txredheadnurse BSN, RN

Correctional, QA, Geriatrics

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All Content by txredheadnurse

  1. txredheadnurse

    Obamacare and LTC reimbursment.

    txredheadnurse replied to fairyluv's topic in Geriatric, LTC

    Every payor source I am aware of pays off the same premise: If the resident is not in the building at midnight so as to be counted on the census then the facility does not get paid for that resident....
  2. txredheadnurse

    New job: "Don't worry about following the MAR" & other scary stuff

    txredheadnurse replied to kak85's topic in Patient Safety Issues

    I agree with Altra overall. My biggest concern is the OP mentioning pre pouring all the meds and locking them in the med cart. If the surveyors decided to check a med pass or a med cart while in...
  3. txredheadnurse

    What can I claim on my taxes?

    txredheadnurse replied to RN4life08's topic in Home Health

    Not unless you can prove you only use the Internet for work and it was a requirement of your employer to obtain in home internet access. This is along the same lines as claiming a home office as a...
  4. txredheadnurse

    Extremely Overweight Nurses

    txredheadnurse replied to WonderousIvy's topic in Nursing Career

    First point healh care workers are not role models for patients anymore than a mechanic is for a car owner or an electrician for a home owner, etc. If the only basis for selecting a role model is...
  5. txredheadnurse

    Overhead music

    txredheadnurse replied to savoytruffle's topic in Geriatric, LTC

    Only few of the facilities I visit for audits have a constant stream of music but the ones that do seem to have a loop of a half dozen that seem to play eternally. I am with the OP about the...
  6. txredheadnurse

    crushing meds

    txredheadnurse replied to PsychNurseBoyMom's topic in Correctional

    We always gave them in a moderately large quantity of water and the officer did a mouth check afterwards. This way the do not crush meds weren't altered significantly and it was more difficult to...
  7. txredheadnurse

    Rehab needs to get a clue

    txredheadnurse replied to CapeCodMermaid's topic in Geriatric, LTC

    The major reason meds can't be prepoured in a SNF is the regulations forbid it. There is a degree of assessment that should be happening during med pass so that meds can be withheld, PRNs offered...
  8. txredheadnurse

    ethical issues in home care

    txredheadnurse replied to shecub's topic in Hospice, Palliative

    It sounds like you really need a nutritionist/dieticians' input for ways to boost calories while still presenting the fluids the patient prefers to consume. I also wonder if the hospice team has...
  9. txredheadnurse

    New Rn and LTC charting

    txredheadnurse replied to ricksy's topic in Geriatric, LTC

    Have you asked her to sit down with you and show you what she is looking for when she checks documentation? I have found this to be one of the best ways to learn what info is necessary, what is fluff...
  10. txredheadnurse

    I am the only nurse getting high blood glucose numbers

    txredheadnurse replied to ricksy's topic in Geriatric, LTC

    If the procedure involves either wiping with an alcohol pad and letting the area completely air dry or cleaning the area with soap and water and allowing it to air dry then there is no need to wipe...
  11. txredheadnurse

    I am the only nurse getting high blood glucose numbers

    txredheadnurse replied to ricksy's topic in Geriatric, LTC

    If I am understanding you correctly you are wiping off the first drop with an alcohol pad? Because if you are then the entire purpose of wiping the first drop of blood off...which is to remove...
  12. txredheadnurse

    Requesting Opinions From LPNs with 7+ Years Experience!

    txredheadnurse replied to newbzLPN's topic in LPN, LVN Corner

    I have been a LVN since the dawn of time (aka almost 39 years) so my job arc can't be replicated anymore since many of the jobs and fields of nursing I encountered are either no longer a viable...
  13. txredheadnurse

    A Gaysian New Grad Murse Considering to Move to Austin, TX

    txredheadnurse replied to TurtleLittle's topic in Texas Nursing

    Native Austinite here. Yes Austin and most of the larger cities in Texas are much more open minded than the media would have you think. The LGBTQ communities here are pretty well intergrated and we...
  14. txredheadnurse

