sharlynn

sharlynn

ICU, CCU,Wound Care,LTC, Hospice, MDS

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All Content by sharlynn

  1. Your employer's policy re: *snow and ice*?

    I drive 35 miles to work, either Interstate or Highway which will close in really bad weather. So I keep my "Snow Bag" packed year round. It has makeup, shampoo, hair dryer, curling iron, deodorant,...
  2. Interview anyone?

    I see no one has answered. I'm game. I'ver been an RN forever (since 1967 actually) and recently became Wound Care Certified. I have worked in three states and just about all areas of nursing. Will I...
  3. New salary survey

    In Western Nebraska, I make just over $20 / hr. and I consider it
  4. Giving pain meds thru a colostomy?

    Our Hospice frequently orders it given rectally when the patient is unable to swallow. I don't think a colostomy would be that different. We don't use gelatin capsules, just the pill and lubricant. It...
  5. wound care certification

    Check the Wound Care Information Network website or National Alliance for Wound Care.
  6. I just took the one week course offered by WCEI and the test a month ago. It is a little expensive, but teaches you everything you need to know. I don't think I could have studied enough on my own to...
  7. State Survey...Advice Please

    Surveys are a necessary evil. In my opinion, if you are doing your job correctly all the time, you have nothing to worry
  8. 11-7 Getting Residents up.

    At my facility, the bath aide starts at 0500. Only residents who request to be up that early and dementia patients who are up already are gotten up by the 10-6 shift. If 6-2 has had a call-in, they...
  9. Pushy family members??

    (Quote)I do not mind trying to make families and patients happy, but when a COUSIN to the son of the patient asks me to take a fingerstick at 130pm, when the patient is due to have one at four pm, and...
  10. Diploma or ADN??

    I've never run into a salary difference in my 38 years of nursing in three states. Diploma grads require much less training and supervision than AD's right after graduation, but after a year or two of...
  11. Skin tears

  12. Lpn's being dumped?

    I've heard that since I graduated in 1967.I 've also heard diploma RNs needed a BSN. I'm still waiting for it to happen. It's just one of those rumors that never
  13. Pay rate poll

    OT: Sharlynn, are there still homes available under $10,000? There are many available if you don't mind small and old and small town living. I mean REALLY small. The village I live in is about six...
  14. Pay rate poll

    Ouch!! I only make $18.96 per hour in LTC with 35 yrs experience. But then I only paid $3,000 for my one bedroom house, too. No typo- three
  15. Do the state inspectors ever show up on noc shift?

    I feel bad for the ones who get followed around, they hold the jobs of the entire facility in their nervous hands. It's not fair. I got written up a few years ago for not washing my hands before and...
  16. Do the state inspectors ever show up on noc shift?

    If you really want to be secure in the fact that your institution is safe, isn't it a good idea to have unannounced visits so they can see how things NORMALLY go? I agree! And, if you are doing...
  17. Most surgeons are hopelessly out of date when it comes to wound care. My husband recently had a lap chole and one incision was infected. I used Polymem and he said to clean it with peroxide! Needless...
  18. Care Plans an Exercise in FUTILITY??????

    I have to agree with you. They have nothing to do with patient care(that you can get from listening to report) and are only there because they are required by the State. But, I do my part and update...
  19. Is this legal? What can we do?

    Today, they posted a memo that says that from now on that employees were not going to be paid for our 30 minute lunch. I have never worked anywhere that actually pays you for lunch time. If you work...
  20. Do the state inspectors ever show up on noc shift?

    They have never started a survey on the night shift yet, But they always come in at least one morning early to view peri care, med pass etc. The night shift alwaays dreads
  21. Incident reports

    _______________________________________________ I am the Wound Nurse in my facility and do weekly head to toe assessments on everyone. It's the bruises that match four fingers and a thumb on an arm...
  22. State Requirements in LTC

    However, I find that some rules are contradictory. For example, it is my understanding that (at least in my state - PA), some years ago, it was decided that patients should not be segregated because...
  23. New grad, LTC job offer...advice?

    To top it off, the state is expected to show up any minute for the anual review. Ugh! Tell me about what THAT is like! Annual Reviews are a necessary evil in LTC. Where I am working, administration...
  24. Losing your skills in LTC

    I'm in charge of 70 residents who are only seen by a doctor every sixty days. He's not there to recognize problems when they are just beginning. It's all left up to me. Lose my skills? I'd better