litbitblack ASN, RN

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

.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 a phone call lol

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 waiting for a office position to open and our don is no...

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 ropes.

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

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 but thats after 10 years in LTC. it takes some gett...

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 nursing and it just continues to get worse. I would f...

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 online with no luck..

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 of that and that is why they do offer such long o...

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 supplements with a doctors order. If the cbd is legal...

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 not doing their part they are responsible for.

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 in pudding is a good way for her not to trust the n...

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 ER about it as they were not aware. Luckily she d...

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 CNA work. I've done it and I can't say that I didn...

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 covered.

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 residents who routinely want us to hold the meal the...

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 demonstrations.

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

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 far the ones listed I don't have any experience i...

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

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 dose

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 give that medication, over riding it and administe...

I haven't been able to work thru the info to have an opinion and it doesn't seem like she is able to really give her side d/t legalities of the pending case. There are always more than one side of the story. She has a go fund me that so far has $9100...

I would check in with the provider of the refresher course in r/t the clinicals and physical requirements. you wouldn't be standing the entire 8 hrs you do get breaks and i bet it go really fast.Maybe there are scholarships or grants you could qualif...

There are no pump alarms for it but the machine alarms because of the pressure back up. If the fluid continues to pump into the tissues there is not a back up of pressure so the alarm doesn't go off. At least that is how the machines worked when I wo...