americanTrain

americanTrain

ICU, ER, MS, REHAB, HOSP ICE, LTC DON

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  1. I have been asked by my ADM to assist in the dining room passing trays, and checking diet orders. Do any of you do this. I dont mind on occasion, because this is the best way to know your residents. I...
  2. corporate nurse nightmare!

    We have a RNC who comes in every 3 weeks and tears the facility apart, making everyones job harder than it has to be. Make smart remarks to us, does not listen to us. Throws new forms at us that no...
  3. Rn's are better than lpn's???

    I hear every post refer to LPN, but here in Texas, we call them LVN's. I guess Im the only one here in Tx. Howdy Folks!
  4. DON interview

    I know you had friends before because you stated you had been in LTC for 17 yrs. But now, its different. You are their leader, not their friend. Just be careful. I say, trust no one. Cozy up to your...
  5. corporate nurse nightmare!

    No longer working there, but yes, we prob. did work for the same
  6. I got the boot during state survey, not after, in the middle of it all. It came as such a shock that when I got called in and was told I was terminated, I asked to resign,. Did I do the right thing....
  7. DON fired during state survey

    Those are great words of encouragement, but how do I revamp my resume? My lawyer said, what are you going to tell them the reason that you rsigned? Are you going to lie and say that "it just wasnt...
  8. Rn's are better than lpn's???

    1. Am I mad at doctors for being doctors? No. 2. Am I mad at NP's for being NP's? No. 3. Am I mad at PA's for being PA's? No. 4. Am I mad at LVN's for being LVN's? No. 5. Then why on earth would I be...
  9. DON fired during state survey

    Thank you Marc, your words are kind. Dont think I'll ever be eligible for another DON position though. Thats what makes me so sad, I know I shouldnt, but this is what I defined myself by. I worked...
  10. DON fired during state survey

    :heartbeatConstructive Discharge/Forced To Resign http://www.eeoc.gov Discriminatory practices under the laws EEOC enforces also include constructive discharge or forcing an employee to resign by...
  11. DON fired during state survey

    No, I did not know that there were 4 other DONs before me, until the 2nd week I was there. Word just came out. Fom the residents mouths; some of them welcomed me with" I dont want to get to know you...
  12. DON fired during state survey

    Im done with management, forever! Not worth the stress, not to mention having your license on the line at any given moment. Even if you do the best that you can, know the rules and regs, have...
  13. DON fired during state survey

    I feel like this was a forced resignation, because I was being fired with no advanced warning. Under duress, I asked if I could resign, they said "hurry up and write your letter and exit the...
  14. New Grad RN as new DON?

    I struggle day to day, most days, I want to cry too. And I have 12 years of experience. You have to know LTC backward and forward. Very
  15. LTC nurse supervisors ...

    I didnt know what a reg was when I first became DON at a LTC facilty,. but I had supervisory experience. What I did is a lot of research online and went to a home and asked questions of the DON. She...
  16. DON passing trays in dining room

    As far as checking trays and passing trays at dinner time;I started doing this 3 times a week, on Wednesdays and Fridays, I get the charge nurse; I let them choose which one to go to the dining room...
  17. lazy staff

    Since I began at my facilty, I have fired 9 people for not doing their jobs. Yes, they are hard to replace, have worked 3 shifts back to back with no sleep whatsoever after cutting them. Was it worth...
  18. Call schedule

    Everywhere I've ever been, the MDS person is the most respected. No wonder why. They drive the funds for the facility. This ADM doesnt want the MDS working the floor. I can understand that. But when...
  19. Call schedule

    I agree to what Marteyellen said, sounds good. Get the nurses, CNA, CMA to find their own replacement. This way they wont be in such a hurry to call in for stupid dtuff. I've already told my ADON to...
  20. DON passing trays in dining room

    No other facility that I have ever known, has the DON doing
  21. DON passing trays in dining room

    There has to be a nurse in the dining room at all meals. My ADM wont let go of this. She feels we can supervise better. But IMHO , if my charge nurses cant supervise, they dont need to be there. But...
  22. DON passing trays in dining room

    I agree with you 100%. Just like clerical duties, DON does not get paid to make copies. What a waste of critical skills. Does anyone have an easy way to politicaly decline. I have tried but have been...
  23. QA/QI ?

    Once a month, we have a QA/QI meeting. Some facilities have them every 3rd Q. Each department has a section to fill out on areas that need improvment based on findings of the previous month, quarter,...
  24. DON interview

    congrats to your decision, It was a brave one. I hard a hard time deciding to make the leap also, but now its in my blood. It can give you a giant boost of self
  25. corporate nurse nightmare!

    professionalism to our coworkers, this is what Im talking about. Corporate should not be coming in to down us, but show us what we could be doing better and follow up. I have expressed this concern to...