    When a med runs out

    txredheadnurse replied to CYoungLPN's topic in Geriatric, LTC

    One reason to not borrow meds is that the borrowed meds never get replaced which leads to refills being requested too soon so the whole cycle just keeps snowballing. Also if the surveyors even get a...
  15. txredheadnurse

    Got a speeding ticket recently - how do I apply to the Texas BON now?

    txredheadnurse replied to CrazyCoconut's topic in Texas Nursing

    Please relax. If speeding tickets kept one from being a nurse in Texas I would have been kicked out of my profession a long time ago. And I am not trying to give legal advice here but my...
  16. txredheadnurse

    Not affectionate enough???

    txredheadnurse replied to Tired_Mommy's topic in Private Duty

    I was an ADON at a long term care facility geared specifically to medically fragile & DD kids. Almost all of our residents had minimal to no family contact after admission so our direct care...
  17. txredheadnurse

    LTC and Pharmacy deliveries

    txredheadnurse replied to fairyluv's topic in Geriatric, LTC

    Depending on your states' pharmacy regs your facility could also contemplate obtaining a narcotic ekit and/or nurse agency letters from the prescribing physicians. Both of these solutions would ease...
  18. txredheadnurse

    Moving to Austin, Texas YEY!!!

    txredheadnurse replied to pennylane18's topic in Texas Nursing

    Hi there! I am a native Austinite and I want to second what HouTx advised. Use an apartment locator service since you are unfamiliar with the area. Also be aware that Austin is divided north from...
  19. txredheadnurse

    "She's coming back next week", and my weird reaction...

    txredheadnurse replied to NurseCard's topic in Geriatric, LTC

    It Seems reasonable to me that you rather dread the prospect of dealing with such a challenging person again. It also seems very reasonable that you are happy that she made it through this latest...
  20. txredheadnurse

    Can I get fired from signing the MARS a night before my next shift

    txredheadnurse replied to pinkdustmagic28's topic in LPN, LVN Corner

    I am glad you seem to grasp the seriousness of your decision to pre chart. Now comes the really difficult part of dealing with the fallout from your decision. You need to use the lesson learned from...
  21. txredheadnurse

    Moving To Killeen, TX

    txredheadnurse replied to Mjags5's topic in Texas Nursing

    Scott and White hospital systems pretty much have all the non military hospitals in the Killeen/Temple metro area under their umbrella. There is the military hospital at Ft Hood (Darnell Army Medical...
  22. txredheadnurse

    Do you have to count lyrica at your LTC facility?

    txredheadnurse replied to Blackcat99's topic in Geriatric, LTC

    In 1 state (Tennessee) I know that Ultram is considered a controlled substance. In all 50 states Lyrica is a controlled substance. At least here in Texas it is against state pharmacy code for a new...
  23. txredheadnurse

    Alert,oriented LTC patients who refuse routine nightly insulin?

    txredheadnurse replied to Blackcat99's topic in Geriatric, LTC

    Really about all you can do is notify the physician about her refusals. Oh yes please also inform the unit manager, ADON and DON so they can follow up as needed. Of course, document, document,...
  24. txredheadnurse

    Do all LTC's chart the meals on the MAR's?

    txredheadnurse replied to Blackcat99's topic in Geriatric, LTC

    In the perfect world someone would design the electronic charting to notify a nurse with a warning screen or something whenever parameters have been exceeded such as 3 days with no BM, less than 50%...
  25. txredheadnurse

    LTC med nurses-Are you obeying all of the rules?

    txredheadnurse replied to Blackcat99's topic in Geriatric, LTC

    I would like to add that checking for expiration dates is especially critical for insulins, eye drops, inhalers and nebulizers. Surveyors are watching to see if nurses are consciously checking those...