NurseGuyBri

NurseGuyBri

LTC, Education, Management, QAPI

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All Content by NurseGuyBri

  1. Sick of being taken advantage of LONG

    NurseGuyBri replied to adamsmom2's topic in LTC: Directors, Assistant

    That's really sad The way we do it is that both myself and my ADON are on call during the week, every week for all kinds of things. If someone calls out and it doesnt get covered, we alternate coming...

  2. Survey's Over

    NurseGuyBri replied to LTCRN4LIFE's topic in LTC: Directors, Assistant

    Ok so made it through first survey as DON, what a difference. We are still under traditional survey and man, they were in for four days, hit us hard! We got too many tags lol but all level 2 and no...

  3. I need some personal motivation

    NurseGuyBri posted a topic in LTC: Directors, Assistant

    So yes, this is a cry for some empathy. I need a pick-me-up. Today, ending Month #7 as a Director of Nursing, marks the day that I feel that I am failing. I need some help! When you have a day that...

  4. I need some personal motivation

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

    Wow. Thank you all for sharing! It means a lot. I've had good and bad days, of course, but I just can't seem to remember to take a break for myself. You're definitely right on that. What I seem to be...

  5. Nursing Job Satisfaction

    NurseGuyBri replied to tangel's topic in Activism, Healthcare

    I see so many responses and agree with many of them. For me, it comes down to being overwhelmed. It seems that we ask more and more of nurses without giving better tools and resources. Of course,...

  6. What Do LVN Unit Manager's Do?

    NurseGuyBri replied to bluegeegoo2's topic in Geriatric, LTC

    I know this is an older post, but our LPN UM's handle all operations of the floor, kind of like little don's of their units. They put out fires, help families, manage the medications, help assess,...

  7. Raises/ending pay

    NurseGuyBri replied to annajanern's topic in Geriatric, LTC

    In tidewater, the going rates for LPNs seems to be (starting) 13 in an office setting, 16 in LTC, and up to 18 for a specialty office. The pay seems to top out at about 17 in the offiice, 23 in LTC,...

  8. How is this acceptable? 50 patients ltc/skilled DAYSHIFT!

    NurseGuyBri replied to CynicallyVexed's topic in Geriatric, LTC

    Wow. That's all I can come up with. On the worst day, our ratios are LPN 1:30, CNA 1:12, and they complain. I should show them this. Now, I remember being on the floor as an LPN a while back with 30...

  9. RNs who work in Long Term Facilities

    NurseGuyBri replied to PatriceRN1004's topic in Geriatric, LTC

    I had the same concerns about losing skills. In *any* nursing job, you will "lose" skills, but you always gain others. I agree with CapeCod too, we are a SNF but do IVs, trachs, vacs, etc. It feels...

  10. ADON/LPN Fired after 13 years of service!! Your thoughts?

    NurseGuyBri replied to downsouthlaff's topic in Geriatric, LTC

    Amo- I was an LPN ADON for 2 years prior to my RN and then DON as I am now. We made it through because of our FT MDS coordinator (who rocks!) filled in as the DON on days needed/ interim. I still did...

  11. Rehab RN working for a supervisor LPN

    NurseGuyBri replied to workinmomRN2012's topic in Geriatric, LTC

    I have been an LPN in a "supervising" role on the floor. This is how I handled it then, and it how I handle it now as the DON when our LPN Unit Managers are supervising the floor. When I was an LPN, I...

  12. Obamacare and LTC reimbursment.

    NurseGuyBri replied to fairyluv's topic in Geriatric, LTC

    Like ktwlpn, in Virginia, a Medicaid patient has 20 "vacation" days that are paid to the facility to use throughout the year for just this circumstance. For SNF/Medicare patients, it's the midnight...

  13. Tell the CNA to clock out and go home

    NurseGuyBri replied to Blackcat99's topic in Geriatric, LTC

    My *incredibly awesome* ADON has started being our unofficial mediator when an issue of attitude arises. I am a DON that would most likely have failed long ago without her. We are completely different...

  14. DOH survey

    NurseGuyBri replied to ktwlpn's topic in Geriatric, LTC

    Our incident reports are to remain private.... HOWEVER... last survey we were caught in a hard spot and our corporate ordered that we release them for that patient. So we did. Baaaaaad idea. Ended up...

  15. Fentanyl patches

    NurseGuyBri replied to CapeCodMermaid's topic in Geriatric, LTC

    I too learned that you should never cover the fentanyl because it increases the heat captured within the opsite/ tegaderm causing increased absorption. Most patients shouldn't have issues if it's...

  16. NEW NURSE: Help! Tell me why what I did was wrong??

    NurseGuyBri replied to ricksy's topic in Geriatric, LTC

    Stop being mad at yourself. YOU LEARNED! The point is now to A) not repeat the same mistake, and B) apply this information to other issues that can (and will) arise. This is why you shouldn't beat...

  17. DON: Do you hire nurses with misdemeanors?

    NurseGuyBri replied to SuzieVN's topic in Licensure: Criminal History

    As a DON, I definitely would hire someone with a misdemeanor. No qualms as long as it is mentioned up front. I have, in fact, hired a few. I, in fact, have a misdemeanor, although not a dui. Picking a...

  18. New ADON feeling inadequate

    NurseGuyBri replied to RainRN1's topic in LTC: Directors, Assistant

    I know this is an older post, but let me just say that if you like your DON that much, just TELLING them that you appreciate them will go MILES AND MILES AND MILES to "helping them out". My ADON makes...

  19. Start up of a new facility - Did I get myself into a hot mess?

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

    Nascar Nurse - I too have read a lot of your posts, many have inspired me and kept me motivated when things get rough (which in DON world is like every day). No matter what you do, I am sure it will...

  20. chart audit tool

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

    LOL I'm looking for something similar. Every time I try to make one of my own, I end up throwing it away and just making notes on paper. Not the most functional, but it works. I'd love to see what...

  21. High Cost Medications

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

    I'm really glad you mentioned housekeeping. I'm a DON in LTC, we make it a huge point to make sure our housekeeping staff know how great they are. We *never* cut housekeeping. Unfortunately, we riff...

  22. Weekend Call Outs

    NurseGuyBri replied to LTCRN4LIFE's topic in LTC: Directors, Assistant

    I have to admit I have the same trouble. We do have a lot of people looking for jobs, but it's our good employees that have become frequent call out staff. Most of it is medical, sure, but the talent...

  23. Have you faced any discrimination as a student?

    NurseGuyBri replied to sevenup0307's topic in Male Nursing Students

    Throughout LPN and RN school, my only discrimination was practically reverse discrimination. My female instructors and lead nurses treated me a little better, actually. They paid a little more...

  24. Any tips for a new RN starting off in a nursing home?

    NurseGuyBri replied to CindyLou1983's topic in Geriatric, LTC

    Here's my advice from a LTC DON: Respond quickly to pain, if someone comes to you with a small concern, check it out. Listen to your nurses and nurse aides. Do not alienate them, bring them in to you....

  25. DON works 40/wk.

    NurseGuyBri replied to adamsmom2's topic in LTC: Directors, Assistant

    I'm a DON/DNS. I work at MINIMUM 10 hours a day and often come back in evening or on weekends, even if just to show some support. I have an *awesome* *stellar* *wonderful* ADON and my unit managers...