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Search Results Type: Posts; User: CapeCodMermaid

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  1. Should I find a new job asap?
    I'm sorry you work in a crummy building. I work for a company that values the residents above the bottom line. If someone has to go, they go, but we know it's better for them to stay where they are...
    Apr 16
    Forum: Geriatric Nurses / LTC Nursing
  2. Do you have to count lyrica at your LTC facility?
    We count Lyrica because it can be sold on the street and used to get high....not because we are trying to make sure all doses are given.
    Apr 16
    Forum: Geriatric Nurses / LTC Nursing
  3. Is most ltc short staffed?
    I've been in management for years..and worked the floor. I stay within the budget without being short staffed by design.
    Apr 14
    Forum: Geriatric Nurses / LTC Nursing
  4. Should I find a new job asap?
    It's apparent from many of the comments here that all y'all don't have a full understanding of the climate we're in. Heard of ACO? Hospitals are going to be penalized for readmitting patients with...
    Apr 14
    Forum: Geriatric Nurses / LTC Nursing
  5. SNF who provides supplies?
    Do I live on another planet? Most room and board charges for someone on hospice are paid by Medicaid, not private pay. We don't charge separately for incontinence supplies. Our hospice providers are...
    Apr 13
    Forum: Hospice Nursing
  6. Pronouncing Death
    I don't call the coroner or the ME's office for every death. I would call if the death were from a fall in the facility or if the resident died within the first 24 hours after admission--unless they...
    Apr 13
    Forum: Geriatric Nurses / LTC Nursing
  7. New ADON
    The best way to foster team work is to BE part of the team. Many times people who get promoted forget what it is like to be on the units doing the work. Help when you can but don't let anyone take...
    Apr 12
    Forum: LTC: Directors Nursing / Assistant (DON/ADON)
  8. Is lying the new norm?
    I've never heard of such a thing. I do the interviewing for my facility for most licensed positions and wouldn't think of doing that. I have, on occasion, asked someone who came in to interview for a...
    Apr 12
    Forum: Long Term Acute Care (LTAC/LTACH)
  9. Is most ltc short staffed?
    Oh please...short staffed by design? I don't know where all y'all live but in Massachusetts and especially in MY facility, we take staffing seriously. People call out. I can't force them to come to...
    Apr 12
    Forum: Geriatric Nurses / LTC Nursing
  10. Should I find a new job asap?
    It doesn't happen in a lot of places....never in any place I've ever worked would we have tolerated that. Maybe because I work in Massachusetts and we have the strictest DPH there is. Or maybe...
    Apr 11
    Forum: Geriatric Nurses / LTC Nursing
  11. Need expert advice on how to pass 39 patients' medication in a 2-hour time frame.
    There is no need to check a pulse on a resident on digoxin. We no longer automatically hold it if the AP is less than 60 since, as one of my former medical directors put it, they might need the extra...
    Apr 10
    Forum: Geriatric Nurses / LTC Nursing
  12. Dilemma in LTC
    I love my job in LTC. I could work anywhere....I choose to work with elders and, these days, not so elderly rehab patients.
    Apr 9
    Forum: Geriatric Nurses / LTC Nursing
  13. New lpn working ltc
    Do you live in Maine? Is that why it's your priority? 35 residents overnight is more than doable. Make it clear that you are now in charge...age shouldn't have anything to do with it.
    Apr 9
    Forum: Geriatric Nurses / LTC Nursing
  14. Need expert advice on how to pass 39 patients' medication in a 2-hour time frame.
    1. Have your pharmacy consultant determine if the patients really need all these meds. 2. Stagger the times...half for 8 half for 9 OR 3. Have the daily meds given between 6:45 and 11:45. No one...
    Apr 9
    Forum: Geriatric Nurses / LTC Nursing
  15. New grad RN seeking first nursing job
    45 residents over night on a long term unit seems very doable. You shouldn't be giving many meds on that shift. Go for your second interview. What can it hurt?
    Apr 8
    Forum: Geriatric Nurses / LTC Nursing
  16. Documentation
    We tried that but the nurses weren't documenting anything useful so we had to go back to charting every shift with the hope that there will be enough information.
    Apr 5
    Forum: LTC: Directors Nursing / Assistant (DON/ADON)
  17. How does your facility do the following:
    Our part time people are scheduled for between 16 and 24 hours a week. Our full time is considered to be 32 hours a week. Per Diems....I have some that work one day a week and some who work 5 days.
    Apr 5
    Forum: Geriatric Nurses / LTC Nursing
  18. Admissions people
    In theory, as the DNS, I have the final say, but if I say no and my case manager says no, the admissions people often remove the sheet with our comments on it and hand it to the administrator....
    Apr 5
    Forum: Geriatric Nurses / LTC Nursing
  19. Documentation
    My facility is quite abit larger than yours. We run between 25 and 30 Med A and managed care residents. The nurses are encouraged to chart throughout the shift but they usually end up staying late....
    Apr 4
    Forum: LTC: Directors Nursing / Assistant (DON/ADON)
  20. How do I go about applying for this?
    Things change quickly. I've interviewed people who were hired for 24 hours only to have a full time shift open up in a day or two. Send your resume' and cover letter to the DNS.
    Apr 4
    Forum: Geriatric Nurses / LTC Nursing
  21. Confused with Charting
    Follow your facility's policy. Medicare rules...chart every shift for the first 72 hours then daily after that. No need for daily charting on residents who aren't skilled unless something happens.
    Apr 4
    Forum: Geriatric Nurses / LTC Nursing
  22. Wrong patient. Wrong narcotic.
    We do the same thing. On coming and off going nurse eyeball the patch and document they've seen it.
    Apr 1
    Forum: LTC: Directors Nursing / Assistant (DON/ADON)
  23. Essential Oils & Aromatherapy In the Workplace
    I'm not in the hospital, but my facility uses aromatherapy in our Mind/Body program. We have several residents with end stage dementia. They cannot actively participate in activities so they are...
    Apr 1
    Forum: Holistic Nursing
  24. Is this risking my license?
    What's with the 'nocte'? The word is nights...it saves no time to type nocte. I have 3 units. One unit has 60 residents...overnight there is one nurse and 3 aides. We do not give meds or do...
    Apr 1
    Forum: Geriatric Nurses / LTC Nursing
  25. Management of Personalities Question
    Not all DNS jobs are horrible. It's taken my 10 years and 6 different facilities but I have finally found the company where I fit in. Is it perfect? Not by a long shot, but it's a small company that...
    Mar 30
    Forum: LTC: Directors Nursing / Assistant (DON/ADON)


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