PsychNurseWannaBe

PsychNurseWannaBe BSN, RN

LTC, Nursing Management, WCC

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All Content by PsychNurseWannaBe

  1. lpn as ADON?

    Wouldn't it be nice if we had ONE board of nursing vs 50? It really would simplify things.
  2. section M question

    Thankfully I don't have a lot of experience in section M because I do not have pressure ulcers on my unit. Is Stage IV, sDTI an option? That does not make sense to me sense sDTI is INTACT skin and...
  3. Complaint Survey

    Well... I would not go the route of the clocks. That is a tag waiting to happen. Let's say it is 3 PM and it means it is time to be on their back. Ms. Know it all surveyor comes and sees that person...
  4. RN aphabet letters for MDS completion

    IDT signs the same sections on the MDS depending on what it is. You will see this with electronic signatures. For example, I open the MDS and put in the ARD, section A. SW comes around and answers...
  5. Careplans and Quarterlies

    Our charting is pretty straight forward thanks to our software. We select MC: and the admitting diagnosis... it then takes us through whatever assessment it is looking for. For example MC: Rehab...
  6. psychotropics

    For the state of Wisconsin, antipsychotics, antidepressents, hypnotics, benzodiazepines are considered psychotropic meds and must be monitored including attempts for gradual dose reduction and...
  7. Do you soley use Section G for careplan ADLs

    At our facility we do... let say an admission MDS. We gather and input and close out the MDS. The next day we CAA and CP. In my situation, section G and my ADL CP will more than likely match. So...
  8. psychotropics

    We get our consent forms from the DQA website. I was told that we have to care plan according to the class of medication. Trazadone = antidepressent. If we get it for insomnia, the MD is...
  9. Do you soley use Section G for careplan ADLs

    If you have a rehab patient and are doing the ADL CAAs, I type in that improvement is expected as resident progresses through therapy. I do not sig change them. It is an expected outcome. The...
  10. Hi, I have been working on this wound for a long time. It is a stage 4 PU on the left ischial. Treatments have been changed several times and now is to lightly pack with aquacel ag rope and cover...
  11. What have you done without a Dr. order?

    I only order things that I have standing orders for; which include things like get xray if fracture is suspected, obtain UA with C&S if S/S of UTI,
  12. what does this sign mean?

    Would need to know the context of its use in order to help. Otherwise I have no
  13. collaborative problem

    You are welcome. You can do it! Welcome to Allnurses. I found this site when I started school as well and it is very helpful. Make sure to look at the sticky notes for some awesome websites that will...
  14. LTC Salary for new grad RN

    $8.00/ hr people are talking about 20 - 30 years
  15. collaborative problem

    Collobarative problems are headed with PC for potential complication. An example would be PC: Sepsis or PC: Acidosis (metabolic). With a PC dx there will be or should be nursing dx that would fit...
  16. How do you overcome nervousness when with patients?

    It is very hard to invade someone's space...especially if it is in the intimate space of 0 - 18 inches. Develop a rapport with your patients ASAP. Use humor appropriately. Ask them questions like,...
  17. Resume experience help

    Isn't your school going to show you how to make a resume? We had several classes throughout college years regarding resumes. Does your school have a career services office that can help you? I was...
  18. Does anyone have difficulties delegating tasks?

    Hello; It was hard for me to delegate when I was a student nurse because you are there as a guest of the hospital...not really an employee, so a CNA should listen and help but really... Delegation can...
  19. Leukocyte Esterace & Hypotension

    Think: systemic manifestation of inflammation. Look that up in your patho/phys book. Good Luck!
  20. Does anyone use a care plan "report card"? Help!

    The report is probably based upon all the disciplines. We have cue cards that we carry that include how much assistance is needed for ADLs, transfers, ambulation, eating, AM/PM cares..their diet, if...
  21. State surveyors here again...and being super picky...

    Because they can make money from fines and penalities until you are in compliance again, which who knows when they will come back for a follow up so you pay daily
  22. PAY RATE ISSUE

    What makes me nervous is the statement that they can't afford you. I don't know but to me that screams financial problems. I mean, I could understand if they said they can't afford your current pay,...
  23. borrowing meds

    The nurse who accepts the order should be reasonable when assigning admin times. If I get an order at 14:00 (work until 14:30) then I would start it for tomorrow unless I have it in contigency. If I...
  24. Checking peer orders and counter signing

    Hello, I recently was told that when new orders are received they need to be checked by another nurse. So as an RN, if I receive a new order, I need to go to my counterpart and have her initial the...
  25. New LPN would like CNA input please

    Sorry for butting in... But you must totally get them to work for you out of fear! Use an iron fist! OK... completely joking but I bet some of you were ready to kill me. :) 1. Communication and...