litbitblack

litbitblack ASN, RN

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All Content by litbitblack

  1. Coding a Broda Chair

    litbitblack posted a topic in MDS Coordinator Information

    I have a question from the MDS experts on here LOL. When coding function where you choose equipment ( walker, cane, WC) How do you code the use of a Broda Chair? I see where it says do code specialty...

  2. Coding a Broda Chair

    litbitblack replied to litbitblack's topic in MDS Coordinator Information

    Thank you! Now, my DON had my position so she was doing the MDS. She did not know this so the MDS she completed had them marked them as WC. I only found this by accident when I was looking for...

  3. Scheduled and PRN Doses

    litbitblack replied to Newgurl17's topic in Geriatric, LTC

    I disagree with the restlessness. It can definately be a pain issue but does this resident have a hx of restlessness? How long has she been on that medication? The medication can cause restlessneses....

  4. Insurance assessments

    litbitblack replied to litbitblack's topic in General Specialties

    Independent contractor. LTCG. Carescout. Assuricare. CHCS are the ones I am with . there is also long term

  5. Question about adon position

    litbitblack replied to litbitblack's topic in LTC: Directors, Assistant

    .75 an hour for having my phone on then time and a half for calls and text. I’m still trying to figure out how to document those correctly. It doesn’t seem like a big deal to claim 30 seconds for...

  6. Question about adon position

    litbitblack posted a topic in LTC: Directors, Assistant

    So I have wanted m-f for a long time at my job in ltc. I currently work 6-2 every other weekend off with my days off consistently being every other Tuesday and every other Thursday. I have been...

  7. Question about adon position

    litbitblack replied to litbitblack's topic in LTC: Directors, Assistant

    I applied and accepted the position. It was 1.50 hr raise plus pay for being on call and extra if I respond to text or calls ect. Im learning the

  8. New job and asking for time off

    litbitblack replied to direw0lf's topic in General Nursing

    I had to have 2 weeks off for prior plans around the holidays and made it a condition of the job

  9. Medication order correct or no

    litbitblack replied to Mqnurse13's topic in General Nursing

    It took me forever to transition to the way orders were written in long term care versus the hospital. We would write tylenol 500 mg tabs give 2 tabs = 1000 mg....I would read yours as 1000 mg total...

  10. RN providing total care for 4-5 patients

    litbitblack replied to _littlemissBSN's topic in General Nursing

    yes TPC for 4-6 patients was doable back when I worked med-surg in 2008. I have worked inpt rehab and the patients are going to rehab sicker than they used to. Staffing has always been an issue in...

  11. Required By Work to Get BSN - Don't Want to Write Endless Papers

    litbitblack replied to Nurse Beth's topic in Career Advice Column

    I took all but 3 classes for my bsn at UTA. No clinical hours as you could use your work experience to count. yes lots of paper writing.. The only thing holding me up is stats and I took it 3 times...

  12. I think I'm going to be let go from Orientation :((

    litbitblack replied to iconicqueen's topic in Nursing Career

    Congrats on graduation and landing a job. Earning your RN doesn't mean you know everything you are supposed to know to take care of your patients. Its a start, a base of knowledge. Companies are aware...

  13. NJ nurses - CBD oil

    litbitblack replied to linda1959's topic in School

    I work in long term care and have not had that come up yet although i may ask our medical director about for future reference. We do administer drinks of alcohol with a doctors order or administer...

  14. Professionalism investigation

    litbitblack replied to Goaldigger80's topic in Nursing Professionalism

    What did the lady say in her email? you were asking to many questions? Maybe she implied that the school did not give you the information you needed to be prepared and it made them look like they were...

  15. Ethical Dilemma: Is it ever ok to mislead a patient?

    litbitblack replied to RNjuice's topic in General Nursing

    Its not lying its redirecting....It took a long time for me to understand that when working with dementia and special needs residents. Where is this patient in her dementia journey? Yes putting them...

  16. right med, right dose, wrong route... ouchhhh

    litbitblack replied to rvzohfeld's topic in General Nursing

    I had to call emt's for my aunt who had a BS of 24. One of them accidently pushed Bicarb instead of glucose when she unresponsive. They immediately fixed the issue but still.....My mom had to tell the...

  17. LPN Refused Assignment as a CNA

    litbitblack replied to Nurse Beth's topic in Career Advice Column

    Yes nurses are qualified to work as a CNA yet you are held to the license you carry so basically you are functioning as a nurse doing patient care. Most places do not want to pay a nurse to only do...

  18. HELP. 1:1 District School Nurse Caring for Two Students During Lunch Breaks

    litbitblack replied to LPNinGH's topic in School

    File safe harbor in the mean time if you do end up covering the 2 children for 30 minutes. Then in the unlikely event something does happen you are

  19. When residents want you to save thier food.....

    litbitblack posted a topic in Geriatric, LTC

    I work in a long term care setting and for meals we have been told in the past we can only hold the meal for 2 hrs from the time the tray is set up and then we have to send it back. I have dementia...

  20. Insurance assessments

    litbitblack replied to litbitblack's topic in General Specialties

    long term care insurance carriers need RN assessments for long term care claims. The RN completes the assessments in the claimants home. There is no direct care just info gathering and documenting adl...

  21. Insurance assessments

    litbitblack replied to litbitblack's topic in General Specialties

    There isn't anyone who completes insurance assessments for long term care insurance

  22. Do you have a side hustle?

    litbitblack replied to Mrsvirgomama's topic in General Nursing

    I do long term care assessments on the side. Its not steady income so I still have to work my full time job but its only assessments no bedside care. I have been looking for another side hustle but so...

  23. Another Day Another Cut

    litbitblack replied to CapeCodMermaid's topic in Geriatric, LTC

    isnt there minimum staffing requirement for the dementia unit if its certified dementia

  24. Vancomycin Trough

    litbitblack replied to CapeCodMermaid's topic in Geriatric, LTC

    We do what the doctor wants....one pt started out with drawing trough and go ahead and hang without results then a few doses later it was wait for the results and call before hanging the

  25. Nurse Charged With Homicide

    litbitblack replied to Nurse Beth's topic in General Nursing

    So I read the CMS report and yes there are tons of red flags that we all see when its set aside in a form that has information that has been collected over a period of time. In the moment of going to...