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Search Results Type: Posts; User: noc4senuf

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  1. Non-diapering nursing home patients
    I hate that anyone would use the term "diaper" when speaking about our elderly. They are not babies or children!
    May 13
    Forum: Geriatric Nurses / LTC Nursing
  2. A New Beginning
    After having been in LTC for over 30 years, 20 of that as a nurse, and the last 12 as a DON.... I have accepted a position as the DON at an Assisted Living facility. I have been on the road,...
    Apr 22
    Forum: LTC: Directors Nursing / Assistant
  3. Just accepted Unit Manager Position with no LTC experience....
    There is some corporations out there that have continual turnover in management positions non-stop. having been working as an interim DON, it does keep me employed going into these buildings. Since...
    Apr 18
    Forum: LTC: Directors Nursing / Assistant
  4. Nursing Home VS. Assisted Living
    For the most part, unless a DON is retiring, there is a "reason" the position is open to begin with. Usually, there are issues in the building to go along with it, whether it is survey related,...
    Apr 18
    Forum: LTC: Directors Nursing / Assistant
  5. on call for nursing issues
    I have seen staff compensated for being on-call in some buildings and in others they are not. Also, some buildings where just the management staff in the nursing dept rotate call and most recently...
    Apr 18
    Forum: Geriatric Nurses / LTC Nursing
  6. questions
    If you have been in LTC for three years, is your goal to stay in LTC? If so, then try looking into learning more about the MDS, ICD-10 coding, managed care and their contracts, administration. There...
    Apr 18
    Forum: Geriatric Nurses / LTC Nursing
  7. Per diem nurses
    The only time I have seen hours mandated, was when they did not have staff to fill all the positions. Time to try and get more people in the door. Usually pool staff have a required amount of shifts...
    Apr 14
    Forum: Geriatric Nurses / LTC Nursing
  8. Is most ltc short staffed?
    I have never staffed low on purpose. I also say to the staff that all positions were filled on the schedule, if you are working staffing "challenged" then you need to look at your co-workers who...
    Apr 14
    Forum: Geriatric Nurses / LTC Nursing
  9. Wound Care or bust!
    You may become wound care certified as an LVN through WCEI. but, you need to have proof that you have been working in wound care for the past 5 years. This WCC is recognized by the National Alliance...
    Apr 5
    Forum: Wound / Ostomy / Continence Nursing
  10. Documentation
    After the initial 72 hours, I break up the amount of Medicare charting between the day and evening shift, then it is only once daily.
    Apr 5
    Forum: LTC: Directors Nursing / Assistant
  11. How do I go about applying for this?
    Definitely fill out an application and leave a resume. Depending on the DON, most (including myself) can't handle walk-in appts on the spur of the moment.
    Apr 5
    Forum: Geriatric Nurses / LTC Nursing
  12. Admissions people
    Having just finished a run of 5 different facilities for one corporation as the Interim DON, I know what you are saying. Their Admissions people are not nurses, they make all the decisions on who to...
    Apr 2
    Forum: Geriatric Nurses / LTC Nursing
  13. Should I report my nursing facility for neglect?
    What is the care plan saying for how to care for this resident? Does it list all the interventions? It would also list all the problems relating to the pressure area. Have you spoke with a nurse,...
    Apr 2
    Forum: Geriatric Nurses / LTC Nursing
  14. Is this risking my license?
    I have seen those numbers in LTC many times over the years. It also depends on the type of residents on the unit. As a DON, I am on-call 24/7, even if one of my managers, supervisors, or ADON is the...
    Apr 2
    Forum: Geriatric Nurses / LTC Nursing
  15. Pronouncing Death
    Depending what state you are in, an RN can pronounce in some states. The notification calls to MD, family, etc would happen after the RN pronounces. Other states, the time of death is listed as to...
    Mar 18
    Forum: Geriatric Nurses / LTC Nursing
  16. DONS q on hiring turnaround for SDC
    I have not always met the timelines that I may have told a prospective employee as other things such as surveys, workload, etc do come up that need attention first. It seems these days that positions...
    Mar 18
    Forum: LTC: Directors Nursing / Assistant
  17. What does a LTC weekend supervisor do?
    I have had specific duties foe weekend sups. Audits; f/u on admission paperwork; assist with admits, staffing, emergencies; give tours; dela with family and staff issues. Be visible throughout the...
    Oct 16, '13
    Forum: Geriatric Nurses / LTC Nursing
  18. A Heartfelt Apology to DON's
    I certainly hear what everyone is saying. We have all had those days that never seem to end, and the list of items you planned to do for the day did not get a dent in it. I realized years ago, that I...
    Oct 16, '13
    Forum: LTC: Directors Nursing / Assistant
  19. HELP! LTC RN VS LPN!
    Most facilities I know has two people check off new orders.
    Oct 9, '13
    Forum: Geriatric Nurses / LTC Nursing
  20. How do you get family members to stop calling on the phone?
    Make sure to check the chart to ensure the person you are talking to has the permission to have the info.
    Oct 9, '13
    Forum: Geriatric Nurses / LTC Nursing
  21. How do you get family members to stop calling on the phone?
    Don't forget to check the chart to ensure the person you are talking to has the permission to have the info.
    Oct 9, '13
    Forum: Geriatric Nurses / LTC Nursing
  22. Systems to manage as an ADNS/DON
    I don't remember seeing PAIN...
    Oct 9, '13
    Forum: LTC: Directors Nursing / Assistant
  23. Nurses in trouble get second chances - Minnesota
    As a DON who previously worked at homes in MN, I reported my fair share of nurses to the BON. Only one nurse ever lost her license for my report and that was due to stealing narcs. Two nurses were...
    Oct 9, '13
    Forum: Minnesota Nursing
  24. Curious....If D.O.N., A.D.O.N, and/or Admin. are fired w/out notice.,
    I work as a traveling/interim DON consultant. I may get anywhere from a day to a week's notice that i am needed. I go into facilities where they have either gotten rid of the prior DON or the DON has...
    Sep 18, '13
    Forum: Geriatric Nurses / LTC Nursing
  25. OMG! *I* cannot pronounce death but a paramedic can????
    I agree, each state has their own laws that must be followed. But, if no DNR is in place, then you must treat them as a Full Code. I know of one facility that had a nurse that chose to ignore the...
    Sep 18, '13
    Forum: Geriatric Nurses / LTC Nursing


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