Mrs. M.

Mrs. M.

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All Content by Mrs. M.

  1. Unit Manager Salaries

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

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

  2. Nursing Home Compare

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

    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...

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

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

    Utilization Review,

  4. Doing away with side rails?

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

    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...

  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...

  6. Artificial Fingernails and Direct Care Staff

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

    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...

  7. New Grad to TCU..

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

    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...

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

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

    Central California - we start our new RN grads at

  9. New Grad to TCU..

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

    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...

  10. Career ladder for RNs in LTC?

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

    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...

  11. cna refusing to get patient up for meal

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

    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...

  12. Pornographic movies

    Mrs. M. posted a topic in LTC: Directors, Assistant

    I'm wondering if anyone else has dealt with this and what the outcome was. We have a 59 year old quad (quad x 33 years) who likes to watch Mediaographic movies. Since he cannot put the movies on...

  13. I need help managing a very difficult resident!

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

    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...

  14. Help How to keep pts IN Bed

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

    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...

  15. Pornographic movies

    Mrs. M. replied to Mrs. M.'s topic in LTC: Directors, Assistant

    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...

  16. 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...

  17. Roles of DON/Nurse Manager

    Mrs. M. replied to whoamiRN's topic in LTC: Directors, Assistant

    What you are describing sounds pretty much like what our managers do. Don't ever let someone else do your budget if you can avoid it - you are the one who is going to be held accountable for it, so...

  18. Drug Screening

    Mrs. M. replied to Inquisitive one's topic in Geriatric, LTC

    I have had soooo many applicants fail drug tests. If it comes back positive for a prescription drug, all they have to do is show the current prescription and there is no problem at all. As for the...

  19. Drug Screening

    Mrs. M. replied to Inquisitive one's topic in Geriatric, LTC

    We do pre-employment drug screens, but no random screens after hire. However, we have a good "suspected substance abuse" policy which outlines exactly what to do if you think someone is impaired. I...

  20. What is better and why - Salary or hourly?

    Mrs. M. replied to Cairo662's topic in General Nursing

    I love the flexibility of my salaried (exempt) position. Financially I would be better off if I was punching a time clock, but I like not having to worry about about coming and going at exact times,...

  21. What's the dumbest remark you've heard yourself make...

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

    Several years ago I worked at a hospital in a rough area of town. We often had drug deals going on in the parking lot, sometimes the "customers" were our patients. Our security officer was a petite...

  22. Pornographic movies

    Mrs. M. replied to Mrs. M.'s topic in LTC: Directors, Assistant

    Great advice, thanks. I've been in nursing leadership for many, many years, but I'm only a year into my LTC experience. It's a whole new

  23. Pornographic movies

    Mrs. M. replied to Mrs. M.'s topic in LTC: Directors, Assistant

    Thanks - those are some good suggestions. He is vent dependent and a high quad. He can actually only turn his head in one direction, and only about 45 degrees. The TV is turned so that the back of it...

  24. Pornographic movies

    Mrs. M. replied to Mrs. M.'s topic in LTC: Directors, Assistant

    Sexual harassment laws don't protect employees from patients, they protect employees from other employees/authority figures. According to our attorney, the fact that I have informed them that they do...

  25. Pornographic movies

    Mrs. M. replied to Mrs. M.'s topic in LTC: Directors, Assistant

    I'm going to take a wild guess that you are not a Director in Long-Term Care. If a diabetic patient wants an ice cream, we educate, educate, educate - then give them their ice cream. Smoking is a...