rnto?

rnto?

Med-Surg, LTC

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About rnto?

rnto? has 5 years experience and specializes in Med-Surg, LTC.


Rb, mom of 1

Latest Activity

  1. I also think there is no such thing as low stress-it's just a trade of stressors when you're in healthcare.
  2. 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 pressure to cut costs, etc. I think that is still one of ...
  3. Minimum requirements

    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 divided, so you can theoretically have 1cna for 150 reside...
  4. Staff/Patient Ratio - 30 Patients per Nurse

    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 industry, as we are being expected to do more with less. Th...
  5. Staff/Patient Ratio - 30 Patients per Nurse

    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 heads take turns helping in the dining room for lunc...
  6. When to call or page the doctor?

    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 overnight, you don't really need to call about a s...
  7. need an honest answer from DON

    Ditto, suspension pending investigation. And if the nurse in question did not tell me about the suspended license, THAT would be immediate termination
  8. Don't You Just Want To Scream?

    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 talking about minimal errors here. I'm talking missin...
  9. Don't You Just Want To Scream?

    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 work, I've yelled. I have some good staff, but there ar...
  10. ON CALL

    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 depends on the state you live in as well.
  11. Lungs sounds assessment question.

    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.
  12. 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 is skilled with 30 beds. I am currently struggling...
  13. promotion?

    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 downscale the position to a charge nurse helping at the d...
  14. promotion?

    the DON is on a business trip until Thursday
  15. promotion?

    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 before I resign. We're living paycheck to paycheck as it...