HeyHeyitsMaay

HeyHeyitsMaay has 10 years experience and specializes in Hospice.

Latest Activity

1. Marketer Conflict as a DON

   HeyHeyitsMaay posted a topic in Hospice

   I work for a small hospice with a census of 30. We have a marketer with no clinical background who's pretty difficult to deal with. She tells me patients/families/everyone said or did things that never happened at all. For example telling me that doc...

2. Pain management scenario

   HeyHeyitsMaay posted a topic in Hospice

   Your patient is a male in his mid 60's with a hospice so of ES COPD and is dependent on 6L O2 continuous per NC to maintain sats at or above 90%. Comorbidities: morbid obesity, htn, poly substance abuse use disorder. Most recent hospitalization requi...

3. Brian Short News

   HeyHeyitsMaay replied to tnbutterfly - Mary's topic in General Nursing

   I just want to say that I was not a nurse when I came here and signed up in 2007. I never in my life thought I would or could become one. It was absolutely because of this place and the people here that I went from CNA to lvn to rn. I wish brian knew...

4. Some Insight Please...

   HeyHeyitsMaay replied to NuggetRN's topic in LTC Directors

   You'll do better than you realize. In Texas you don't have to be a LNFA to be an ED of an ALF. And it's a blessing for those of us working with you on the case mgmt. Side coming from SNF's because ALF's have had an issue in my area anyway of having t...

5. Should I take a job at a failing facility?

   HeyHeyitsMaay replied to HeyHeyitsMaay's topic in LTC Directors

   I was sent to AANAC RAC certification training for 3 days this week by our consultant. Bear in mind that my facility usually has 50 medicare in the building and rarely goes under 40. We're down to 30 and my administrator is losing it. Last week I was...

6. Lazy supervisor stories

   HeyHeyitsMaay replied to Runninonempty's topic in Geriatric

   Lol "nothing better to do." When you're DON of the year, when you volunteer to work so your floor staff can take breaks...even at night..when your first survey results in only 4 tags in one of the biggest citoes in the u.s. with notoriously ridiculou...

7. Would you accept this call out excuse?

   HeyHeyitsMaay replied to motherof3sons's topic in Geriatric

   And this is why I refuse to go work for another facility. With a corporate office that supports this kind of abuse, no way in the world would I cooperate with treating my staff that way. I have had to be pretty stern because I don't ask for reasons f...

8. Lazy supervisor stories

   HeyHeyitsMaay replied to Runninonempty's topic in Geriatric

   I did a test yesterday - and turned on a call light in a patient's room and then proceeded to stand in the bathroom and wait. All of our aides were in the dining room for lunch or feeding residents in their rooms. The nurses were on the floor, at the...

9. The Cons of Working in Long Term Care

   HeyHeyitsMaay replied to TheCommuter's topic in Geriatric

   I work for a privately owned SNF with a regular PPD of 6. Even with a central supply clerk, dedicated unit clerk and incredible corporate support - the acuity and the expectations are so high along with turn over that I regularly want to quit nursing...

10. Should I take a job at a failing facility?

    HeyHeyitsMaay replied to HeyHeyitsMaay's topic in LTC Directors

    I'm on call again this week and last night, an hour after getting home from work I had to go in for a nurse who started throwing up and finish up her 12 hour shift. Once again, I don't mind. But I'm a mom - and to be quite transparent I've realized t...

11. Thinking about MDS career

    HeyHeyitsMaay replied to MauriceLPN's topic in MDS

    I will say that we have an MDS nurse employed by our corporate office to travel through our facilities and she was recently put on TPAPN. The company had to remove her from her position due to the stipulations placed on her license. I know that my co...

12. Thinking about MDS career

    HeyHeyitsMaay replied to MauriceLPN's topic in MDS

    Ours don't really help out with anything at all. I adore them and understand why they don't help out, their jobs really are critical. Reckon I just wish they were at least a little able to throw in every once in awhile.

13. I think my nurses are on the verge of mutiny!

    HeyHeyitsMaay replied to NurseGuyBri's topic in Geriatric

    Your facility and this issue sounds identical to mine. I reduced the issue to the typical 30:1 patent nurse ratio we're used to seeing in skilled nursing vs. the higher than ever acuity of the skilled patients we're accepting. CMS and state rules fo...

14. Thinking about MDS career

    HeyHeyitsMaay replied to MauriceLPN's topic in MDS

    I have two LVN's in my facility doing MDS assessments. I complete initial assessments and sign and their assessments are consistently impeccable. We dont use our MDS nurses on the floor or in the on-call rotation because completion of their assessmen...

15. Should I take a job at a failing facility?

    HeyHeyitsMaay posted a topic in LTC Directors

    I was interviewed this past Summer for a DON position at another facility. I was the ADON and am now the DON at a very successful snf, but the team that I work with - even though they're amazing, they've all worked together for a decade and it's very...