Rexie68

Rexie68

Vascular Access Nurse

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All Content by Rexie68

  1. Care Planning

    Rexie68 replied to nratchet's topic in MDS Coordinator Information

    why phenergan? we cp specific psychoactives, everything else is pretty

  2. Nurse to patient ratio in LTC

    Rexie68 replied to Little Panda RN's topic in Geriatric, LTC

    i'm on days now in a paperwork position, but when i did work the floor, there were nights (11p-7a) that i had up to 75 pts, with ivs, trachs, gts, meds etc. that was myself and 6 cnas if we were...

  3. NLN PN-RN ACE Childbearing/Health Exam

    Rexie68 replied to espikey's topic in LPN to RN

    oh gosh, i assumed everyone had to take ati tests...they're part of our grade. we're given (well, we pay for) ati study books, that give highlights of things we're supposed to know. here's a website...

  4. How do you decide on an ARD?

    Rexie68 replied to flashpoint's topic in MDS Coordinator Information

    no one really complains about the date changes at my facility, but they do complain about the extra mds' we end up doing. i get excited about bringing up the cmi, but not everyone does. but when...

  5. Code Blue in LTC

    Rexie68 replied to SaraO'Hara's topic in Geriatric, LTC

    When I worked 11-7 shift the codes went well....'cause there was only 2 of us to get it done and we took charge and did it. Our CNAs called 911 while the RN and I did CPR. We had a crash cart, but...

  6. Medicare Charting

    Rexie68 replied to mickeypat's topic in Geriatric, LTC

    That's very true...but sometimes it's hard to explain to families that even though grandma has a foley catheter and can't feed herself, she doesn't qualify for "skilled nursing" as defined by...

  7. Admissions Coordinator

    Rexie68 replied to michael79's topic in Geriatric, LTC

    admissions coordinator is in charge of assessing patients who are in the hospital to see if they're appropriate for our facility and work with the case managers to ensure a safe transfer. good

  8. Medicare Charting

    Rexie68 replied to mickeypat's topic in Geriatric, LTC

    call me weird (as i'll admit i am...) but i like to know who's a guy and who's a gal...though i'm not sure why! where i work, we still tend to say "you know, rich...the male nurse" when identifying...

  9. Little children visiting

    Rexie68 replied to RNperdiem's topic in Geriatric, LTC

    We are another facility that has on-site day care. We have "intergenerational visits" scheduled at least once a week. Both the young and old look forward to their

  10. Medicare Charting

    Rexie68 replied to mickeypat's topic in Geriatric, LTC

    we have a grid set up so that every shift gets their fair share of medicare a charting, after the initial 72 hours. don't ever "donate" your time to the facility. what if you get hurt off the...

  11. Promotions in LTC?

    Rexie68 replied to michael79's topic in Geriatric, LTC

    there are a few facilities around here where the assistant don is an lpn. again, i guess it's all in what your facility decides, as long as the don is an

  12. serching for answers

    Rexie68 replied to proud mom's topic in Geriatric, LTC

    unless they had given you material to review ahead of time, how would you know what those meant? every facility uses something different. i've never seen any of those, and i've been in ltc for 18...

  13. Promotions in LTC?

    Rexie68 replied to michael79's topic in Geriatric, LTC

    in our facility, lpns can be wound nurse, restorative nurse, infection control, and rnac assistant (that's me...doing all the mds' and writing all the care plans). on the floor, they can be the med...

  14. LTC Information Systems

    Rexie68 replied to rninformatics's topic in Geriatric, LTC

    sorry i'm of no help....we use keane. good

  15. Just Applied to RN Program!!!!

    Rexie68 replied to Little Panda RN's topic in LPN to RN

    you know what? i like school, too. i wish i didn't have to work at the same time 'cause i think i'd be learning so much more, instead of memorizing for the test. only one year to go! summer is...

  16. Just Applied to RN Program!!!!

    Rexie68 replied to Little Panda RN's topic in LPN to RN

    enjoy the next 9 months.........sleep now, 'cause it's never enough once you're in school and working. you'll do fine....we're all going to make it, right?

  17. Medicare Eligibility

    Rexie68 replied to nratchet's topic in MDS Coordinator Information

    I agree with Talino....as long as it's within 30 days of discharge and the admission is related to the original hospital stay, Medicare A coverage applies. It still amazes me that the "experts" often...

  18. RAPS--should CMS keep, change, or delete?

    Rexie68 replied to edhcinc's topic in MDS Coordinator Information

    i just don't think we need the raps. i know my residents....i know what needs care planned. all the raps do is add unneccessary things. i know my resident has cognitive impairment...i know to care...

  19. LPN required to take NLN

    Rexie68 replied to nursesharon1990's topic in LPN to RN

    I challenged OB and PEDs NLN ACE exams and passed both in Nov 07. I studied ATI books and NCLEX practice books. I've been an LPN for 19 years, so I was in the same boat you are. You can do it!! I...

  20. mds coordinators

    Rexie68 replied to orrwhat24's topic in MDS Coordinator Information

    sanity isn't required...in fact, it's not

  21. Staff to patient ratio IA

    Rexie68 replied to Duflinkka's topic in Geriatric, LTC

    I've been told for a while now that our state wants at least 20:1 patient:staff ratios...but that includes all RNs, LPNs and CNA's in the facility...that can still leave you with 2 CNA's and 1 LPN for...

  22. RAPS--should CMS keep, change, or delete?

    Rexie68 replied to edhcinc's topic in MDS Coordinator Information

    i'd say you're lucky....our floor nurses don't have time to read the care plans and have no clue what a rap is. hopefully the raps will become more pertinent...include pain and such. but really, i...

  23. Turnover

    Rexie68 replied to michael79's topic in Geriatric, LTC

    i'm not quite even sure where to begin..... ltcf's don't have crash carts because we're not staffed or equipped to run a code. we don't have a doctor in the facility 24/7....he makes rounds twice a...

  24. Am I right that these things scare me enough to quit.`

    Rexie68 replied to OldMareLPN's topic in Geriatric, LTC

    that's the same thing they're doing here. two new lpn programs just started, with classes twice a year. many state programs to train laid off employees will pay for the classes (which, i might add,...

  25. Am I right that these things scare me enough to quit.`

    Rexie68 replied to OldMareLPN's topic in Geriatric, LTC

    i don't know about other places, but where i live, they're pumping out lpns left and right. i can't imagine that the nurses who quit won't be replaced, because right now lpns are begging for jobs. i...