steff_rn1

Latest Activity

1. staffing on nights

   steff_rn1 replied to donmomofnine's topic in Geriatric

   We have 90 residents and work with two LPN's and usually 5 CNA's. No supervisor. I am surprised that some places have 1 nurse to 30 or less res. at noc.

2. Sending residents to the ER without a doctor's order.

   steff_rn1 replied to Blackcat99's topic in Geriatric

   At our LTC, we often call the medical director if we can not reach one of the doctors. If we can't get the doctor, we also send them if needed, and continue to try to contact the doctor. Never had any problems with calling the ambulance before the ...

3. New to Allnurses.com/Nursing ratios??

   steff_rn1 replied to BCLadynpink's topic in Geriatric

   In the LTC where I work, our nursing ratios are typically 1 nurse to 30 residents on days, 1 to 45 on 2nd and 3rd shift. Of course, on weekends and when call offs occur, this may be less.

4. LTC / subacute accurate picture

   steff_rn1 replied to renerian's topic in Geriatric

   I agree with the above posters. Even in my current position as DON, I am able to make a difference in the lives of the residents we care for. Last month, I held a woman's hand as she passed away. Last night, I comforted and cared for a man who is ...

5. Can any one tell me how I can get a DON or ADON or MDS cord. Job

   steff_rn1 replied to Malt123's topic in Geriatric

   My first suggestion would be to develop a resume that focuses on your skills that would be useful in these positions (assessment, supervision of staff, and knowledge of nursing standards and regulations). Send your resume to all of the LTC's in your...

6. Withholding food and fluid in a dying patient

   steff_rn1 replied to CapeCodMermaid's topic in Geriatric

   The original post said that the patient was on Hospice, had advanced Alzheimer's disease, and was evaluated as unable to swallow safely. I have cared for patients like this, and many do reach a point where they are unable to eat and drink because th...

7. What inspired you to be a nurse??

   steff_rn1 replied to kokeltner's topic in General Students

   I don't remember a certain event that made me want to be a nurse. I do remember, though, when I was about 3 or 4, lining up all of my dolls on a bed, bandaging them, giving them shots, and watching over all of them. I babysat a lot as a teenager, t...

8. What does your spouse do?

   steff_rn1 replied to vaughanmk's topic in General Nursing

   My husband works in a factory, building cabinets and store fixtures.

9. Study Tips

   steff_rn1 replied to RN_2007's topic in General Students

   This is how I studied for tests in nursing school (and other classes). First, read over the whole chapter and highlight the things you don't know. Then, only study what you don't know. This makes it less overwhelming and also helps you make sure you...

10. which one is better, Diploma or ADN?

    steff_rn1 replied to rhp123's topic in General Nursing

    I attended a community college and got my ADN. I feel that I was very well prepared after I graduated from school. Graduates of our ADN program scored higher than the diploma programs in my area every year. I chose this program because of the cost...

11. Laxative Abuse and the Elderly

    steff_rn1 replied to Cubby's topic in Geriatric

    Do you have a BM book and policy/ orders as to when laxatives are to be given? In our facility, a suppository is given on the 3rd day of no BM. It sounds to me that if she is not following the policy and MD orders, she should be reported and discipl...

12. Why don't they like part-time nurses?

    steff_rn1 replied to lyceeboo's topic in Geriatric

    I am a DON, and would be happy to have you. I understand that some facilities only want full time help, but in our facility, having an RN PT on nights would be an asset. I have found that most of the RN's that apply have "skeletons in their closets...

13. Why don't they like part-time nurses?

    steff_rn1 replied to lyceeboo's topic in Geriatric

    I am a DON, and would be happy to have you. I understand that some facilities only want full time help, but in our facility, having an RN PT on nights would be an asset. I have found that most of the RN's that apply have "skeletons in their closets...

14. need lots of mgt advice----wanna online mentor??

    steff_rn1 replied to Charis's topic in Management

    I totally agree with the last reply. I think the most important part of being a nurse manager is to listen to your employees, ask their opinions, and pitch in when times are tough. I have gained respect (and cooperation) from my employees by asking...

15. Truth about Nursing diagnosis

    steff_rn1 replied to UTRN2005's topic in General Nursing

    I have been out of school for 2 1/2 years, and have never actually used nursing care plans the way we learned to write them in school. I have, though, used the knowledge I gained from doing care plans to plan care for my patients. Goals and intervent...