IowaKaren

IowaKaren

Assisted Living nursing, LTC/SNF nursing

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All Content by IowaKaren

  1. facility implosion post-takeover

    IowaKaren replied to NFuser's topic in Geriatric, LTC

    Yep, going through something like this myself but on a small

  2. Is 32 to late to go to a nursing program ?(ADN)

    IowaKaren replied to Samyong's topic in Pre-Nursing Students

    Actually, I would say it is a typical age after starting a family and all. Or just having that feeling that you should be doing something different with your life. I was in my 40's and had...

  3. Are your incontinent patients truely incontinent?

    IowaKaren replied to jm_emt's topic in Geriatric, LTC

    Give me 10 fairly heavy care residents WITHOUT major physical issues (eg. tube feeding aspiration precautions; unhealable open fractures that will get infected and the resident will eventually pass...

  4. Norovirus - Help me calm my fears!!

    IowaKaren replied to justanurse95's topic in Geriatric, LTC

    Hope you wore that

  5. skin tear packets

    IowaKaren replied to delia94's topic in Geriatric, LTC

    That seems to be the norm for overnights. Find a good sized, dark purple bruise that you have to figure out how they got it, when they got it, what they were doing, etc. at 2300 (an hour into shift)....

  6. If I hate being a med tech, will I hate being a nurse?

    IowaKaren replied to iheartsephora1's topic in Geriatric, LTC

    The point is, in Assisted Living you do not need to be a CNA or CMA or have worked in healthcare before. You can come in off the street, get that bit of under training and call it good, your ready to...

  7. Nursing Home - Abandonment?

    IowaKaren replied to sfisher50's topic in Patient Safety Issues

    That seems to be a typical analogy if trying to reduce hours d/t census. As long as a nurse is in the building and narc's are counted with that said nurse along with reporting off, that is okay. Not...

  8. Residents that need constant supervision

    IowaKaren replied to Anne36's topic in Geriatric, LTC

    Yes, and I do not believe it will get any better in the future. Such a sad state in many

  9. Frustrated With New Narcotic Rules

    IowaKaren replied to Donnagg123's topic in Geriatric, LTC

    Also, some with major pain issues from surgeries come without prn pain med's, not even APAP. No pain all day but when trying to sleep at night, frustrating when a block decides to wear off. Lately...

  10. Staffing requirements

    IowaKaren replied to Kaysmom8's topic in Long Term Acute Care

    I also thought in my state we couldn't add in Supervisor nurses either but the place I work at now does. Sure makes the 'numbers' look

  11. How Many Night Nurses Attend Meetings?

    IowaKaren replied to NurseQT's topic in Geriatric, LTC

    I'm always told, "I remember those days too," like it's a right of passage or something, LOL. Just depends if it falls on my night off or my first night

  12. First time at a nursing home

    IowaKaren replied to Nica-RN's topic in Geriatric, LTC

    Welcome to the USA. Everything is money driven and we are suppose to care even though the time allowed isn't enough in some cases, depending on the nursing home you are working in. Unfortuately,...

  13. Base pay of RN BSN in LTC

    IowaKaren replied to RNinject's topic in Geriatric, LTC

    Wages will vary from place to place, even amongst corporate NH's. BSN means nothing where I work and your not given a higher wage because of

  14. Do any nursing homes use "agency staffing" anymore?

    IowaKaren replied to Blackcat99's topic in Geriatric, LTC

    I heard that my place of employment will not hire Agency anymore (agency nurses or CNA's) because it about broke them at one time (that's the rumor anyway). Only in very rare cases would a supervisor...

  15. DON telling nurses to leave without finishing work..

    IowaKaren replied to myaj's topic in Activism, Healthcare

    Late entry your next shift may be the only

  16. It's all in the presentation

    IowaKaren replied to CapeCodMermaid's topic in Geriatric, LTC

    Another crucial thought is repeating the addage old, "the family wants them checked out in the ER," or "level of consciuos change," works well BUT, it had better be the truth also and documented as...

  17. Documentation, Scapegoating and Fear for Jobs.. The Current Status of Being an RN.

    IowaKaren replied to PedsRN25's topic in General Nursing

    Try working in an SNF/LTC, same thing there only twice to four times the amount of patients and what you don't document, didn't happen. Team work is absolutely necessary but the shear number of...

  18. Tinetti balance score

    IowaKaren replied to erin21880's topic in Geriatric, LTC

    I always loved the thought of keeping people to their highest level of functioning but where I work, they are so embedded with 'resident rights' that if they ask, we HAVE to do for them even though...

  19. Rude residents

    IowaKaren replied to lauriepat's topic in Geriatric, LTC

    Oh, it's amazing what is accepted into the ALF and how long they will be there and we all know it's not the right place for them but as long as nothing bad bad happens, it will be this way....

  20. Unhappy RN at LTC Avoid Extra Shifts

    IowaKaren replied to JPRN11's topic in Geriatric, LTC

    Yes, I do understand your plight since it is the same for me (in a way). I specifically work a certain shift that I can handle part time but am called constantly for more shifts or to work, mostly as...

  21. Resident nurse ratio question

    IowaKaren replied to LH...RN's topic in Geriatric, LTC

    They are doing that to our 3rd shift since not able to get CNA's hired so "let's just have 2 nurses and 1 CNA". I hate it since most the work falls on the CNA. Then, the next night you may the nurse...

  22. Broken RN

    IowaKaren replied to Herky980's topic in Patient, Colleague Relations

    This is not the way ALL LTC homes run. Sounds like for your health and welfare you should leave this place ASAP. Just breaking up a fight and the supervisors not handling the situation would be...

  23. Let's not try to make them invalids or keep them invalids

    IowaKaren replied to Alnitak7's topic in Patient Safety Issues

    If living in a NH, these are pretty much Resident rights but we are still responsible for the falls, even after the Resident signs the negociated risk forms continually and the family is okay with it...

  24. Water

    IowaKaren replied to C-lion's topic in General Nursing

    Isn't it an OSHA

  25. New Ads on all nurses.

    IowaKaren replied to trutuyu's topic in General Nursing

    I noticed that too. I have slow internet since living in a rural area. The loading speed is continually changing so looking at U-tube or something that needs to load takes awhile before being able...