crissrn27 RN

nursery, L and D

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All Content by crissrn27

  1. crissrn27

    Can nurses legally "refuse" to take a new admit?

    crissrn27 replied to Kashia's topic in General Nursing

    And most LTC have a certain amount of time (usually 24-72 hours) to do the assessment and other paperwork to admit a resident. You have to have your orders to the pharmacy, and do the MAR, but you...
  2. crissrn27

    at what point can you NOT do an assessment?

    crissrn27 posted a topic in MDS Coordinator Information

    We had a resident discharge AMA after a 6 day stay. An ARD was chosen (day 8) but he left before it was reached. The nurses had done good documentation, good assessments, etc. The MDS nurse at the...
  3. crissrn27

    Scared Of Bullying

    crissrn27 replied to prospect's topic in Patient, Colleague Relations

    self confidence is a learned trait for many people. Including me and you, apparently. Our issues are different, but we both ended up in the same place, with a lack of self confidence. It took at...
  4. crissrn27

    at what point can you NOT do an assessment?

    crissrn27 replied to crissrn27's topic in MDS Coordinator Information

    We also have that agreement and also set the ARD on day of admit (we very rarely get sat, sun admits). So, this is a very complex issue. Also, for this resident, we had set an ARD of day 8, but he...
  5. crissrn27

    at what point can you NOT do an assessment?

    crissrn27 replied to crissrn27's topic in MDS Coordinator Information

    That makes me feel better that we can at least recoup at default, but I'm still a little confused. Say a resident comes in on Fri and leaves AMA or goes to the hospital or dies on Sun. We would then...
  6. crissrn27

    at what point can you NOT do an assessment?

    crissrn27 replied to crissrn27's topic in MDS Coordinator Information

    Thanks Talino, but who is correct? I suggested doing a 5 day with ARD of day of d/c, and of course closing it for the date it was actually completed. Could we have done that? They said they could...
  7. crissrn27

    Protocols for drug use in pregnancy.

    crissrn27 replied to crysobrn's topic in Ob/Gyn

    It is very addicting and that doesn't magically change b/c someone is pregnant. You guys must have done something right for her to finally fess up. I'm glad she did, at least you know and can take the...
  8. crissrn27

    ADON pay scale

    crissrn27 replied to Schmoo1022's topic in LTC: Directors, Assistant

    Our new DONs LTC experience was 17 years ago, and boy does it show. Take my advice and listen to the other nurses that have been working LTC recently, and don't get into that "I'm in charge and have...
  9. crissrn27

    Protocols for drug use in pregnancy.

    crissrn27 replied to crysobrn's topic in Ob/Gyn

    The first thing in any protocol needs to be a culture of non-judgment for every mother. It took alot of courage and fear for her to come to you guys for help and calling it "help" shows the judgmental...
  10. crissrn27

    at what point can you NOT do an assessment?

    crissrn27 replied to crissrn27's topic in MDS Coordinator Information

    I didn't think it would be a problem, but they wouldn't let me do it. I am now the MDS nurse again (after a stint as DON, during which I discovered I am an MDS nurse, not a DON, lol) and didn't want...
  11. crissrn27

    personal question re platelet donation and potential side effects

    crissrn27 replied to LiveYourDream's topic in General Nursing

    Now I'm curious, which anticoag do they
  12. crissrn27

    How Can You Tell if a Pt. Is Addicted???

    crissrn27 replied to Pretty in Ink's topic in Addictions

    I have had one patient leave our care b/c the DON at the time had labeled him an "addict" when in reality he was a long term chronic pain patient who knew what worked for him. He wanted name brand ER...
  13. crissrn27

    delee suctioning

    crissrn27 replied to jctiabecerra's topic in Ob/Gyn

    Agree with unnecessary and will add that it sometimes gives the newborn an oral aversion and makes feeding
  14. crissrn27

    Just started Nursing School and could be homeless!!

    crissrn27 replied to cjveronica's topic in General Nursing

    I thought we left the days of always blaming the mother in the 1950s........guess not, huh? It sounds to me that you are trying to improve your children's situation and show them that they can have a...
  15. crissrn27

    My Aching Feet

    crissrn27 replied to RN <><'s topic in Emergency

    I like the changing of the shoes with the second day. Might try the compression socks! Thanks for the tip! BTW, my 10/10 pain I don't scream or writh, basically moan like the OP. I'm just not a...
  16. crissrn27

    Some doctors are really burned out,my observation

    crissrn27 replied to Blackheartednurse's topic in General Nursing

    naive, maybe. We all get frustrated with non compliant patients, and sometimes need to vent. Maybe he has a long history with this patient and really wishes she would have taken care of herself and...
  17. crissrn27

    Most trivial complaint ever?

    crissrn27 replied to iNurseUK's topic in General Nursing

    She was apparently trying to make a dignity issue out of it. This team was unbelievable. BTW, we did get tagged for nail care, and right in the paperwork it said the nails were 1/4 inch over...
  18. crissrn27

    Most trivial complaint ever?

    crissrn27 replied to iNurseUK's topic in General Nursing

    I had a state surveyor complain that I used the word "manicure" to a..... gasp.....male resident. Whom I know very well. And she doesn't. Didn't say anything, just gritted my teeth and went
  19. crissrn27

    Is this comon practice where you work?

    crissrn27 replied to Amysuenu's topic in General Nursing

    Yeah, in that case, waiting wouldn't be a big
  20. crissrn27

    Is this comon practice where you work?

    crissrn27 replied to Amysuenu's topic in General Nursing

    I say, depends on what it is. Well, actually I agree, you should never have to borrow meds, your e-kit should be stocked with app. meds and it shouldn't be an issue, but if it was for a clondine for a...
  21. crissrn27

    panic attacks

    crissrn27 replied to essie1's topic in General Nursing

    Anyone who works LTC for any amount of time has been verbally, physically, and sexually assaulted, usually by demented residents or psych patients that shouldn't be in a SNF. Think LOM/L hurling...
  22. crissrn27

    Call in systems

    crissrn27 posted a topic in General Nursing

    Hi all, have a question for you guys. What kind of system is in place for call ins at your work place? Right now I am DON at a faily small SNF, and there is no one else that takes call m-f, just...
  23. crissrn27

    Call in systems

    crissrn27 replied to crissrn27's topic in General Nursing

    Thanks for taking the time to reply guys, keep the suggestions coming. I agree it is bad practice to have a singe person on call 24-7. And not just b/c that person happens to be me, lol. I am really...
  24. crissrn27

    The Activities Dept.

    crissrn27 replied to Ling07's topic in Geriatric, LTC

    If your talking about in a LTC facility, they also have to chart, do MDS, RAPs, careplans, calendars, work with no budget, do resident meeting, go to all the meeting the rest of the team does...
  25. crissrn27

    doppler at 16 weeks

    crissrn27 posted a topic in Ob/Gyn

    Hi all!! Haven't posted here in a while, since I went back to LTC. Anyway, question! One of my friends, who currently works postpartum, is having trouble with a 16 weeker, in for dehydration. She has...