Mrs. M.

Mrs. M. specializes in Administration.

Latest Activity

1. Unit Manager Salaries

   Mrs. M. replied to PeacefulHeart's topic in LTC Directors

   I will be posting a position for a subacute manager soon. Salary will be $90,00-98,000 DOE.

2. Nursing Home Compare

   Mrs. M. replied to debRN0417's topic in Geriatric

   The 5 Star Rating system went into effect today. It starts with your annual survey results, then adds and subracts stars based on your QM data and your staffing. I am also very frustrated with the pressure ulcer information. Our Transitional Care ...

3. Is there any type of nursing....

   Mrs. M. replied to wabashcannon's topic in General Nursing

   Utilization Review, perhaps?

4. Doing away with side rails?

   Mrs. M. replied to mondkmondk's topic in Geriatric

   Bed rails can be very dangerous. The CMS (CDPH) data shows that there were 46 deaths last year related to people basically hanging themselves on their bed rails. Care planning is the key. If the resident uses the rail for mobility or requests that...

5. Nursing preceptor says no to certain abbreviations

   Mrs. M. replied to cozzy66's topic in General Nursing

   You need to get the list of approved abbreviations from your hospital. I have struggled with eliminating many of the old standard abbreviations from my routine, but I've had to change because it is a patient safety issue. Better to learn this corre...

6. Artificial Fingernails and Direct Care Staff

   Mrs. M. replied to pumpkin92356's topic in Geriatric

   I sent a CNA home just last week because she was wearing artificial nails. I gave her a copy of the policy, explained why we had such a policy, and told her not to come back until they had been removed. She came back the next day with the nails gon...

7. New Grad to TCU..

   Mrs. M. replied to NurseKatie08's topic in Geriatric

   That sounds about right. We run 8:1 on day shift and 12:1 at night (24 beds). Our unit is somewhat unique in that we do have a lot of wounds that come from other hospitals and SNFs (as secondary diagnoses), and we have a dedicated treatment nurse f...

8. Hourly rate for RN's, LPN's, CNA's in Your State

   Mrs. M. replied to pirituba's topic in Geriatric

   Central California - we start our new RN grads at $34.00/hr.

9. New Grad to TCU..

   Mrs. M. replied to NurseKatie08's topic in Geriatric

   Congratulations on your new position! At our facility, the TCU is very much like the med/surg units that many of us use to work on. The acuity can be quite high, and the diagnoses are all over the board. It's a great unit to start with, because th...

10. Career ladder for RNs in LTC?

    Mrs. M. replied to EMM1's topic in LTC Directors

    Our Subacute and Transitional Care units are departments within a hospital system, and we have a career ladder just like the rest of the hospital departments. RNs put together a portfolio of their accomplishments which include any PI studies they ha...

11. cna refusing to get patient up for meal

    Mrs. M. replied to Ms.RN's topic in Geriatric

    the immediate answer is you need to have someone else do it or do it yourself. don't let the patient suffer for someone else's poor work ethic. then, as a don, i would expect you to document the situation carefully so that i could go to the cna and...

12. I need help managing a very difficult resident!

    Mrs. M. replied to Lovely_RN's topic in Geriatric

    If you are going to leave anyway, that's all the more reason to go to the DNS. Your co-workers will appreciate you, and the DNS needs to know that she has an ineffective manager. The manager is putting the facility at risk.

13. Help How to keep pts IN Bed

    Mrs. M. replied to Mazzi's topic in Geriatric

    Four months ago we began q 2 hour rounds for the 3 P's - Pain, Potty and Position. Both our fall rate and restraint use have decreased significantly. We are also have very few issues with skin integrity.

14. Pornographic movies

    Mrs. M. replied to Mrs. M.'s topic in LTC Directors

    We have a chaplain who comes through to visit, of course. This resident chooses not to engage in discussions about spirituality. Our Activity Coordinator spends a lot of time with him. He likes trivia games - he's quite intelligent. He watches other ...

15. What questions will be asked in a 'behavioral interview?

    Mrs. M. replied to TooterIA's topic in General Nursing

    Exactly. They will be looking for how you have handled things in the past rather than how you would handle a situation in the future. My advice is to think of several situations from you past where you handled very challenging situations with docto...