aaspender

aaspender

Medicine, Geriatrics, Pedi,ICU, Oncology

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About aaspender

aaspender has 19 years experience and specializes in Medicine, Geriatrics, Pedi,ICU, Oncology.


Jack of all trades, master of my domain.

Latest Activity

  1. San Antonio RN Methodist Internship

    I worked at Methodist main and somedays I was the only actual staff member on the floor with every other nurse being agency or float. It was pretty scary. When I started I had 15 years experience and they are just short of experienced floor nurses. I...
  2. Cdiff, MRSA, VRE precautions

    i just had the worst week of my don life doing my annual survey. i tried to explain my policy and procedure for isolation to a very stern and egotistical federal surveyor and 10 minutes into the "interrogation" i knew i was heading straight into imme...
  3. Does anyone use a care plan "report card"? Help!

    Whoops
  4. Does anyone use a care plan "report card"? Help!

    Thanks.
  5. Today I was reading about a care plan report card that you can send to the residents family member who does not come to the care conference meeting. I really like this idea but have no clue what a template would even look like. It would be really nic...
  6. Taking work home

    I want to work at home but luckily my administrator knows better than to give me access to the server at home. Therefore I am forced to forget about work the minute I leave. Then the phone rings at 9pm... and I am working at home again. I fantasize...
  7. I don't understand the diff between ADN & BSN????? Help!!!

    I have never responded to this type of thread before but I read something on here about the ANA stating that a BSN is a professional nurse and an ADN is a technical nurse. I looked at the current license in my wallet and it states that I am register...
  8. If medicaid paid for this few if any people would end up in a nursing home. Medicaid only pays +/- 150$ per day for 24 hour nursing home care her in Texas. That is only a few hours of nursing care in the home environment. I wish they did though, t...
  9. I don't differentiate when I hire. New RN BSN nurses are terrifying at times and actually cost more in training on the job. Too much analyzing and not enough work. I have one of those simple 2 wrinkle ADN brains and maybe BSN nurses have more wrink...
  10. TPAPN...Uggghh!!

    disclaimer: the content you about to read is an editors nightmare. the girl can't help it. i was just browsing on here after a rough day at work where i had to term a cna for snorting coke at work. wonderful lady, she called right after she left an...
  11. How many residents do you care for Per Shift?

    There is a federal regulation for what the temperature can be in a home but the regulation for sufficient staffing it is basically defined as ability to meet basic needs. It is really hard to get cited for insufficient staffing because if the feds/ s...
  12. What kind of LTC resident will you be?

    I will be the real picky lady who takes an hour to get ready every morning. I may be a stroke on my dominant side therby no longer able to pluck the stray hair on my chin, apply my lipstick, ensure my bra is on correctly etc. I will be frantic if I ...
  13. NCLEX application. Bipolar ?

    I am familiar with this topic having been in the Texas Peer Assistance Program for Nurses a few times (3x) and also being married to a bi-polar nurse. What the BON is interested is that you if have been diagnosed and treated for the condition you ar...
  14. So Who Runs Your Floor, You or the Aides?

    No one seems to run my floor. I've just come from 6 years as a DON in LTC to the hospital. My floor is intermediate so it is primarily RN's. Today we had a tech and he was doing the never ending vital signs for us. This afternoon an MD asked me a...