wyogypsy

wyogypsy RN

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All Content by wyogypsy

  1. Coding transfers (Hoyer)

    wyogypsy replied to wyogypsy's topic in MDS Coordinator Information

    Thank

  2. Doesn't It Make You Want To Scream, part two

    wyogypsy replied to CapeCodMermaid's topic in LTC: Directors, Assistant

    For sure I'm voting a resounding YES on Questions 1 and 2 on the Massachusetts ballot....assisted suicide and medical marijuana. I know you are frustrated but I do have to say that made me crack...

  3. RN vs LPN

    wyogypsy replied to Melpomene's topic in LTC: Directors, Assistant

    Everyone starts somewhere. She was once a new LPN. She obviously is unhappy about many things; my guess would be that her personal life is a mess, that she wanted to be an RN but was unable to...

  4. Coding transfers (Hoyer)

    wyogypsy replied to wyogypsy's topic in MDS Coordinator Information

    I feel the need to add a bit more - I used to be a fulltime MDS coordinator with 3.0; have not done it for 15 months. I am now helping out a facility who is behind on their MDS's; and I have a...

  5. Happiness vs more money

    wyogypsy replied to adamsmom2's topic in General Nursing

    ALWAYS choose happiness over money. There are ways to cut back on expenses, ways to make extra money, all temporary and easier than a job where you might not be as

  6. RN's forced to do CNA work

    wyogypsy replied to rnckr's topic in First Year After Licensure

    I can pretty much guarantee after you've grown a few greys and are a little crispier around the edges, you'll welcome any aide work for RN pay you can get! I love helping the CNAs, but working in LTC...

  7. LTC has changed-How do you give out 5pm meds now?

    wyogypsy replied to Blackcat99's topic in Geriatric, LTC

    I have only had to notify them after the third time the patient refused them, and that I did by fax. I bet your facility doctors hate getting those calls, what are they supposed to do about it? If...

  8. Has anyone heard of getting fired in LTC because of overtime?

    wyogypsy replied to Blackcat99's topic in Geriatric, LTC

    It depends on the management, but if you work in a facility that is so strict about overtime, then they may not give anyone a break. I have certainly seen this. I would talk to my manager, DON,...

  9. POLL LTC Nurses... please answer

    wyogypsy replied to Finallydidit's topic in Geriatric, LTC

    Short staffing - caused by not enough nurses or CNAs so we get worked to death then have to take a day off for our mental health and physical health. Better wages and benefits so that more people...

  10. Has anyone heard of getting fired in LTC because of overtime?

    wyogypsy replied to Blackcat99's topic in Geriatric, LTC

    Yes, I have seen nurses get fired for too much overtime. This same facility also knew that nurses were clocking out and working on their own time. When I was evening supervisor I told the nurses...

  11. Let go after three days? Seriously?!?!

    wyogypsy replied to LTCNS's topic in Geriatric, LTC

    Many places want someone that can hit the floor running, which if you haven't worked the floor for a long time in LTC then you aren't able to do. BUT, some places know a gem when they see one and are...

  12. LTC has changed-How do you give out 5pm meds now?

    wyogypsy replied to Blackcat99's topic in Geriatric, LTC

    More rules made up by people that don't work the floor every day. I can understand not interrupting their meal for meds, as that should be an enjoyable, social time for them. But on the way to and...

  13. RN's forced to do CNA work

    wyogypsy replied to rnckr's topic in First Year After Licensure

    Some nurses don't want anything to do with hands on care such as taking a resident to the toilet or giving a bed bath. I enjoy helping with these things as it gives me more time with the patients....

  14. How scary does this sound to you? Or am I the only one -

    wyogypsy replied to njgrl622's topic in Geriatric, LTC

    You are smart to turn this down if you are offered the job - you are not ready for this until you have a lot more experience. Best of luck to you and thanks for using your

  15. does anyone regret this career?

    wyogypsy replied to cantdoit's topic in General Nursing

    I love the patients and doing nursing care, I hate that it has become a career of paperwork rather than patient care. Would I do it again? No. I would volunteer as I love patients, especially LTC....

  16. 1st RN job, nursing home, 17-24 pts night shift,could use support

    wyogypsy replied to blinky's topic in Geriatric, LTC

    Unfortunately too many LTC facilities do not have any type of floor or unit supervisor. Then you can ask another nurse for help, but often they are just as swamped as you are. However, the ones that...

  17. LPN New to LTC

    wyogypsy replied to Nurse1044's topic in Geriatric, LTC

    Get a roster of the residents you will be caring for and make notes for each one - whether they need blood sugars, BPs, pulses, insulin, updrafts. Include treatments. You will be overwhelmed at...

  18. 1st RN job, nursing home, 17-24 pts night shift,could use support

    wyogypsy replied to blinky's topic in Geriatric, LTC

    Try making a cheat sheet for your residents so that you know when you get to them who gets blood sugars, vitals, insulin, updrafts, treatments, etc. I do my cheat sheet by times - AM, noon, PM, HS,...

  19. Really in need of some time management help. :(

    wyogypsy replied to Pat2012's topic in Geriatric, LTC

    We become faster with time, but I have found that the nurses that get done 'too quickly' are skipping treatments, skipping eye drops and nebs, skipping OTCs, not using their MARs, etc. Just do it...

  20. Side duties of MDS/PPS coordinators

    wyogypsy replied to TigerxLiLy's topic in MDS Coordinator Information

    CapeCodMermaid - could you please let me know how many residents are in your facility, and how many MDS coordinators? I had an experience at the last facility I worked at. When one of the MDS...

  21. wound care supplies

    wyogypsy posted a topic in Geriatric, LTC

    Can treatment supplies (i.e., creams, powders) be placed in one drawer of the medication cart if they are not mixed in a drawer with anything else? It would be so much more efficient to have the MARs...

  22. Family pushing antidepressants...why won't I agree??

    wyogypsy replied to Lucky724's topic in Health, Stress Management

    It won't hurt to try the meds. Hopefully they will lift you far enough out of your depression that you can make good decisions, which at this point it doesn't sound like you can. As for side...

  23. Recently hired to work in a women's prison

    wyogypsy replied to dekagirlsRN's topic in Correctional

    Be fair, firm, and consistent. If you do something for one inmate you have to do it for them all. Follow the rules - don't break them because you feel sorry for the inmate even if it is something...

  24. Horrible First Day; How to cope?!

    wyogypsy replied to tammy_zeidan09's topic in Medical Assistant, CNA/MA

    Not everyone is good at orienting new employees. Tell the person in charge of scheduling, or the Director of Nursing or her assistant. Make sure it doesn't seem like you are complaining, just ask if...

  25. Sometimes it's hard to tell a drug seeker from a patient in pain.

    wyogypsy replied to tiroka03's topic in General Nursing

    I try to not judge and medicate them based on what they state their pain level is; but sometimes I have to grit my teeth. I would never 'slam' it in, I give it the way the drug handbooks advise -...