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I typically work 7-4:30 or 5. I get paid for 7.5 hrs each day. Salaried. My LPNs and CNAs think the RNs have it made- but I'm just getting by paycheck to paycheck. Just recently we are down a RN...

The staff meeting went well, the staff did not protest - of course I don't see the eye rolling or kvetching at home later....and I turned down the clinical reviewer position. The money just wasn't...

It was then that Sam started to regret his decision to work on the GI specialty unit.

Thank you for the reply. It sounds a lot like the MDS system I have been using in long term care. I review data and upload it to a national data base. We run our QA info from this and it's reported...

Clinical reviewer for cardiac surgery department. Working under department of performance improvement. Office and clinical setting.

I'm interviewing this week for a cardiac surgery clinical reviewer. I'm trying to understand the position a bit. What is the biggest part of your job? What's the largest Barrier you've had to...

I have a big interview Thursday with a large city hospital. I know that they are going to meet multiple candidates for this one position and I want to look as polished as possible. My problem is that...

I am a LTC rehab nurse manager. I personally wear solid colors, mostly whites, grey, and black pants with a solid top. I am not super old, but not twenty anymore either. I just don't feel like I'd be...

Those are great ideas. Thanks. I will let you all know how the meeting and the interview go.

Thanks. I have a staff meeting scheduled for next week to talk to all my LPNs about what's expected of them. The off shifts voiced to me their concern of not getting respect from the CNAs. We really...

I am very excited by an opportunity I have next week for a clinical reviewer position at an area magnate hospital. I've been working in LTC for six years, and I'm a little nervous about talking up my...

Thank you both for ideas. We actually had a good day today, but its never an indication of how tomorrow will go. In an almost serendipitous way, I received a call from the hospital where I got my...

I have been to the DON with my concerns and she said that I need to,"talk it out" with my nurse. I took that as her saying she didn't want to get involved. I don't feel I have the backing of my...

I have worked at SNF as a manager for about six months. When I started I was told by my DON about the roles of he nurses on my unit. I have a "head nurse" who is an LPN and acts as a charge nurse,...

Two weeks for a non-management position, four for a manager. It's a good idea to check for a policy first.

Well, you never know what to expect! We are having the traditional survey after going through a QIS last year. So much for consistency. This unpredictability is demoralizing and one of the reasons I...

I read a chart that very accurately described a resident's "pick" line instead of PICC. (Sigh)

After some reading and discussion i have decided to change the way I am staging. The wound in question is how called unstagable. I also warned my DON that I may be calling more present on admission...

Where is that information available? NPUAP still has staging guidelines on their website. If I'm doing this wrong I need to correct myself ASAP.

So what parameters does one use to determine that enough of the wound bed is visible enough to stage the wound? Is it subjective?

Fair warning: I'm a bit frustrated. I am a certified RAC-CT for the MDS. I am a nurse manager with six years LTC exp. I asked the MD to take a look at a coccyx wound that had deteriorated since I...

I looking into the Wicks self study program. Has anyone had experience with them? It's three grand cheaper than the Cleveland clinic. I don't want to pay extra for the name on the college to achieve...

When "helicopter kids" grow up

Hi! I am interested in pursuing certification through an accredited online program and I just wondered if anyone would be willing to share their school and experiences. I work in long term care and...

Pagan here as well. I go through cycles, falling in and out of practice. I lack some of the discipline my friends have. I would say I'm a humanist as well. This has made for some very interesting...