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Do you ever feel guilty about....
We are supposed to do things on our day off? I suppose playing GTA4 all day counts for something.
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Why would a facility over-hire nurses?
I agree. We do this at our facility. Having an abundance of nurse and CNA staff has proven to be a boon. We don't have trouble filling shifts and frankly, having more PT and PRN staff and less FT staff cuts down on the cost of benefits and allows us to use the money in other ways (pay, incentives, etc.). It also makes scheduling far easier and has actually freed me up to take on more responsibility saving more money in the budget. There ARE two main benefits from this however. The first one is that it gives us a position of power. Don't hate me but I don't have time for some of the games that employees play. I've played them in the past. If you can't help me out I have X many more people that can. The second one is that if I have an employee that is causing problems I can reduce their hours or replace them completely without going through the hassle of counseling, educating or other avenues. I say hassle because it IS a hassle. Many of these reasons sound harsh but business is harsh. Employees and employers owe nothing to each other. Employees advance in skill because it benefits them. Employers offer certain benefits and incentives to employees because it benefits them. It's nothing new.
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Social Service Director and Housekeeping Supervisor's Ideas About Resident Rights...
Not to be contrary or anything but you realize that resident's right WASN'T invented by nurses. In fact, for DECADES nurses were the MAJOR offenders until people cam along and told them how to do their job. The OP would be better served by getting off the high horse and either making the other supervisor's feel good by verbally humoring them or better yet being a good employee by considering it and laying out respectfully to them why it won't work. In any case, trying to 'put them in their place' is stupid because nurses have had to be put in their place as well... Remember, the next time some of you get mad because someone wants to 'tell you how to do your job' that, the reason we have state inspections AND resident's rights is because of the way 'nurses and nursing staff' USED to do their jobs. Heh. I'll go get my flame retardant suit.
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Back stabbing STNA....HELP !!
Sueing is going to go nowhere. If you were both arguing in the hallway then you both were wrong. Even if you WEREN'T arguing back the perception to the residents was that you were.
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Staffing in ALF
Well the Regs say... It doesn't seem to differentiate between levels of care so I personally would maintain staffing for the entire building to the reg standards.
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Staffing in ALF
No expert but here it is not determined by the resident's individual level but by the building's type of license. We have an independent living that has an AL license. To maintain the license we have to follow all AL regs and not the IL regs.
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My 9 year old patient was raped and required surgery
No such thing as 'getting off easy' when going to prison as a Child Molester...
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MCI in Manassas VA
30000? For a LPN certificate? You have GOT to be joking...
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How do I deal with this patient's family members?
Didn't mean to scare you. Just something I learned in my 6th week of being a CNA... The facility/organization/employer WILL try to sell you out. The only thing that saved me is that about 12 different CNAs on different shifts told the same story and named the same nurses. The best advice a state inspector told me was document EVERYTHING. You are your only protection. I'd still call APS if I were you. You WON'T get in trouble and they most likely WILL go out and investigate both the family AND the HH agency. You will find that APS people are generally very nice. I've seen them go after abusers like wild dogs seeing meat but I've never seen them go after someone that reported something. Even later. Plus, in your state you may be mandated by law to report it and if you don't you could possibly get in trouble. In my state not reporting can result in jail and/or fines + loss of license. Better to report and them not investigate than the alternative.
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How do I deal with this patient's family members?
Indeed. Courts are not likely to take your spoken account seriously. If you have detailed and dated written notes the courts WILL take that seriously. Especially as time passes because there is no loss of memory or possible error in your story.
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Is looking at your own health info a HIPPA violation?
It IS a violation of HIPAA and many people have been fired over it. Improperly accessing a system containing HIPAA protected material is considered a HIPAA violation. Even if the info is yours.
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BSN RN & Certifications not allowed on my badge: I am outraged!
Ummm... Do you know how many Medal of Honor (The HIGHEST award) winners actually REFUSE to wear or even accept the medal??? Soldiers HAVE to wear their badges. It's required of them and they have no choice. They mean nothing though. The only thing that means anything is rank and the only ranks in nursing are CNA and RN (Yea there are a few more but you get my drift I'm sure...)
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Unintentional v. Accidental Injuries - Peds
I tried looking it up somewhere reliable. The CDC uses the words interchangeably. The words DO mean the same thing. SHRUG???
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Unfair Tests/Pls give advice
Question? How many are failing? MORE than half? Like 1 more? Or most are failing minus a few? I would say if ~ half are failing then I would try and ask the teacher what to focus on. If more are failing than passing then if talking to the teacher didn't work I would talk to the dean.
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Unintentional v. Accidental Injuries - Peds
Accidental Injury - Random in nature. (Car accident) Unintentional Injury - Accidental but preventable. (Hurt playing a sport, horse playing, etc) At least that's how we were taught. ETA: We were told not to worry about the difference. Only to be aware that some people may delineate between the two.