AlixCoastRN

AlixCoastRN

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All Content by AlixCoastRN

  1. What does your screenname mean?

    AlixCoastRN replied to PMHNP10's topic in General Nursing

    I guess you could call mine creative: Alix is for Alexandra Romanov, last Tsarina of Russia - my hubby's name is Nikolaus - I'm from Alaska originally and was always aware of and in awe of the Russian...

  2. staff abuse

    AlixCoastRN replied to virmm1's topic in Geriatric, LTC

    Also keep in mind that a resident who is physically abusive to staff is one step away from being abusive to another resident - and then the crap will hit the fan. I agree witht he documentation and...

  3. MDS Submission Question

    AlixCoastRN replied to SheWulfwynn's topic in Geriatric, LTC

    [i don't have any idea - you could probably call the state MDS person but then that might raise a red flag with them and put you into survey! Do you have a consultant you could call? How late is it?...

  4. Long Term Care Travel Nursing

    AlixCoastRN replied to AlixCoastRN's topic in Travel

    Thanks for all the input - I did try Delphi again and got some food for thought from that site. And I will check out Crosscountry - Thanks again!

  5. Long Term Care Travel Nursing

    AlixCoastRN replied to AlixCoastRN's topic in Travel

    Thanks for the link to delphi - no luck there though. Thanks again for the

  6. What does your spouse do?

    AlixCoastRN replied to vaughanmk's topic in General Nursing

    undefinedundefinedmy husband drives pump truck for a septic tank company - you know the story: its a crappy job but somebody has to do it! prior to that, when we lived in alaska, he worked in a tire...

  7. mds mountain of work with no help

    AlixCoastRN replied to yasmina's topic in Geriatric, LTC

    undefinedundefinedi have been a rcm (resident care manager) for 5 years now at 2 different facilities for 2 different companies.the rcm in oregon is the one who does the mds and all the assessments,...

  8. Briefs at night???

    AlixCoastRN posted a topic in Geriatric, LTC

    OK - here's the deal - I am a RCM/MDS type RN in a long term care facility. I've been here almost 5 years. At night and for lay downs after meals we have the CNAs lay residents down without briefs....

  9. Losing your skills in LTC

    AlixCoastRN replied to Cubby's topic in Geriatric, LTC

    Cursenurse - come work in our facility! The charge nurse is in 'charge' and we feel we don't need an order to send someone to the ER or to release a body when the soul has departed. We do a lot of...

  10. What's next

    AlixCoastRN replied to nwstudent's topic in Oregon Nursing

    It won't hurt to ask for a reference - you never know - you might get one that says some wonderful things about you! It is your right to see the letter then you can choose whether or not you want to...

  11. What's next

    AlixCoastRN replied to nwstudent's topic in Oregon Nursing

    A couple of questions: Are you in a 2 year or 4 year program: and where? Somehow I think they would be willing to offer more lab time, more practice on skills (as they would in my school of nursing)....

  12. risk management & wandering patients

    AlixCoastRN replied to salisam's topic in Geriatric, LTC

    We have a 'secure' unit with keypads on the doors for entry and exit. We have one restraint - a lap buddy on a lady who actually has more of a secure feeling with it on. We also have the lock/keypad...

  13. Why al the negativity in LTC???

    AlixCoastRN replied to sixes's topic in Geriatric, LTC

    The excellent care we provide on a daily basis, not because it is our 'job' but because we respect our 'elders', is not 'news' to the journalists. It is not 'sensational' when we help a resident eat a...

  14. Briefs at night???

    AlixCoastRN replied to AlixCoastRN's topic in Geriatric, LTC

    Marti, if a res requests to wear a brief at night, then they are care planned for that. A couple of our residents like this and they are aware of the risks of breakdown, UTI, etc. when wearing a brief...

  15. Briefs at night???

    AlixCoastRN replied to AlixCoastRN's topic in Geriatric, LTC

    Thanks for the great input! We figured most facilities do what we do and the ombudsman was barking up the wrong tree. As a further: We reported this whole episode to the state sr svcs folks and they...

  16. Why, would any RN oppose requiring a BSN for all future nurses?

    AlixCoastRN replied to Roland's topic in General Nursing

    I am and ADN with a degree from University of Alaska where they have ADN, BSN, and MSN courses and degrees. Before I did this, I went and got a BA from Central Washington in an unrelated field. In...

  17. please call report!

    AlixCoastRN replied to ktwlpn's topic in Geriatric, LTC

    At our small community hospital ER, when we call report, the nurses are rude, saying things like 'whatever', or 'hope they dont' want to be seen right away - we're jammed (as in the case of new onset...

  18. Help With Blood Draws

    AlixCoastRN replied to EyesForward's topic in Geriatric, LTC

    I always use a butterfly and syringe - also, get some pediatric tubes from the lab - they don't require as much blood as the adult tubes do...Sometimes even infant tubes will do (if you have a NICU...

  19. AA or BS degree

    AlixCoastRN replied to mrsabradford's topic in General Nursing

    I have a BA in outdoor recreation (I play well) and then went and got an associates in Nursing. As and ADN I get paid the same as a BSN, and have no desire to continue on. I could go up to OHSU and...

  20. MDS Roll Call Responders

    AlixCoastRN replied to Talino's topic in Geriatric, LTC

    Sorry - I do ICF, not skilled folks and most are Medicaid so we get a flat rate. We can do whats called an add-on for stuff like tube feeding, Stage III, 5 days of therapy, IV etc; but then its a flat...

  21. Doctors and Nurses Gone Wrong....

    AlixCoastRN replied to live4today's topic in General Nursing

    No way are docs superior to nurses! I live in a small town, work in a LTC. Most of the docs here are in one group and a bunch of -to put it mildly- turds. Here is an example: We had a resident with...

  22. Alaska

    AlixCoastRN replied to ERKev's topic in General Nursing

    I lived in Anchorage for 40 years - been to Ketchikan a couple of times. Lots of tall trees, rain foresty - in other words it rains alot! Keep in mind the only way to get there is by boat or plane -...

  23. Are you going to dress up for Halloween at work?

    AlixCoastRN replied to Hellllllo Nurse's topic in General Nursing

    I work in long term care and the resident's love halloween! This year I'm going as a prom princess (found my old tiara from senior prom). Last year I was Ruth Buzzi from laugh-in. The year before I...

  24. Physical signs of impending death?

    AlixCoastRN replied to can'twait2B1's topic in Geriatric, LTC

    Look for irregular breathing with periods of apnea, mottling of the lower extremities, coolness. Check out some of the Hospice web sites for more info- take care of yourself too, and dont' forget to...

  25. monthly summaries in LTC

    AlixCoastRN replied to ktwlpn's topic in Geriatric, LTC

    The charge nurses at our facility write the monthly summaries. It just a narrative note reviewing vs, weight, intake, skin, pain etc. No form to fill out, no muss, no