wyogypsy

wyogypsy RN

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  1. OK, so now the recruiter says that they might not accept my temporary license. What????? I know they used to and sure hope they do now! I was led to believe this was not a problem.
  2. Destroying medications

    At the LTC facility where I work now, all unused medications get returned to the pharmacy. They have a program where they donate what they can, and properly waste the remainder. When I worked at...
  3. RN in a Vet's office

    My guess is that they were idealistic like many of us were, and now just flat can't take nursing
  4. Insight About a LTC Job Interview I Just Had?

    Depending on the company, the rehab hall can be OK or sheer hell. I am just leaving a facility where we had one rehab hall with one nurse, one CNA (sometimes shared with another hall of 16 patients)...
  5. Need HELP! Which Job????

    I can see where it would be a tough decision. For me, the deciding factor would be family. No weekends off with your husband and kids can get to everyone. Yes the sitter would cost, but it would...
  6. Supplemental Healthcare

    If they provide housing your hourly rate is high and you pay taxes on all earnings. If you pay your own housing you are eligible for the tax free money (stipend) as long as you have a home base that...
  7. Managing burnout

    We have the same thing right now - and no applicants for working the floor. The company I work for has tried so I give them that - have no idea what else they can do to recruit as I have suggested...
  8. Medicare halls

    Does your facility have a 'Medicare' hall where almost all of the Medicare patients are? I have worked facilities where they were spread out throughout the facility; and am now working in a facility...
  9. Medicare halls

    I don't complain about admits as I know they pay my salary - but we can't take care of more patients than is humanly possible. After all, there are so many hours in a shift and no matter how fast,...
  10. I adore my Klogs! They are light and comfortable, and can be washed with any type of wipe that you want, no fabric to worry about. It is also good to have more than one pair/style of shoes so you...
  11. Traveling correctional nurse??

    Try Supplemental Staffing, I have worked for them in the past and they were great to work for. I am not sure about experience needed as I have many years of correctional experience, but it is worth...
  12. The way to change this is to have the patient fill the weekly med planner themselves when they come in, with you overseeing it. You are not dispensiing the bubble packs because you are not taking...
  13. RN Coder

    I am interested in the same thing. I was referred to AHIMA, but have not had much time to explore their website so can not offer you any information. I was referred to it by the coders at our local...
  14. Work related depression

    I have gotten so burned out from working so much for so many years, that I now will only work 3 days one week and 2 the next, all 12 hour shifts of course. I really wish I could go to two 12 hr...
  15. The Slow Code: Justified?

    After seeing how many elderly and ill patients end up after we have 'done all that we could', I think that borders more on criminal neglect than coding a patient who does not have a chance. I believe...
  16. What makes you want to vomit?

    At work I can deal with about anything because that is my job, and I am in work mode. But when I am off-duty? No, I don't want to see your rash, or the hole in your leg that won't heal, or where you...
  17. Do you cut corners in your daily nursing practice?

    Not every cardiac med needs a pulse or BP prior to giving it. If it is a new med, yes. If the dosage has been changed, yes. If the VS are not stable, yes. But millions of people in this world take...
  18. Who completes the CMS Forms 672 (Resident Census and Conditions) and 802 (Roster Sample Matrix) in your facilities? This was recently added to our duties in our MDS office, and we are to update...
  19. CIWA woes

    With so many different areas of nursing to work in, there is no reason we don't find an area we like. In fact most of us would find more than one area we like. Thankfully we each like/don't like...
  20. The Battle of Day vs. Night Shift

    I don't believe in anyone complaining about another shift unless they have personally worked that shift for a period of time. We all feel overworked and there never seems to be enough time to get...
  21. So I get a call from the lab.....

    I appreciate the calls as it is an extra check. I am secure enough that I don't get upset if they mention what they think I should do, after all - they may be speaking to someone new or someone...
  22. I am trying to help a facility get caught up with MDS's that they are late on - I have not done them for about 18 months (at a different facility) so am a bit rusty and do not know some of the...
  23. lol ok hours later I have found something in my MDS 3.0 RAC-CT Certification Program booklet. For resumption of therapy after EOT we can do a SOT OMRA, or wait until next scheduled assessment. As...
  24. Just remember that there are interviews and assessments that the MDS Coordinator should do, i.e., the pain interview, the dental assessment (Section L), etc. It is fine to have the floor nurses...
  25. I always coded a resident who was transferred using a Hoyer lift as 4/3, as we always have two staff members when using a Hoyer. Have the updates changed it to where it is a 3/3 if the resident is...