marymack57

My drug books get used frequently, I keep THIS years at work, and LAST years at home. Someone is constantly calling me and asking about some drug or other. Then I have a crazy sister-in-law that buys all those weird concoctions that are supposed to...

After multiple complaints about a perfectly WONDERFUL aide, I told the patient "I hired her, I didn't RAISE her!" At least the patient had the good grace to blush.

(DNS in NM) We hire brand-spanker LPNs for 19 an hour. LTC

Experience? EXPERIENCE?? I feel like telling nurses who look down their noses at my LTC nursing job...how good are YOU at starting an IV on a 90 year old ex-rancher that is dehydrated because he's been eating and drinking for 90 years and has deci...

I don't get near as much trouble from EMS staff as I do the nurses/doctors at our local emergency room. They talk about our facility as it were the armpits of hell, and then expect us to be amenable to their calls and such. The last fiasco was whe...

bet, the facility who had the happiest, healthiest residents, has the lowest amount of documentation. Somehow it just doesnt seem right that a DON has to write up staff that tenderly cares for the residents, they just don't write it down correctly. A...

Our biggest problem is we DON'T get paid for the work we do. Our state has 2 designations for Medicaid reimbursement. Low and High. Its danged near impossible to get the High level. Doesn't matter if they are total care for aides, and frequent ha...

That's bad, when the MDS person doesn't have a clue. Been there, done that! It took her only 3 months to hang herself, but after she left I had to fix up the errors. What a mess. Both our MDS coordinators are RNs and new and were hired at 29 an h...

Never think you can't learn something new, and always ALWAYS stay on top of what your therapies are doing. LOL At least I found these to be true. Does your facility belong to a large corporation, or is it a stand alone (private owned) facility? I...

I am DNS, but our MDS coordinators, though they are both RNs, make almost as much as I do per hour. By the way, I am a former MDS coordinator. They deserve every penny they make, and probably more.

We seem to be getting more documentation...not less. With all the assessments and risk scales, its daunting.

I live in the SouthWest. Our MDS coordinator makes about (within a few cents) what the ADON makes. And worth every penny!:wink2:

I'm always telling my friends at work "when I'm a resident here...." and then tell them I don't want that, or I do want this. DON'T GET ME OUT OF BED IN THE MIDDLE OF THE NIGHT, OR BEFORE SIX FOR THAT MATTER, TO DO ANYTHING FOR ME...I might bite Se...

An oncologist told me that anyone who has pain CAN'T be addicted to medication. What indicates "addiction", in his words, was the person without pain taking a narcotic for the euphoria it generates. I've tried to keep this in mind over the years I...

Order given: "Fortified foods at all meals and HS" Order written by charge nurse: "Four to five foods at all meals and HS" Now THAT one took me a while to figure out!

When I can't hold it any more. Had need to go to an urologist, new to me, and he looked at one of my x-rays and told me "you're either a teacher or a nurse". When I asked him to explain he stated that nurses and teachers tend to have over-sized bla...

Someone else sorta hit it on the head...all our GT patients get a GERD medication to control reflux. My problem is getting people to understand that just because they don't eat, doesn't mean they don't need EXTRA oral care.

my favorite medical staff person's name Nurse Clampett Specialty-mammography gotta love her!

peter...what a thought, at least i am glad to know that i'm not the only one fighting these day to day battles! if i had a dollar for everytime i have said, "what did you do oral care with? silly putty?" i would be a rich woman. a reality check i ...

RN, Director of Nursing 7 years RN 3 years DON LTC 23.50

we don't have any agencies operating in our town, if we have to use registry they come from Albuquerque, about 200 miles away. our corporation is also attempting to set up it's own registry, i haven't heard lately how that is coming along. we use v...

i am currently using Careworks Career Growth program for cna advancement, written by Paul Wray. there are three different "steps" that can be taken. the Bridge Mentor is a little harder to teach than others, mentoring isn't something that comes eas...

hello, i am d.o.n. in new mexico long term care facility. three years is all. current issues in our building: nursing shortage, cna retention, owning company in chapter 11. sounds awful when i put it all in one sentence, huh?