AlixCoastRN

AlixCoastRN

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All Content by AlixCoastRN

  1. Long Term Care Travel Nursing

    AlixCoastRN posted a topic in Travel

    I am considering traveling but in long term care rather than hospitals. Is there an agency that specilizes in this or one that excels in this area? Or are you doing this?

  2. Culture Shock! Hospital to LTC..

    AlixCoastRN replied to Michigan_Rose_RN's topic in Geriatric, 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...

  3. Looking For A Change Maybe Ltc?

    AlixCoastRN replied to gladtobeOB's topic in Geriatric, 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...

  4. Care plans...what is and isn't necessary

    AlixCoastRN replied to CapeCodMermaid's topic in Geriatric, LTC

    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,...

  5. a question about MRSA

    AlixCoastRN replied to dinkymouse's topic in Geriatric, LTC

    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...

  6. Modern Facilities

    AlixCoastRN replied to CoffeeRTC's topic in Geriatric, LTC

    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...

  7. MDS Coordinator Salaries

    AlixCoastRN replied to Nascar nurse's topic in Geriatric, LTC

    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

  8. MDS Coordinator Salaries

    AlixCoastRN replied to Nascar nurse's topic in Geriatric, LTC

    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...

  9. Complaint Survey Today

    AlixCoastRN posted a topic in Geriatric, LTC

    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...

  10. Complaint Survey Today

    AlixCoastRN replied to AlixCoastRN's topic in Geriatric, LTC

    Well, its over. The complaints were unsubstantiated. I am worn

  11. Thinking About Becoming a Nurse...

    AlixCoastRN replied to wndsrfnurse's topic in Oregon Nursing

    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...

  12. Anchorage

    AlixCoastRN replied to Blackbird's topic in General Nursing

    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...

  13. AAARRRRGGGGHHHHH!!! More new CMS guidelines!

    AlixCoastRN replied to CapeCodMermaid's topic in Geriatric, LTC

    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...

  14. Patient to staff ratio

    AlixCoastRN replied to bluesunfish1980's topic in Geriatric, LTC

    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...

  15. Sending residents to the ER without a doctor's order.

    AlixCoastRN replied to Blackcat99's topic in Geriatric, LTC

    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...

  16. staffing on nights

    AlixCoastRN replied to donmomofnine's topic in Geriatric, LTC

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

  17. Difficult Post/CVA Patient

    AlixCoastRN replied to kamara23's topic in Geriatric, LTC

    First off, welcome to the RCM world. I've been doing it for about 5 years now and still love it - despite the paperwork and regulations. I actually got to do dressing changes and draw stat labs on...

  18. MDS staffing

    AlixCoastRN replied to FrazzledRN's topic in Geriatric, LTC

    We run about 45 to 55 total residents, of this about 15 to 25 are 'skilled' - I am the RCM (MDS nurse) for the skilled residents and am full time salaried . There is also a 30 - hour/week nurse that...

  19. Looking for info about Sacred Heart

    AlixCoastRN replied to gypsyangelrn's topic in Oregon Nursing

    I believe that there is also a Sacred Heart Hospital in Eugene - I know there are 2 hospitals in that

  20. 70/30 insulin - a thing of the past?

    AlixCoastRN posted a topic in General Nursing

    Heard a rumor today thru our local, small town hospital, that they are no long going to be manufacturing 70/30 insulin and urge all practitioners to switch over to Lantus (which I personally don't...

  21. How did you "get" the skill of starting IV's?

    AlixCoastRN replied to Roland's topic in General Nursing

    I like the 'go deep and level out approach' but I also hung out with a couple of phlebotomists who were very

  22. Policy for passing fresh water?

    AlixCoastRN replied to mlolsonny's topic in Geriatric, LTC

    As long as there are no restrictions, all residents get fresh ice water after breakfast, at the start of evening shift, and at the start of night shift. Those on thickened fluids are offers...

  23. Question for RN's reagrding CHF in LTC

    AlixCoastRN replied to begalli's topic in Geriatric, LTC

    I have worked at 2 facilities in the last 5-6 years - sometimes its like trying to pull teeth to get the doc to respond to anything, other times it is quite easy - depending on the doc. I have had...

  24. Anchorage

    AlixCoastRN replied to Blackbird's topic in General Nursing

    I grew up in Anchorage - lots to see - go climb Flattop for a great view. Definately do Denali - I worked up there in the early 70's. I think the best place to buy souviniers (sp?) is at the local JC...

  25. 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...