bluegeegoo2

bluegeegoo2 LPN

LTC

Member

  • Content

    753

  • Visitors

    19,754

  • Followers

    0

  • Likes

    93

All Content by bluegeegoo2

  1. Weekend Call Outs

    bluegeegoo2 replied to LTCRN4LIFE's topic in LTC: Directors, Assistant

    The 1st facility I worked in had an interesting, albeit rigid program for call-outs. We were allowed 5 unexcused absences in a 12 month rolling period. The 1st call-out was a "freebie". 2nd, verbal...

  2. How do you provide 8 hours of care in 12.5 min

    bluegeegoo2 replied to Lynn52's topic in Geriatric, LTC

    Yes, it's possible. I currently have 38 residents on 2-10 and do all meds, fingersticks, labs, charting, falls, incidents, admits, etc. We are still all paper as well. It's not easy by any means. My...

  3. August 2013 Caption Contest: Win $100!

    bluegeegoo2 replied to Joe V's topic in News, Announcements

    "I like to come prepared. You just never know when you're gonna need that extra

  4. Texas pay?

    bluegeegoo2 replied to Sisterearth's topic in Texas Nursing

    I work about 45 min north of Houston, and make $21.50/hr + $1.00 shift differential for 2-10 in a LTC facility. I have 6 yrs exp. I also endorsed from another, non-compact state. After paying fees and...

  5. What Do LVN Unit Manager's Do?

    bluegeegoo2 posted a topic in Geriatric, LTC

    I have an interview next week for the Unit Manager position on a skilled/rehab unit. I have some managerial experience related to having been a MCR/MCD MDS coordinator, but I honestly do not know what...

  6. The dumbest things you've heard from a provider

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

    MD order, on MAR: "If drowsy, give her coffee or tea". Same MD, for a homosexual, sexually inappropriate resident. (verbally inappropriate with staff/residents/visitors/children, anyone with ears):...

  7. Compassion Fatigue: I finally figured out what's wrong with me

    bluegeegoo2 posted a topic in Geriatric, LTC

    I have been distressed the last few months trying to figure out why it seems that my care/concern for my residents has dwindled to the point of near non-existence. Here is a link to what I found:...

  8. Ohio nursing practice act

    bluegeegoo2 replied to Jessica89LPN's topic in Ohio Nursing

    Patient abandonment is leaving the floor permanently before the end of shift, or at the end of shift without having someone there to replace you. one wks notice is not abandonment. Generally, it is...

  9. Compassion Fatigue: I finally figured out what's wrong with me

    bluegeegoo2 replied to bluegeegoo2's topic in Geriatric, LTC

    Just thinking, but it seems I've stumbled upon the source of my problem: The younger group of residents. At least now I can maybe focus on how to more effectively deal with them. I'll try to pay...

  10. Compassion Fatigue: I finally figured out what's wrong with me

    bluegeegoo2 replied to bluegeegoo2's topic in Geriatric, LTC

    KRSLPN, Oh my yes, I deal with those very same types daily. Our facility will literally take anyone with a pulse, regardless of payer source. (We accept Medicaid pending residents, even.) I have...

  11. DNS overruled MD?!

    bluegeegoo2 replied to JBMmom's topic in Geriatric, LTC

    Earlier this year, (at a different job) we had a res that presented as acutely ill. The MD wanted him sent out, but the DON called him back and literally argued with him that "we can tx in house." The...

  12. Charge Nurse

    bluegeegoo2 replied to Katie13LPN's topic in Geriatric, LTC

    1.) Responsibilities will differ somewhat between facilities. Ask to be oriented to each. 2.) Always report a change in condition. Preferably with a full set of vitals and assessment. 3.) Your...

  13. Facility Cut Staff Pay by 3%, More to Come?

    bluegeegoo2 posted a topic in Geriatric, LTC

    I was recently made aware that the facility I work for, or rather the corporation, cut all staff pay by 3% before I was hired on. This was after 2 years of mandatory raise freezes. I was also told by...

  14. R.E.S.P.E.C.T.

    bluegeegoo2 replied to CapeCodMermaid's topic in Geriatric, LTC

    Last night we had a CNA that blew up at a nurse because she didn't like her assignment, flatly refusing to do it. This CNA then proceeded to stand at the nurses desk and curse like a trucker very...

  15. Full Code Hospice Pt Acute Change in Condition...What to Do?

    bluegeegoo2 replied to bluegeegoo2's topic in Geriatric, LTC

    I can see both sides of that situation. On the one hand, it was obvious that no heroic life-saving measures would have saved that pt. On the other hand, the family may have needed to know that...

  16. Full Code Hospice Pt Acute Change in Condition...What to Do?

    bluegeegoo2 posted a topic in Geriatric, LTC

    Last night I had a hospice resident who also happens to be a full code. This individual presented with an acute and significant change in condition. Primary Dx mets cancer. He presented with sudden...

  17. Facility Cut Staff Pay by 3%, More to Come?

    bluegeegoo2 replied to bluegeegoo2's topic in Geriatric, LTC

    I was recently set to task to attempt to "find a comparable med" to a very expensive med a resident is on. This one med is around $1200/mo. After consulting with a pharmacist, it was determined that a...

  18. I feel so bad, is this considered abuse?

    bluegeegoo2 replied to mzsuccess's topic in Medical Assistant, CNA/MA

    It literally takes 2 seconds to walk up and open the book. It's a HIPPA violation to display info such as POC on a res in their room. Texas does not require comp insurance for any business with less...

  19. I feel so bad, is this considered abuse?

    bluegeegoo2 replied to mzsuccess's topic in Medical Assistant, CNA/MA

    I agree that all people make mistakes, but the BON will not accept "I didn't know" as a viable excuse as to why a res was injured during a transfer if that res was not asst'd as is care planned....

  20. I feel so bad, is this considered abuse?

    bluegeegoo2 replied to mzsuccess's topic in Medical Assistant, CNA/MA

    If that res was care planned for a 2 person asst transfer or a mechanical lift and you transferred alone, then the fault would lie with you and you would not have a case with workman's comp. You could...

  21. Full Code Hospice Pt Acute Change in Condition...What to Do?

    bluegeegoo2 replied to bluegeegoo2's topic in Geriatric, LTC

    Thank you all for your responses. This gentleman readmitted to my facility last night. His family had signed the DNR in the hospital so that issue has been addressed. When they were bringing him back...

  22. Full Code Hospice Pt Acute Change in Condition...What to Do?

    bluegeegoo2 replied to bluegeegoo2's topic in Geriatric, LTC

    I work in a LTC facility. This gentleman was admitted to hospice in the community. As his condition deteriorated it was decided that he needed more care so the family admitted him to my facility. His...

  23. Full Code Hospice Pt Acute Change in Condition...What to Do?

    bluegeegoo2 replied to bluegeegoo2's topic in Geriatric, LTC

    He admitted to us as a full code on hospice a couple of weeks ago. I've no idea why that remains his

  24. When residents go to Doctor's appts, activities, home visits, etc....

    bluegeegoo2 replied to nervousnurse's topic in Geriatric, LTC

    Most facilities I've worked in have a "sign out book" for the resident family member or whatever non-employee takes a resident out. They sign them out and are then fully responsible for what happens...

  25. How to Choose a Good Stethoscope

    bluegeegoo2 replied to Brian's topic in Nurses Rock

    They also get "lost" when you let someone borrow it "for a minute" and they never bring it back. My mistake and lesson