AlixCoastRN

AlixCoastRN

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About AlixCoastRN

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  1. Culture Shock! Hospital to LTC..

    After 6 years working LTC, I am leaving it next month to go to workas a staff nurse on med/surg at and 80 bed hospital. I was the manager for the skilled unit, and the hospital did not think the...
  2. Looking For A Change Maybe Ltc?

    I am considering doing the opposite - getting out of long term care. Between corporate interference, new regs (still haven't seen anything on co. policy for the new incontinence regs), new forms, more...
  3. Care plans...what is and isn't necessary

    I care plan psychotropics, antidepressants, pain meds, coumadin (and the like) and use a temp care plan for antibiotics. This isn't one care plan for each - I usually put the pain in with the ADL,...
  4. a question about MRSA

    We have a res right now with MRSA in his blood and sputum. Last sputum culture a week ago was positive for 2 colonies. He is in a private room - resp precautions. We will be doing another sputum next...
  5. Modern Facilities

    We dont' have computerized charting, lab results by computer or bladder scanners - we are starting to replace our crank beds with electric at the rate of 2 per month. (that alone will take about 2.5...
  6. MDS Coordinator Salaries

    Thanks Talino - sounds like a fair system to me - better than the flat rate Oregon pays - altho it means more assessments. Oh well, can't have
  7. MDS Coordinator Salaries

    I've never heard of TILEs before either - except those you put on the floor or play scrabble with :chuckle As a Resident Care Manager with over 5 years experience, I input and schedule the MDS, write...
  8. Complaint Survey Today

    Well, its over. The complaints were unsubstantiated. I am worn
  9. Thinking About Becoming a Nurse...

    Congrats - its a lot of work but fun and worth it in the long run. I believe the nursing schools in oregon require a CNA license before being admitted to the program. Becoming a CNA will really open...
  10. Complaint Survey Today

    2 compalint surveyers for the state walked in this morning during stand up. Of course we dont' know what the complaint is about. I have been thru surveys with both of the folks, so at least that is a...
  11. Anchorage

    I'm and ADN nurse who graduated from the University of Alaska in Anchorage. They also have a BSN program. There are 4 hospitals in Anchorage and surrounding areas: Elmendorf Air Force Base has a...
  12. AAARRRRGGGGHHHHH!!! More new CMS guidelines!

    We haven't even heard a peep out of our company regarding the new guidelines - hence, no policy and procedure from the corporate weenies on implementation! I found all the info - thanks to my fellow...
  13. Patient to staff ratio

    I also work in oregon - as an RCM. Staffing ratios for res to cnas are: Days - 10 to 1, Eves - 15 to 1, Nights - 25to 1. These ratios are outlined in the Oregon Administrative Rules. As far as nurses...
  14. Sending residents to the ER without a doctor's order.

    I have no problem with sending someone to the ER without the MD order - I will attempt to call the MD as a courtesy to let him or her know what has been going on. If there is any question at all, no...
  15. staffing on nights

    We have about 47 residents right now - staffing is one RN (charge nurse) and 3 CNAs. We have 3 halls unevenly distributed with