HeyHeyitsMaay

HeyHeyitsMaay

Hospice

Member

  • Content

    209

  • Visitors

    7,799

  • Followers

    0

  • Likes

    0

All Content by HeyHeyitsMaay

  1. Marketer Conflict as a DON

    HeyHeyitsMaay posted a topic in Hospice, Palliative

    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...

  2. Pain management scenario

    HeyHeyitsMaay posted a topic in Hospice, Palliative

    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...

  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...

  4. Some Insight Please...

    HeyHeyitsMaay replied to NuggetRN's topic in LTC: Directors, Assistant

    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...

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

    HeyHeyitsMaay posted a topic in LTC: Directors, Assistant

    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,...

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

    HeyHeyitsMaay replied to HeyHeyitsMaay's topic in LTC: Directors, Assistant

    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...

  7. Lazy supervisor stories

    HeyHeyitsMaay replied to Runninonempty's topic in Geriatric, LTC

    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...

  8. Would you accept this call out excuse?

    HeyHeyitsMaay replied to motherof3sons's topic in Geriatric, LTC

    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...

  9. Lazy supervisor stories

    HeyHeyitsMaay replied to Runninonempty's topic in Geriatric, LTC

    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...

  10. The Cons of Working in Long Term Care

    HeyHeyitsMaay replied to TheCommuter's topic in Geriatric, LTC

    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...

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

    HeyHeyitsMaay replied to HeyHeyitsMaay's topic in LTC: Directors, Assistant

    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...

  12. Thinking about MDS career

    HeyHeyitsMaay replied to MauriceLPN's topic in MDS Coordinator Information

    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...

  13. Thinking about MDS career

    HeyHeyitsMaay replied to MauriceLPN's topic in MDS Coordinator Information

    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...

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

    HeyHeyitsMaay replied to NurseGuyBri's topic in Geriatric, LTC

    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...

  15. Thinking about MDS career

    HeyHeyitsMaay replied to MauriceLPN's topic in MDS Coordinator Information

    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...

  16. Help developing leadership/accountability in our nurses

    HeyHeyitsMaay posted a topic in LTC: Directors, Assistant

    I work for probably the most amazing skilled nursing facility I've ever seen. We truly love our residents, rehab patients and staff with all of our hearts. I've been the ADON for about a year now and...

  17. Help developing leadership/accountability in our nurses

    HeyHeyitsMaay replied to HeyHeyitsMaay's topic in LTC: Directors, Assistant

    I love your answer Isis. I'm actually working on our administrator to get us something like CareRight Voice to help with ADL charting to make it easier on our aides. I can't stand constant reprimands...

  18. Help developing leadership/accountability in our nurses

    HeyHeyitsMaay replied to HeyHeyitsMaay's topic in LTC: Directors, Assistant

    I reprimand both nurses, med aides and cma's when I see this happening. Our culture in our facility is such that even our administrator, maintenance and house keeping answer call lights (and respond...

  19. I feel like I'm too old for this

    HeyHeyitsMaay replied to Lpn2014's topic in LPN, LVN Students

    I graduated from my LVN program in 2009. One of the women who graduated with me was 60 years old. Ever watch the movie, The Rabbit Proof Fence? They showed that to us in my LVN program. Because of...

  20. New nurse, first job, med error

    HeyHeyitsMaay replied to Tiramisu567's topic in First Year After Licensure

    This happened to me when I was an agency nurse. When management is using wisdom, for QA purposes they won't put you in a position like this without either having the on call nurse by your side, a unit...

  21. Need ideas arranging staff

    HeyHeyitsMaay replied to FieryPsychRN's topic in LTC: Directors, Assistant

    The issue is that most places don't have enough staffing to cover health care needs. We're faced with initiatives like INTERACT that require advanced critical thinking skills of new grads who aren't...

  22. I Lost a Medication: Controlled Substance

    HeyHeyitsMaay replied to GreenApplesauce's topic in Patient Medications

    I did the exact same thing also! I lost an Ativan..it was so tiny and I even tore the trash on my med cart apart looking for it. Depending on the facility you should be o.k. I would offer to take a...

  23. entry level nurse in Houston Texas

    HeyHeyitsMaay replied to chikah_dorah's topic in Texas Nursing

    In THAT case....AWESOME! I would encourage you to apply at one of the Grace Care facilities. Northpointe especially has incredible learning opportunities as long as you don't mind orienting as a CNA,...

  24. entry level nurse in Houston Texas

    HeyHeyitsMaay replied to chikah_dorah's topic in Texas Nursing

    I will tell you what I tell every other GN that I meet. If you have the opportunity to work in LTC/SNF, you truly should. It is arguably one of the hardest nursing specialties there is. Without long...

  25. Change of Shift Report in LTC

    HeyHeyitsMaay replied to gmweatherill's topic in Geriatric, LTC

    I'm trying to get my nurses to get in the habit of reporting most recent blood sugar for diabetics, last BM and last narcotic dose if applicable. These particular pieces of info help the oncoming...