Mrs. M.

Mrs. M.

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  1. Unit Manager Salaries

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

    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....

    Utilization Review, perhaps?
  4. Doing away with side rails?

    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. 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

    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..

    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

    Central California - we start our new RN grads at $34.00/hr.
  9. New Grad to TCU..

    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?

    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

    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. Pornographic movies

    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 pornographic movies. Since he cannot put the movies on himself, employees have to assist if he's going to watc...
  13. I need help managing a very difficult resident!

    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.
  14. Help How to keep pts IN Bed

    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.
  15. Pornographic movies

    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 ...
  16. 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...
  17. Roles of DON/Nurse Manager

    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 you want to be the one to create and control it!
  18. Drug Screening

    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 others, it is so much easier to not hire them than t...
  19. Drug Screening

    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 suggest that you see if your facility has a similar ...
  20. What is better and why - Salary or hourly?

    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, and if I need to leave a little early I don't have ...
  21. 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 woman who was well endowed. One day she saw somethin...
  22. Pornographic movies

    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 ballgame.
  23. Pornographic movies

    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 is facing the door. The nurses who are supportive ...
  24. Pornographic movies

    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 not have to put the movie on for him will cover us...
  25. Pornographic movies

    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 different situation, because it puts others at risk....