DixieRedHead

DixieRedHead ASN, RN

ED/ICU/TELEMETRY/LTC

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All Content by DixieRedHead

  1. was i unprofessional? (quick story)

    Not only were you unprofessional, you were insubordinate. You refuse an assignment you can be fired. "Charge nurse" means "in charge", and you should expect no more respect than you
  2. Advice to the LTC nurse...

    It wouldn't hurt if the LTC got the immunization documentation from the hospital where these are given without having to devote an hour's worth of phone calls to medical records. I don't generally...
  3. Advantages of Bedside Nursing

    Speaking as that salaried, telephoned, can't take my comp time, obligated person you spoke of:
  4. 911-ing a resident out, requires an order?

    I can only speak for my facility. We have standing orders that we can send a resident out and write "nursing judgement" on the order. Our wonderful medical director will always sign it, but we do have...
  5. "Did you see/Follow up with your Primary Doctor..."

    Take a look at your day. Think about the number of real emergencies you have. Now look at your staffing. Now think what the difference would be if you took all the non emergencies out of the picture....
  6. Q.I.S.

    Not sure if it's universal, but in NC, the surveyors pay their own salary. I mean their department is totally funded by the fines they levy. This makes for a very tense survey, nasty questions, nasty...
  7. Nursing home/LTC getting more acute

    They also LOVE to accept rehab patients on 3-11. Rehab is long gone when the admission gets here. So its up to me.. to decide how the patient transfers until rehab can evaluate them. I'm not a...
  8. Things you'd LOVE to tell coworkers...and get away with it!

    Supervisor Perspective: "You don't have your labs?" Call the lab. " You don't have your meds?" Call the pharmacy. "You have labs that need to be drawn?" Get a needle. "The CNAs need some help?" Help...
  9. A lawyer, really? Have you been reprimanded? Has any threat to your employment been communicated? In a court of law, you will have to show some sort of loss. Yes, it's an unfortunate set of...
  10. ALF gone bad

    Run like a scalded
  11. Coding patient in LTC

    First of all, I agree with all of the above. I would like to tell you one thing that I have found that my nurses were absolutely unaware of. When you hook that 02 tank up to the ambubag, for crying...
  12. In NC, it's very difficult for LPNs to get hired at a hospital. In all other settings they are valued and treated well. This person sounds very insecure to me. Before I got my RN, I was an LPN who got...
  13. 20 Things Nurses Wish They Never Had to Say

    From the ED: And how long have you had this? A year? And what have you done for it? Nothing at all? Have you seen your MD? No? Why? And your pain is a 10? Just put that milkshake over there and let...
  14. No OT 12 hour shifts?

    I don't know if you would be willing to give this a shot or not but give it a thought. When I worked on a telemetry unit, the nurse manager put out a blank schedule. She said "You know how many...
  15. Nurse managers-Do you think tattoos look professional?

    I am an ADON. I personally find tattoos to be very unprofessional. And the older a person gets, and make no mistake, you will be old a lot longer than you are young (if you are lucky) the more...
  16. Most important thing to know in LTC

    The most important thing to me is to remember that you are a nurse. You are not there just to push pills, chart, and do your treatments.. Exercise the skills you have. Take yourself seriously, and...
  17. In western North Carolina the nursing shortage is alive and well. But let me tell you about my personal experience. I was and LPN, went back to school. My mother died 8 days before RN graduation. I...
  18. What kind of staffing do you have?

    You are not going to believe this. 100 beds. 40 Assisted Living and 60 skilled. Days, for 40 assisted living. 1 med tech & three CNAs Evening the same Nights 1 med tech/1 CNA For 60 skilled....
  19. Peg Tube Nightmare

    Once the residual in tube #1 was resolved one or more of the methods that you used may have worked. She may have "milked" the tube to get the clog out (or in, but this seldom works). As for tube #2,...
  20. Would you even consider a candidate who was terminated?

    I hire for my facility and I would consider a nurse who had been terminated depending on the circumstances. That being said, in almost all instances only dates of employment, and separation, and job...
  21. What kind of Stethoscope do you have?

    I HAVE a Littman Cardiology III. (Can't hear a thing) I USE a $15 one I got at Walmart. Metal bell, looks great, I can hear a mouse
  22. A Question to the DON ?

    Don't you dare tell. "I had some personal problems to work out" In all most all cases the only thing that can be told if they do call is that dates of your employement and what your job duties were. I...
  23. Monthly summaries

    In our facility we have weekly charting and skin checks, quarterly reviews (fall risks, contractures, psychotopic meds, AIMS tests if needed, etc. The are divided amongst all shifts. I have made the...
  24. Being a Team Player

    You can't remodel the world. People will be what they will be. Generally, your only motivational opportunity will be by example. Do what you think should be done. If others need help, help. If you...
  25. Whites or Colored scrubs?

    Ok, here is the deal. The hospital where I work recently went color coded. Supposedly to help the patients identify staff. Hello, I wear a name badge with my name and title on it. Nursing, and this...