bluegeegoo2

bluegeegoo2 LPN

LTC

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All Content by bluegeegoo2

  1. Hows the LPN Job Market in your area?

    bluegeegoo2 replied to ecclecticlylovelylvn's topic in LPN, LVN Corner

    I live in Austin and there's plenty of LVN positions. I put my resume up on a job search engine and had 2 emails in 3 days (1 within 24 hrs) interviewed for 1 and got it. Of course, it's coming up on...

  2. Why Are Nurses So Critical of Other Nurses?

    bluegeegoo2 posted a topic in Geriatric, LTC

    Be warned, this is a rant. The story: I have an a/o ESRD/dialysis resident who is woefully non-compliant with fluid restriction despite numerous attempts at teaching of the consequences. I have had...

  3. Why Are Nurses So Critical of Other Nurses?

    bluegeegoo2 replied to bluegeegoo2's topic in Geriatric, LTC

    Forgive me for not feeling it necessary to include the details of this resident's care plan meetings, or the fact that they routinely claim to want to live as well as the full code status. Whether or...

  4. Patient falls and state visits

    bluegeegoo2 replied to ptvgirl's topic in Geriatric, LTC

    Don'tcha just LOVE that? I've had the police show up because a res called a family member and said one of our staff "slapped" her, and the family called police. Of course, she never mentioned any such...

  5. Medicare denials

    bluegeegoo2 replied to nurseamy25's topic in Geriatric, LTC

    I was a MDS coordinator here in Texas at the beginning of last year. After January 1, 2013, the number of pnd denials on MCD and ADR's on MCR shot through the roof. I also would be interested to know...

  6. Fatal Med Error

    bluegeegoo2 replied to AtheistRN's topic in Geriatric, LTC

    I would follow protocol on med errors regardless of the

  7. LTC job and schoolwork

    bluegeegoo2 replied to cazach0122's topic in Geriatric, LTC

    I work nights and have 46 residents, 15 of those being skilled at the moment. If the night is quiet, and half the hall doesn't want a PRN, and no one falls or exacerbates, and the planets line up just...

  8. Resident's names in a text message

    bluegeegoo2 replied to SleeepyRN's topic in Geriatric, LTC

    I would image the issue with compliance is being overloaded, understaffed, and expected to complete 12 hrs worth of work in 7.5 hrs, as no OT is allowed in most buildings. Things are forgotten on...

  9. Resident's names in a text message

    bluegeegoo2 replied to SleeepyRN's topic in Geriatric, LTC

    Regardless of HIPAA, I would take great exception to being bothered on my time for work-related issues. Leave me a note, or put in on the 24h report that charting needs to be completed. If I'm not on...

  10. when resident accuse staff falsly

    bluegeegoo2 replied to coteRN's topic in Geriatric, LTC

    Always, ALWAYS go in with a witness. Same for CNA's when providing care. If there's a pattern of her falsely accusing staff, she needs to be care planned for it as

  11. Rant: Staffing issues & coverage for call outs

    bluegeegoo2 replied to pinkiepieRN's topic in LTC: Directors, Assistant

    During my very short stint as ADON we had a huge problem with call-offs. I made copies of the policy on attendance and gave every employee one, as well as attached one to an in-service stating that...

  12. Inconsiderate Co-workers/Shift Change

    bluegeegoo2 replied to bluegeegoo2's topic in Geriatric, LTC

    One ray of hope I have is we have a new d.o.n. that just started, as well as a company buyout effective Jan 1. Crossing my fingers.

  13. Is your central supply room locked on the 11-7 shift?

    bluegeegoo2 replied to Blackcat99's topic in Geriatric, LTC

    I have the kitchen problem as well. Many times in the 6 wks I've been working nights at this facility my dialysis pts that leave early have been without a lunch. How awful is that? Nurses have keys to...

  14. 2013 LPN PAY???

    bluegeegoo2 replied to taylynnfree's topic in LPN, LVN Corner

    6 yrs, Austin, TX, LTC, $22.50/hr. Housing prices are OUTRAGEOUS here. (But it's a very cool area to live

  15. LTC rework

    bluegeegoo2 replied to sunshyne17's topic in Geriatric, LTC

    Exactly. One building I worked in had a policy that every single I/A report required 5 witness statements. (Even if those on shift had no knowledge of the incident. It was perfectly acceptable to...

  16. REALLY????!!!!!

    bluegeegoo2 replied to Younglpn87's topic in Geriatric, LTC

    It is hard, and remains hard to know that our primary purpose is to document for Medicare/Medicaid/pvt ins. reimbursement. I still routinely get irritated at things my facility (and past facilities)...

  17. Patients who love their sick role

    bluegeegoo2 replied to sammiesmom's topic in Patient, Colleague Relations

    Lol Hi! I always wanted a sister!

  18. REALLY????!!!!!

    bluegeegoo2 replied to Younglpn87's topic in Geriatric, LTC

    Not to sound cold, but welcome to Long Term Care. It's mostly about time management. Most LTC resident's are stable, so by default do not need much attention from us. You can easily "assess" your...

  19. SNF Resurvey AGAIN. License may be at risk. RN wants to quit job.

    bluegeegoo2 replied to MsNiceNurse's topic in Geriatric, LTC

    Since they're trying to scare you into staying, I would be very concerned about their motives for wanting to keep you there. It certainly isn't for your benefit. Take your license and run, don't walk...

  20. Patients who love their sick role

    bluegeegoo2 replied to sammiesmom's topic in Patient, Colleague Relations

    This is my mother. No one, and I mean NO ONE is sicker, in more pain, (physical and emotional) than she is. She is the self-proclaimed epitome of misery, and no one DARE suggest that she might want to...

  21. Any advice on getting hired at a LTC facility as a new ADN grad?

    bluegeegoo2 replied to Cynnie24's topic in Geriatric, LTC

    I applied and was hired at one of my clinical sites as well fresh out of

  22. The Cons of Working in Long Term Care

    bluegeegoo2 replied to TheCommuter's topic in Geriatric, LTC

    In my schooling experience, that was exactly what we were taught: What we needed to pass NCLEX. That's all I heard about. Sure we did "check offs" for skills and such. But who couldn't run a 16f cath...

  23. The Cons of Working in Long Term Care

    bluegeegoo2 replied to TheCommuter's topic in Geriatric, LTC

    I plan to elope as well. I also have a running list of behaviors I can't wait to try

  24. The Cons of Working in Long Term Care

    bluegeegoo2 replied to TheCommuter's topic in Geriatric, LTC

    Finally feel rested, so here it goes: The paperwork. The choking piles and file cabinets full of nothing but paperwork. If I had a dollar for every time I have been told "We have a form for that" I...

  25. The Cons of Working in Long Term Care

    bluegeegoo2 replied to TheCommuter's topic in Geriatric, LTC

    I have found that in the last 6 years of my nursing career, all of which is LTC, the average age of the residents has dropped. There are far more young people there.