Rizpah

Rizpah

LTC / SNF / Geriatrics

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All Content by Rizpah

  1. free CEU's

    Rizpah replied to Ms.RN's topic in General Nursing

    duh!

  2. CEO told me to stay home while state evaluators vist the place I work..:(

    Rizpah replied to Bala Shark's topic in General Nursing

    Hospital visits are announced? WOW! LTC visits are not announced and there are big penalties if they are. Surveys are always a surprise

  3. new grad wage vs experienced wage

    Rizpah replied to 1776patriot's topic in General Nursing

    Where I work (LTC)(for the past 15 yrs) we have a base starting wage, an increase at 90 days and a year and then 20 cents a year after that. With all the years I've been there and for all of the...

  4. MRSA in wound

    Rizpah replied to bebop1's topic in Wound, Ostomy, Continence

    In my LTC we tend to use silvadine for wounds, get a sensitivity on the wound culture and treat appropriately with PO antibiotics at the same time. At the same time we start what we call MRSA...

  5. CEO told me to stay home while state evaluators vist the place I work..:(

    Rizpah replied to Bala Shark's topic in General Nursing

    I absolutely, totally, wholeheartedly agree. I worked in LTC for 6 years, as CNA, then LPN - on the PM shift. During that time I always lucked out and happened to be off when survey came or they...

  6. free CEU's

    Rizpah replied to Ms.RN's topic in General Nursing

    What is

  7. Elopement, told by DON not to document

    Rizpah replied to ALF_LPN's topic in General Nursing

    Yes, document! As your DON she/or he should know what the regulations and facility policies state. Does your facility have an elopement policy? You can always cite that as your guidance in what you...

  8. ughhhhh...

    Rizpah replied to hoping to be an rn's topic in Ob/Gyn

    Docs like that are the reason I chose to stay in LTC when I got out of clinicals back in '96. I saw docs that screamed at the nurses for asking (what seemed like) logical questions to my...

  9. MDS Coordinators/ RN or LPN Assessment Coordinators

    Rizpah replied to RN 4 Life's topic in MDS Coordinator Information

    In my definition - the MDS is a total look at the resident - head to toe, inside and out, strengths and weaknesses. Generates the reimbursement for Medicare residents, helps to design the care plan...

  10. Help! RN working first time in LTC

    Rizpah replied to qtRN's topic in Geriatric, LTC

    At our facility, the charge nurse (RN or LPN) is responsible for 28-29 residents and have 2 CNAs per wing (on days we have a bath team of 2 CNAs also) - Our census has been running about 60 so on...

  11. questions about anti-depressants

    Rizpah replied to rnlaura06's topic in Michigan Nursing

    Hi, Welcome Laura! My experience is that these are newer drugs. Lexapro is typically given at HS - need to watch it's use with male pts with BPH, Effexor is nasty with side effects (I have some...

  12. Understaffing and burnout

    Rizpah replied to cherishlpn's topic in Patient Safety Issues

    multiple roles and difficulty to work with co-workers: I'm an RN in LTC. 2 years after I passed my boards, our facility had to downsize staffing and bed certification due to chronic low census....

  13. lost panties

    Rizpah replied to nrsbetrn's topic in Geriatric, LTC

    THIS IS GREAT!

  14. CNA Wars, advice please

    Rizpah replied to annmariern's topic in General Nursing

    Does your facility have a personnel policy? By us, these infractions are definitely grounds for disciplinary action and eventual

  15. CNA Job Market

    Rizpah replied to silleangyl's topic in Michigan Nursing

    Hi there, From my experience the CNA job market seems to fluctuate, at times with remarkable speed. Feast or famine! I've worked in a LTC facility for the past almost 16 years. I started as a CNA,...