fsudmbRN

I find it is pretty normal. They want to make sure that there isn't something nursing wise.

I realize that this post is slightly older, but I work for an agency who does PPV, but they also allow us to bill for hours where we are on the phone with doctors doing COC and also calling our patients and scheduling visits.

I think it depends on what kind of unit you are working on. I work on a SRT program. On that unit, I was charge for 25 residents with one medication nurse and two techs plus myself. Currently, I work in an inpatient facility. We have 3 units with different staffing ratios on all of them. Nurses serve as medication nurses on these units. Our geriatric unit we can have up to 12 each. Our Green unit can have 8 a piece. Our Red unit we typically have 5 each.

I think that is kind of what private duty is.... babysitting for a medical needy kiddo.

I have seen LPNs work as ADONs. I have seen LPNs be DONs. Typically this is in an Assisted Living capacity though.

Florida here: Nope. They honestly really can't mess with oxygen at all. Considered a medication so they can't administer it, which means changing over tanks. They can ASSIST a resident with placing on face, but can't do it themselves.

I don't see the problem with it! In fact, I think you will find that the staff have a lot more respect for a DON who is in there working right beside them... rather than them expecting to kill themselves to make it work.

I am in a somewhat rural area of northwest Florida. As a supervisor, I made started at $42. I got my annual raise (after almost 3 years) and was brought up to $43. But I was salary... so honestly, I made about $20 an hour.

Most of those assessments are facility based, not PCC based. That is the glory of PCC is that it is adaptable to add your own assessments into PCC. My old facility did not have an assessment for Infection Control/Antibiotics. We had a separate place outside of PCC that we would put those assessments.

You develop your own system. No ones system will work for you! I have had several new LPNs and RNs come up to me and ask how I got done with my pass so fast. I have basically worked in LTC for nearly all of my 16 years as a nurse. I know medications by brand name and genetic name. I have developed a good memory of who gets what. It is just something that I have progressed over the past several years. You will get it, too!

In my old facility, it would have been an abuse allegation and she would have been sent home. And seeing as you witnessed her feeding into it, it would have resulted in her being terminated.

I love my old people. I always leave and come back. Though I think I just found the best of both worlds for me: geriatric psych! I love crazy old people!

I had a friend tell me that if you don't get a job somewhere, it just means that you aren't suppose to there now. You are suppose to be at the place that hired you. Whether you find your "forever home" or it is just a place that you need to learn a lesson in. It is all for a reason.

I think it honestly depends on what YOU want to do down the road. I went straight for my RN and ended up working in a LTC facility and worked in it for several years. I switched to psych, acute, and home health, but went back to LTC because it was what I liked. I progressed through the floor and ended up in management. Recently, I did choose to leave and go back to psych. (the only reason I originally left psych is because my unit closed. Now I am working on a unit that will have little to no chance to closing.) As I am currently nearly 45, I do plan on going back and getting my PMHNP, so going back to psych was my best plan. I just found that I no longer wanted to work in LTC nurse management... and if I applied for any floor positions, I got kick back and asked if I wanted to be in management, which I don't. Maybe in a few years from now.... but my youngest is about to graduate from high school and then my husband and I will be solo and it will be nice to have some time with just two of us. (we had our first child very early in our relationship.) I am going back into the hospital with a very little pay cut and not having to be on call or deal with staff problems. Again, it just depends on what YOU want your career to look like. I did have some issues with trying to convince hospital staff that I knew what I was doing. They see long term care and think that all we do is sit and eat BON-bons and gossip all day. They don't know of the actual work load that it does entail. Little do they know, alot of the patients we are getting now a days are like the med-surg patients in the hospital.

Thank you! Happy to be moving on with my life. LOL