NurseGuyBri

NurseGuyBri

LTC, Education, Management, QAPI

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All Content by NurseGuyBri

  1. 2020 BSN law

    NurseGuyBri replied to DelleBrock's topic in Diploma, ADN, BSN

    For those of you who already have a BA or BS in something else, many schools have a "second bachelors" accelerated program. Make sure that you do some research to your education, because in some...

  2. Support for ADN's required to secure their BSN lacking

    NurseGuyBri replied to dzadzey's topic in Diploma, ADN, BSN

    If we all step back, remove our own situations, and then look at it again, we will see that we are *ALL* correct in this situation. Yes, ADN's with experience are as good as if not better than some...

  3. I did it!!!!

    NurseGuyBri replied to Switherspoon's topic in Diploma, ADN, BSN

    Congratulations! This is a *VERY* exciting blog post! Nursing is such a great career and you will have so many doors open for you. The best advice I can give you on continuing education is to make...

  4. RNs vs LPNs

    NurseGuyBri replied to CapeCodMermaid's topic in LTC: Directors, Assistant

    Correct me if I'm wrong, but the 5 star CMS rating takes two parts of staffing. As long as there is an RN at least 24 hours/ day you meet the RN requirement, but your NHpPD has to be >1.00 total...

  5. DONS q on hiring turnaround for SDC

    NurseGuyBri replied to Kitty Hawk's topic in LTC: Directors, Assistant

    This is horrible of me but I almost never meet my timelines that I give. I work over 60 hours a week and something ALWAYS happens throughout the day that needs my attention, and that puts me behind....

  6. FRI or No FRI?

    NurseGuyBri replied to DHawkinsrn's topic in LTC: Directors, Assistant

    In the Virginia OLC regs, it actually indicates that this is not required to be reported.... HOWEVER, since Facility Reported Incidents are self-reporing, I would still report it. Sometimes the rules...

  7. What is your nurse/patient ratio?

    NurseGuyBri replied to GulfcoastFLRN's topic in LTC: Directors, Assistant

    Hi again, GulfCoast! My facility is 120 bed mixed skill. On days and evenings, we are 1:30. On Nights, we are 1:60. Each unit has a unit manager and there is an RN in addition on every shift...

  8. ADON ready for promotion?

    NurseGuyBri replied to GulfcoastFLRN's topic in LTC: Directors, Assistant

    It's OK gulfcoast! I'm going into a teaching position. Much more suited to my abilities. I truly enjoy being a DON and manager, but I want to focus on my passion

  9. Management of Personalities Question

    NurseGuyBri replied to NurseGuyBri's topic in LTC: Directors, Assistant

    thanks NascarNurse! I had a good run, I think I did good things, but it's time to get to my passion which is teaching. I hate giving up, and in some ways I'm not, but it is just too much. It's almost...

  10. ADON ready for promotion?

    NurseGuyBri replied to GulfcoastFLRN's topic in LTC: Directors, Assistant

    Gulf Coast- I am in a similar situation for you. You are never ready, lol. I am currently a DON and will be stepping into a new role soon. I found that after being the ADON for 2 years and then DON...

  11. Wrong patient. Wrong narcotic.

    NurseGuyBri replied to chavezm1109's topic in LTC: Directors, Assistant

    Chavez, You really haven't given anyone enough information for us to help you with your post. Not following the 6 rights is a big deal, but people do make mistakes. We have to find out the whole...

  12. ADON On-Call, Med-carts, and Comp Time

    NurseGuyBri replied to bmcqueen's topic in LTC: Directors, Assistant

    Gulf Coast- that is always hard. I have never understood why it is so difficult for nurses in this way. I hope that they get someone good for you and

  13. Coumadin protocol

    NurseGuyBri replied to CapeCodMermaid's topic in LTC: Directors, Assistant

    We use coagucheck machines and the docs review every single one individually. The only difference for us from most other facilities is that if the doc doesn't respond by the time the dose is due, it...

  14. I think my nurses are on the verge of mutiny!

    NurseGuyBri replied to NurseGuyBri's topic in Geriatric, LTC

    Thanks. It seems I have thoughts too, but for some reason something just isn't clicking yet. I'll be looking forward to

  15. Electronic charting- administration time out of compliance

    NurseGuyBri replied to JBMmom's topic in Geriatric, LTC

    So, here is what we do. Our E.M.R. requires a specific time for medications. 0800, 0900, etc. We have 30pts/nurse. For the QD meds, they are scheduled 0800 for first 10 patients, 0900 for second 10...

  16. At what point do you send to the hospital?

    NurseGuyBri replied to jamd11's topic in Geriatric, LTC

    I give my LPN's the full ability to circumvent the RN. It is a fail-safe. I also REQUIRE the RN to explain why they are making their decision to the LPN. We are co-workers and a team, not...

  17. On working with LPNs in the clinical setting

    NurseGuyBri replied to Nola009's topic in Geriatric, LTC

    Holy batman, Nola009! You have an awesome attitude!! PLEASE stay with Long Term care, we need you and your attitude!! The fact that you can come in and reinstate so effortlessly your appreciation for...

  18. Telling "STATE" you don't have supplies....

    NurseGuyBri replied to nervousnurse's topic in Geriatric, LTC

    RNFaster, that's horrible! I would have left that facility too, that is not something that LTC always does though. Try not to group us all together to get out of "LTC". All areas have their problems,...

  19. Telling "STATE" you don't have supplies....

    NurseGuyBri replied to nervousnurse's topic in Geriatric, LTC

    I think what it comes down to for me is that if you told state you didnt have a supply, is this the first time? Have you always been short on supplies? If so, did you tell management then and they did...

  20. Preventing return to hospital transfers

    NurseGuyBri replied to vampiregirl's topic in Geriatric, LTC

    Blackcat99- The "when in doubt, send 'em out" is quite prevalent. I think the key is to stop using that adage because it isn't the truth. You said that you checked her out- you assessed her, and had...

  21. Pressure sores and geriatic facilities

    NurseGuyBri replied to TurtleCat's topic in Geriatric, LTC

    You better be going to nursing school. Your level of interest and care already says to me that you need to be in charge of making things happen! Thank you for restoring some faith in the nursing...

  22. New trend in admission medalist??

    NurseGuyBri replied to iluvnoodles's topic in Geriatric, LTC

    PS - For our hospital systems here, I asked them about that. They say it has to do with how the order was entered into their E.M.R. system, and not actually a part of the order. GRAY GRAY GRAY area, I...

  23. New trend in admission medalist??

    NurseGuyBri replied to iluvnoodles's topic in Geriatric, LTC

    When we get a new admission, the nurse verifying the hospital medications with our practitioner asks for guidance. The practitioner/ physician *always* says no stop date unless it is a supplement or...

  24. Lawsuit Claims Nurse Was 'Worked to Death'

    NurseGuyBri replied to Brian's topic in General Nursing

    While I agree with the statement by libran1984, part of the issue isn't that the company doesnt want to staff, it's that they cant with the income they run. It is a business, and it must make money to...

  25. Would you like some cheese with that whine.

    NurseGuyBri replied to CapeCodMermaid's topic in LTC: Directors, Assistant

    WOW.. I still can't imagine having 19