savoytruffle BSN, RN

Latest Activity

1. 

   VP of Marketing insults nurses (vent)

   savoytruffle replied to savoytruffle's topic in Professionalism

   No Elder abuse. Only employee abuse. The best resident care I have ever encountered, actually. I think that's why I hung on so long. Lots of high pressure sales and occupancy stressing, lots of micromanagement and bloated administration.
2. 

   VP of Marketing insults nurses (vent)

   savoytruffle replied to savoytruffle's topic in Professionalism

   I was thinking of my exit interview with HR. I won't say anything until I've already created my exit strategy. The ombudsman program for my county currently has no volunteer. It took me three weeks to get a hold of someone in Albany last time I wa...
3. 

   VP of Marketing insults nurses (vent)

   savoytruffle posted a topic in Professionalism

   I am an RN and the Executive Director (ED) of an Alzheimer's Assisted Living Facility. Today we had a big marketing meeting with multiple facilities in our state. There were EDs, community relations directors, outreach professionals, regional opera...
4. 

   Refused admission

   savoytruffle replied to savoytruffle's topic in Geriatric

   She must have been terrified and angry. We have never seen that side of her. Once when she had a UTI and refused to go to the MD we had to call an ambulance and she fought the EMTs. All that info was right in the chart!
5. 

   Refused admission

   savoytruffle replied to savoytruffle's topic in Geriatric

   Over the weekend the Nursing home still refused to take her. She remains in the hospital while placement is found. I hope she gets settled soon so her family can enjoy Christmas.
6. 

   Refused admission

   savoytruffle replied to savoytruffle's topic in Geriatric

   I was an MDS program leader for many years. NY is a case mix state. The trainers that I took all of my AANAC courses from used SNF to signify the facility as a whole. Not bed designation for Medicare (rehab) vs Medicaid. All the facilities I worked ...
7. 

   Refused admission

   savoytruffle replied to savoytruffle's topic in Geriatric

   I got a call that she saw her name on the outside of the room and got upset. She would not allow the nurses to assess her. She was able to over turn a med cart. She went straight out to the ER to be evaluated for the psych emergency center, but bein...
8. 

   Refused admission

   savoytruffle replied to savoytruffle's topic in Geriatric

   She was going to be placed on a long term care floor. They knew that she was adulatory and had dementia. They knew she was currently living in a secured adult home. The thing that moved her on- she was no longer appropriate for the adult home due to ...
9. 

   Refused admission

   savoytruffle posted a topic in Geriatric

   Hi there! I currently work as an executive director/ RN administrator at a dementia care adult home. It's not a skilled facility. We are considered more of an assisted living level. NY state regs are very specific about what kind of person I can reta...
10. 

    Some Insight Please...

    savoytruffle replied to NuggetRN's topic in LTC Directors

    You don't need a license for this level of admin. (At least where I am in New York). I just recently did the same thing in my community. My ED left for another position, and I applied for hers. I will start as soon as the new DON is settled. I feel t...
11. 

    Annoying female coworker conversations

    savoytruffle replied to kool-aide, RN's topic in Men

    I like to talk about my motorcycle. And music, books, movies. I had enough of my kids at home. It's nice to talk to people about other things besides my family. Love them to pieces, but I go to work to get away some days. You're young. You may be g...
12. 

    Undermined by administration

    savoytruffle replied to savoytruffle's topic in Management

    I think it does. I can't seem to stay out of it. I am really enjoying this new position and jumped in with all I got. It's not without challenges, but I know that I will be stronger for having dealt with them. Thanks for the well wishes!
13. 

    any leadership and management books?

    savoytruffle replied to wedwed11's topic in Management

    Not a nursing book, but an excellent leadership book, "the no @sshole rule" by Robert I sutton. It isn't vulgar, and explains why no other word will work in place of that one. It's my favorite. He also wrote "good boss, bad boss".
14. 

    Undermined by administration

    savoytruffle replied to savoytruffle's topic in Management

    Just wanted to update this thread. The cubicle became to boring to bear, and the temp contract (thankfully) was not going to be renewed. I am now the DON at an Alzheimer's/dementia assisted living facility. It is challenging and every day is a new ad...
15. 

    Young mom, nursing school

    savoytruffle replied to Nursekidd1's topic in General Students

    I was 22 when I started school. I ended up pregnant during the first semester. And then again five months after my son was born. I had two babies back to back amid clinicals and exams and stress. It did take me an extra year, but with the help of my ...