hibiscus6

hibiscus6 BSN

SNF/LTC, MDS

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About hibiscus6

hibiscus6 has 43 years experience as a BSN and specializes in SNF/LTC, MDS.


Latest Activity

  1. Fear of Retirement!

    Liane, I retired about 6 weeks ago (ran out of steam at 62). I do miss doing parts of my job (MDS Coordinator in a SNF), but many tasks I won’t miss at all. I remember my relief after my last...
  2. Why doctors never write diagnosis for their prescribed pills?

    It’s a regulation (at least in my state) in SNFs that every medication must have a diagnosis. Since that regulation doesn’t apply in hospitals or other settings, both sides can become frustrated....
  3. Yes, I'm Vaxxed But...

    In my state influenza vaccination has been required for health care workers in hospitals and SNFs for several years in an effort to protect the patients through herd immunity. A consequence of...
  4. Thanks for clarifying. Perhaps I was just in a quarrelsome mood when I read your post. Good reminder for me that part of respecting one’s colleagues is not jumping to unwarranted
  5. As a nurse who has worked in LTC for over 20 years, I have worked with a great many competent and qualified (and licensed) nurses who care deeply about their patients. I am sad but not surprised at...
  6. Long term care medical director is a jerk!

    Sorry your facility is having to deal with that. Perhaps your administrator needs to consider firing him for not fulfilling the terms of his contract (administrative on call) If you can find a...
  7. There IS HOPE on the horizon!

    So glad for you! I too had a lot of trouble finding a job a liked and felt confident in early in my career. I have been an MDS coordinator for 20 years now and still enjoy it - always something to...
  8. Barriers to SNF and ALF improvements

    I am an MDS coordinator so, I guess, part of “management.” Even so, I have been working in LTC for a long time (as a charge nurse before I got my current job). I am lucky to work for a company...
  9. Don’t want to take care of people anymore...

    I am an MDS coordinator in long term care. I feel that I am helping people but I do not provide direct care; I spend perhaps 5% of my time in face to face patient contact. Long term care can be a...
  10. Walk In My Shoes

    Yikes indeed. Sounds like a place that’s really struggling, and it doesn’t sound as if the DNS is helping any. If she “doesn’t know” why the weights can’t get done, why the *&^%...
  11. When They Don't Want To Pay

    They must have told her about the right to appeal when they gave her the cut letter, right? In my experience sometimes people don’t appeal but still complain. When this has happened at my place...
  12. In Defense of the LTC Nurse

    Almost 25 years ago I moved from acute care (oncology, orthopedics) to long term care. I was tired of nursing and thought a change would be good, and, as an introvert, I found meeting new patients...
  13. considering applying for DON position

    My company requires a BSN for leadership positions including DON. I have worked with 2 DONs who were successful in moving into their roles from ICU positions. I also worked with 2 ADONS from similar...
  14. Do your educators take call?

    I am an MDS nurse at a 100 bed building; I take call 1 weekend in 5. I think a building's culture dictates whether the on-call managers are viewed as resources for the weekend staff, or as a PRN pool...