expltcrn

expltcrn has 20 years experience and specializes in Sub-Acute, SNF,ICU,AL,Triage, Cardiac.

Latest Activity

1. Kaiser Call Center Questions

   expltcrn replied to Genista's topic in Triage

   Have you explored the ability to keep both while making a decision? Just a thought. The other thing to consider, is that once your are in the Kaiser system, you can request a transfer if advice nursing is not your cup of tea.

2. I want to leave nursing....now what do I do?!

   expltcrn replied to np7797's topic in Career Support

   My very smart young daughter, who has ADHD and had some trouble in focusing at school, blossomed and excelled in a class taught by one of the best elementary school teachers I've ever met. She was BSN trained, but found teaching to be her passion.

3. Kaiser Call Center Questions

   expltcrn replied to Genista's topic in Triage

   You go through an intensive 6 week training with set algorithms that are proprietary information, and you do test scenarios with other students/nurses and the instructor. Toward the end of the program, you may start being able to take precepted call...

4. When a resident won't follow the rules

   expltcrn replied to CapeCodMermaid's topic in LTC Directors

   Have you tried buying him a ticket to Hawaii? I've heard some stories :)

5. 60-day recert calendar

   expltcrn replied to Ryourchoresdone's topic in Home Health

   i just ordered this gadget myself. waiting for arrival hc1022spoasis compliance compassthe oasis compliance compass is compatible for use with the new oasis-c. information contained on the oasis compliance link: http://www.med-pass.com/shopping...

6. Did i handle this situation correctly???

   expltcrn replied to marielina85's topic in General Nursing

   You did the right thing by calling the MD. Yes the patient does have the right to refuse, agree/disagree with medical care/medications, etc. - especially when they are self-responsible. However, had you not called the MD (who unfortunately sounds l...

7. Called into the office, told I'm a slob.

   expltcrn replied to danceswithsnakes's topic in General Nursing

   Wow. A hard topic. I've had my battle with weight too and have felt frumpy and dowdy many a time. But, I did find that when I wear my suits on those days, I feel the immediate power pick up, which then translates to confidence and looking like I a...

8. LIttman Brass/Black stethoscope Stand out?

   expltcrn replied to cicatrixx15's topic in Uniform/Gear

   They are beautiful in person, but unfortunately will not guarantee loss. Any good looking Littman gets taken from me I've lost 3 special editions, cardiology, etc. and they even had my name engraved on them.

9. Taking work home

   expltcrn replied to achot chavi's topic in LTC Directors

   It is indeed challenging to try NOT to bring work home when you are an LTC Manager or someone who is non-floor as one of you mentioned. Unfortunately, I am one of those who DO take work home whether or not I planned to do it. However, whenever I wa...

10. In your experience have you seen this happen?

    expltcrn replied to Smith-Lee's topic in Geriatric

    Sorry, it's been a while since I have been on. It may just be a California nomenclature. It is usually either the DON or Administrator who is designated as the Abuse Prevention Coordinator, as part of the required elements by regulation for an Abus...

11. Recent grad, orientation issues - advice request

    expltcrn replied to murphyle's topic in Emergency

    It sounds like by this time you've already had your meeting. I hope all went well. If there is still time to give you some advise, this is what I would say - having personally experienced the horrors you've had with not so good outcomes after speak...

12. LPNs need co-signer for verbal orders

    expltcrn replied to KatieNoelLPN's topic in LPN/LVN

    If your company is Medicare-certified, it needs to comply with the Medicare Conditions of Participation. This is what it says: 484.18 Condition of participation: Acceptance of patients, plan of care, and medical supervision. © Standard: Confo...

13. Questions on State Visits

    expltcrn replied to Oranges3420's topic in LTC Directors

    You are most welcome. Glad to help!

14. Questions on State Visits

    expltcrn replied to Oranges3420's topic in LTC Directors

    Some of them yes, so they relish picking on the DON especially.

15. Questions on State Visits

    expltcrn replied to Oranges3420's topic in LTC Directors

    The other thing to remember is that the State Surveyors are people too. So, we are talking 1) Plenty of room for error/misrepresentation; 2) They have their own agenda (we don't always know what it is; 3) They will respond to your body language and ...