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I also think there is no such thing as low stress-it's just a trade of stressors when you're in healthcare.

I am a director of nursing in LTC, it is very low stress. Ha ha! Obviously don't recommend management if you're looking for low stress. I've heard that case management is getting more and more...

Does anyone know why this book is so expensive? I have seen it for 200 on Barnes and noble and up to 900 on amazon!! Just confused as it is paperback and less than 200 pages. Thanks!

Whats mandated is direct care nursing hours per patient day, or the total amount of nurse and CNA hours divided by the number of patients over a 24 hour period. It doesn't matter how that is...

As far as changing the patterns, we need to utilize our collective power. The public and those in office need to know what is truly going on. The Medicare and Medicaid cutbacks have HURT our...

Not all LTC facilities are this bad. I have 2 units, a LTC unit and a subacute/rehab unit. My LTC unit runs with 1nurse and 2aides for 25 patients, but my Adon handles dr calls and labs, department...

Ditto what kitty said about having your ducks in. Row before you call! You will make the call and your life so much easier! You will learn to use your judgement about when to call. If you are working...

What are you doing for your CNAs? I bought stethoscopes for nurses week.

Ditto, suspension pending investigation. And if the nurse in question did not tell me about the suspended license, THAT would be immediate termination

Lvn2bsoon - I totally agree with you in theory. The thing is, though, that it doesn't seem to make a difference when I praise, give constructive advice, etc. That's where I get frustrated. I'm not...

I'd really like a discussion about how to make nurses think. I took over as don in a facility where it seems no one knows anything. I've educated, I've put processes in place to streamline their...

Sounds like you are the unofficial number two. I agree that it is not illegal to not be paid for being on call unless you work, but there are a lot of caveats to the on call laws and I think it...

Ditto what both previous posters said. I am curious where one would get a cd of lung sounds? I am a new DON and looking to improve the skill set of some of my staff.

How do you DONs at small facilities manage your restorative program? I am currently a new DON in a 55 bed facility which has two levels. The lower Level is my long term unit and has 25 beds. Upstairs...

OK, I really need follow up advice. About 2 weeks ago, the DON and administrator called me and said that since they didn't get what they wanted out of the last unit manager, they were going to...

the DON is on a business trip until Thursday :(

thanks for the advice everyone. I will be calling the DON tomorrow. CapeCodMermaid-glad things worked out for you. I too am hoping for upward mobility. I can't afford not to have a job lined up...

I'm working M-F 11p-7a as RN supervisor in LTC/SubAcute, but I also have a 6month old that I'm breastfeeding. I have plenty of time to pump on this shift, whereas on daylight -ya right! I have a...

I have a suspicion of this also. I never wanted to be night turn forever. If this is the case DH thinks I should tell the DON that I'm looking elsewhere. I will look elsewhere if I've been...

I should add that the DON asked the other two girls on Monday, before I expressed interest.

i've been a supervisor at a snf/sub acute facility for a little over 2 years. Until May, when I left for mat. leave, I was whole-house supervisor on weekends. In July, while on mat. leave, I was...

I just wanted to vent. I've heard several people say, over the past few days, "Well, they're a DNR so why are we doing XYZ?" Um, because if their heart stops they don't want CPR, but the last time I...

can cme for physicians count as our ceus for rns? sorry no punctuation-baby in other arm:)

I am currently a supervisor in sub acute/ltc facility. I supervise 160beds, and 20 nursing staff members during off shifts and have done so for 2 years, with excellent reviews. It is a national...

shadow some doctors and some nurses. having a family member who's a nurse does not mean you know what it's all about. at the most basic level nursing is caring for a patient by following physician...