Rexie68

Rexie68

Vascular Access Nurse

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All Content by Rexie68

  1. Looking for new daily assignements and care directive tools

    Rexie68 replied to changeseeker's topic in Geriatric, LTC

    We post the info on the INSIDE of each pts closet door....HIPPA

  2. nursing care plans.... lvn or rn

    Rexie68 replied to LVNwannaBE2007's topic in General Nursing

    i'm an lpn in ltc, and i'm the primary care plan writer for all 139 of our residents. an rn may add one or update one i've written, but, for the most part, i'm it. kind of scary...not the lpn part,...

  3. Families!

    Rexie68 replied to marjoriemac's topic in Geriatric, LTC

    my favorite complaint was from a family member who said "your ice cream melts when it's left out"! maintenance said they could fix that problem, but other patients might not be happy with the room...

  4. surgical menopause at 39

    Rexie68 posted a topic in Ob/Gyn

    help. i had to have my remaining ovary removed saturday night-it had twisted 3 times and was necrotic-incredible pain. anyway, i'm home now and contemplating. i now have no ovarys, uterus or cervix....

  5. My clinical experience at LTC

    Rexie68 replied to OgopogoLPN's topic in Geriatric, LTC

    amen, suesquatch! never, never, never is anyone "just" an aide. lpn's and rn's couldn't survive without you. a good cna is the heart and soul of a nursing facility. you know your patients better...

  6. Skilling For Tube Feeding

    Rexie68 replied to nratchet's topic in MDS Coordinator Information

    In our facility, as long as someone receives more then 26% of their calories from tube feeding, even if they're stable, they remain on Medicare A, and after all 100 days are used, they remain skilled....

  7. No quarterlies?

    Rexie68 replied to Rexie68's topic in MDS Coordinator Information

    Thanks for the suggestion! I always keep a look out for significant change, but sometimes it's just that the pt needs therapy for a new type of splint or family is requesting a dietary upgrade, and...

  8. No quarterlies?

    Rexie68 posted a topic in MDS Coordinator Information

    Just curious....has anyone ever heard of doing an "early" annual? Not doing 3 quarterlies between annuals? We searched the RAI manual, and it only says that an annual must be done AT LEAST every...

  9. No quarterlies?

    Rexie68 replied to Rexie68's topic in MDS Coordinator Information

    I've been doing this for three years. In Pennsylvania, only full assessments count towards the CMI. I don't know how it works in other states. You're right...the RAPS are certainly time consuming,...

  10. question-- new to LTC

    Rexie68 replied to actioncat's topic in Geriatric, LTC

    Holy Cow.....that's WONDERFUL staffing!! We staff 2 nurses and 6 CNA's for 48 patients on day shift. When I worked 11-7 there were nights that I had 75 pts and 3 CNA's to help. Those were nights I...

  11. Number of Meds per Resident

    Rexie68 replied to aander2's topic in Geriatric, LTC

    I have mixed feelings on this. Yes, I think we can get rid of things like cholesterol meds and BP meds for borderline hypertension, but I see many pts do poorly when we try to decrease their...

  12. No quarterlies?

    Rexie68 replied to Rexie68's topic in MDS Coordinator Information

    to capture therapy minutes.....and increase the cmi of a medicaid patient......

  13. NO autonomy!

    Rexie68 replied to banditrn's topic in Geriatric, LTC

    thank goodness....you were thinking exactly what i was!! heck, i don't want the doc to "come".....i just want orders. he's going to come once a week as usual...if he thinks the pt needs seen sooner,...

  14. M D S 3.0 Draft

    Rexie68 replied to Talino's topic in MDS Coordinator Information

    I just can't figure out how 3.0 is going to calculate new CMI's. So much is different. I mean, skilled people could have the same RUGs, but what about our Medicaid people....all those things that...

  15. MDS Coordinator salaries

    Rexie68 replied to Nascar nurse's topic in MDS Coordinator Information

    Wow...it's nice to see that there are other MDS nurses on this site!! I've been the "RNAC assistant" (I'm an LPN till 2009)at my facility for 3 years, and our CMI has risen from 1.14 to 1.50, But,...

  16. How to deal with divorce, work, school

    Rexie68 replied to sandy123's topic in LPN, LVN Corner

    :smiley_ab Hang in there. It's SO hard on a relationship to be in school and working. I'm doing it right now and have had several arguements with my s/o. Give him some space and see how things go....

  17. If you can start from the beinging would you go straight for RN

    Rexie68 replied to mydee's topic in LPN to RN

    i'd go right for the rn. it doesn't have to be a bsn, though. if you go for an adn or diploma rn, then you can take a few classes at a time to get your bsn (if you like) and still make decent money...

  18. Too many nurses not enough jobs

    Rexie68 replied to DONN's topic in Pennsylvania Nursing

    Hi! I know this was originally posted a while ago, but thought I'd give my $.02 worth. I think it's sad that the LPN schools are marketing so aggressively and charging outrageous prices. My DON said...

  19. Why?

    Rexie68 posted a topic in LPN, LVN Corner

    I've seen this a few times and don't understand it. Why aren't some of you allowed to give a PRN med without approval from an RN?? I mean, the MD/DO order is already there, and you can certainly...

  20. Changing a patient's diaper while they are standing ?

    Rexie68 replied to EmBeMap's topic in Medical Assistant, CNA/MA

    [quote name= Sorry you are having to see what much of the LTC in this country is really like.[/quote] Oh gosh, now I just have to comment......I don't know how in the world "much of the LTC in this...

  21. How long did it take you to feel comfortable in LTC?

    Rexie68 replied to vanilmil's topic in LPN, LVN Corner

    I hate to say it, but on the rare occasion that I pass meds (did that for 15 of my 18 years as an LPN), I might take some shortcuts. I start my med pass a little early, I've let experienced CNA's do a...

  22. Confused about my role....

    Rexie68 replied to Virgo_RN's topic in LPN, LVN Corner

    I don't have quite the same scenario, but I understand your concern. I work in LTC and we have some 90 year old pts who are full codes. When I do the initial care plan meeting (yes, I'm an LPN who...

  23. whats a LPN to do?

    Rexie68 replied to jean333's topic in LPN, LVN Corner

    It's got to be tough right now. I talked to our DON (i work in a nursing home) just the other day and she said she can't hire any more LPN's for any shift because they're full. Heck, she's...

  24. Why?

    Rexie68 replied to Rexie68's topic in LPN, LVN Corner

    I'm sorry...I should have been more specific. I don't have to get approval, but I've seen more then a few posts (I think in the forums where people were asking the difference between RNs and LPNs)...

  25. surviving school?

    Rexie68 replied to R*Star*RN's topic in LPN to RN

    i totally agree with you.....i had to change the way i think and forget what i know. i have to give the "book" answers, not reality!! when the question states "what would you do first?" i'm...