AlixCoastRN

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? Thanks

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 transition back to acute care would be difficult. I wil...

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 paperwork, less time with residents I am no a ver...

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, psycho and antidepressants in with mood/behavior - li...

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 week to see if he is still colonizing or not. And ...

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 years!) We do have automated lifts, using a wound v...

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 everything.

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 the care plan, ensure the care is delivered accor...

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 known. Anyway, the bummer of the whole thing is th...

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

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 your eyes to what being a nurse entails, since you ...

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 hospital - Air Force nurses I believe. Alaska Native Me...

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 posters here - (thanks guys) and gave them to our D...

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 go, I dont believe that there are any set rules - ...

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 matter the code status, I will ask the resident ( i...

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

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 someone today! Now to your resident - I would suggest...

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 does all the ICF folks. THe DNS steps in to help a...

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

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 like). Any thoughts? I did a search on Google and as ...

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

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 appropriate fluids at the same time.

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 families take their loved one to the ER (at my encour...

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 Penney - lots of variety both Alaska made and for...

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 influence in that state. The 'Coast' part is that...