate nurse. Not sure if I helped but I hope this helps!
The focus is absolutely on making money instead of serving people.
Exhibit A: HCAHPS/Press Ganey scores. Are they for improving patient satisfaction, or are they for improving patient satisfaction with an emphasis on maximizing reimbursement? I wonder if patient satisfaction was as big a deal before CMS indicated that it would affect reimbursement. In truth, I do not know. But if I had to wager a guess I'd say NOPE.
I often tell my admissions people to accept only orphans...no one with a family. So far they have not complied. I've had family members screaming in my face. One family told us to stop feeding their mother because (and this is NO joke) tired of spending their money to keep her alive. It was HER money they were spending and I told them as much. I also told them it is illegal to starve someone to death. Strangely enough this was the same family who demanded to speak to me because "Mom's BMs smell bad"....and yours smell like roses I assume? Smile at them and do the best you can.
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