Rexie68

Rexie68

Vascular Access Nurse

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All Content by Rexie68

  1. I agree that care plans aren't on their way out, but they definitely aren't as important as they used to be in our nursing school. We definitely need to know how to do them, but they're less of a...
  2. Ok, I just about hate Ltc now!

    suesquatchrn has more willpower than i...i tried online but only got through a few classes. had to go the traditional route and go to college. some people are able to do it, though. as long as the...
  3. Roll Call, LPN to RN Students!!!

    as long as you don't want a social life (ha, ha......what is a social life?), 20 hours a week should be ok, since you're children are older. i find that, as an older student, i'm able to concentrate...
  4. Roll Call, LPN to RN Students!!!

    hi dave, if i can do it, anyone can do it! i've got one semester left for my rn (may 16, 2009..hooray!) and have worked full time as an lpn the entire time i've been in school. i'm also a 40 year...
  5. You don't have the time or energy to worry about them...just keep smiling and keep your chin up..it'll be over soon! I get the same thing....20 years as an LPN and will graduate in May with my...
  6. i think i understand, perhaps because i write care plans for a living (as an lpn) and am also in nursing school for my rn. care plans that look great on paper but aren't realistic are frustrating for...
  7. oh gosh, i disagree. i write care plans for a living for a snf, and still have trouble figuring out which instructor wants what!! some just don't like the way we word something, while the other...
  8. ouch. the doh was in last week....and, for the second year in a row....i'm getting dinged for not doing significant changes. i truly didn't think that i had to do a significant change for medicare a...
  9. Survey says.......!!

    are you certain they're people too? *sigh* some were actually nice...it was only one surveyor on one unit who was extra tough....and i do the mds' for all of the units. but it was my mistake, so...
  10. one small thing that might help with the gtube....we have plastic gtube uncloggers....they look kind of like a knitting needed but are specifically made for gtube...and they work wonders. good
  11. Survey says.......!!

    ouch again. today our administrator told me that we (i) received two deficiencies for our mds'. the second one was apparently because i transposed two numbers on an mds (made the person bowel...
  12. i've been in nursing for about 20 years (lpn since 1989 and will graduate in may 09 with my gn..hopefully rn soon after that!)....and i can honestly say that i've never used a care plan to actually...
  13. Difference between RN and LPN

    great point...i hadn't thought of
  14. Difference between RN and LPN

    yikes...what do they let you
  15. Difference between RN and LPN

    it would be nice if there were some continuity between the states, but there isn't. in pa i can start the iv and administer iv meds....but not continuous infusion insulin or narcotics, no blood or...
  16. LCT case load

    there are two of us in the mds office. we have 139 residents....anywhere from 15-20 of which at a time are skilled. i do all assessments for the 139, including medicare, hmo, significant change,...
  17. Ending the PPS MDS?

    not sure if it's different in other states, but most of the time our docs have no clue whether or not someone is med a until we have them sign the certs, and they don't have any say in ending skilled...
  18. Off Cycle Quarterly

    instead of an "off cycle quarterly"-whatever that is-we do early annuals to capture higher rug levels. this does restart the 92 day assessment clock. in pa, only annuals count toward rug/cmi levels,...
  19. Turned in my Resignation

    Not only the end of the month, but November 1st was a picture date (if that matters in your state). They'll regret it, but it will be too late. How
  20. wow noc4senuf, sounds like you need a new mds coordinator! our don knows how to submit, but doesn't do so unless there's extenuating circumstances, and any modifications/inactivations are done by us....
  21. Curious again!

    The other thread was closed after the issue was resolved with the site spelling concern. So.....edhcinc....what were you saying about 3.0 that would be the laugh of the
  22. yup, things fall apart when i'm off, too....but not like that. just that mds' get way behind, and care plans don't get done till i'm back. heck, just trying to keep up while taking full time classes...
  23. x1 rn for 46 patients in nursing home

    i worked 11-7 for 14 years. my pt load varied from a low of 20 (wow was i spoiled!!) to a high of 100. average about 50 pts, but there were many nights with more. somehow i managed to do it and...
  24. Nursing Theory: Are these folks crazy?

    advanced standing and credit by examination for lpns a licensed practical nurse who is admitted to the penn state program as an associate degree in nursing candidate is eligible to earn credit by...
  25. i'm just absolutely thrilled and realize how very lucky i am to be in the program i'm in for my rn. we had to write care plans last year, but don't this year....hooray!!! now, our clinical...