NurseGuyBri

NurseGuyBri

LTC, Education, Management, QAPI

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All Content by NurseGuyBri

  1. Help developing leadership/accountability in our nurses

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

    I agree with Isis! You are right on. I too work for a wonderful facility, but we have little support at times from corporate. I think walkies with the earbuds is an awesome idea, I'm going to see what...

  2. Systems to manage as an ADNS/DON

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

    Don't forget labs and radiology- make sure they are done when ordered and there is no delay; infection control

  3. Survey's Over

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

    I'm interested to know if you're doing QIS as well. We are not, still the old subjective get you if they want survey... This will be my first as a DON, 5th as a manager.. Ugh.. OH YEAH, and...

  4. Survey's Over

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

    I'm interested to know if you're doing QIS as well. We are not, still the old subjective get you if they want survey... This will be my first as a DON, 5th as a manager..

  5. New RN to work supervisor position at LTC facility

    NurseGuyBri replied to crna2b-RN's topic in LTC: Directors, Assistant

    I think you need to do a self-assessment first. See where you are with your supervisory skills, assessment skills, and more importantly, what are your resources going to be? In a good LTC like I...

  6. Rehab needs to get a clue

    NurseGuyBri replied to CapeCodMermaid's topic in Geriatric, LTC

    Good morning! Here is what I'm gathering out of this post and comparing it to my facility. We all have the *exact* same staff! Now, since that is not true, perhaps something else is going on here. If...

  7. Sad but true (maybe)

    NurseGuyBri replied to pacjeffery's topic in Virginia Nursing

    pacjeffrey- Let me tell you, I've lived here in Hampton Roads my whole life and I love it here. It's the only place I know that I can go from the beach to the city to the woods, mountains, caverns,...

  8. The reality of my situation

    NurseGuyBri replied to pacjeffery's topic in Virginia Nursing

    I know this thread hasn't been posted on in a few months, but the reality is that the pay here is not as good as it is in other places. I stay in Virginia because A: Family and B: Beautiful state. I...

  9. LPN's in VA do you have any extra certifications?

    NurseGuyBri replied to HeatherMax's topic in Virginia Nursing

    Sorry about typos, hard to type on an

  10. LPN's in VA do you have any extra certifications?

    NurseGuyBri replied to HeatherMax's topic in Virginia Nursing

    There are some neat certifications and as a DON, I like to see my LPNs taking initiative to get some. For instance, NADONA has a certification for LPNs in long term care. It reviews meds and data...

  11. Dilemma

    NurseGuyBri replied to NocturneNrse's topic in General Nursing

    Since you are a supervisor and a nurse, I feel it is your responsibility to immediately tell the nurse that you feel it is unsafe and educate them why. If they respond poorly, tell them you are going...

  12. Transfer question

    NurseGuyBri replied to txrn87's topic in Nursing Career

    Don't be worried! I am betting your manager has been through this before and you're anxiety is only your own. Before you ask for the transfer, write down ON PAPER what it is that makes you want to...

  13. Up-credentialing: Why the move to the BSN is inevitable.

    NurseGuyBri replied to chuckster's topic in Activism, Healthcare

    Wow, no good! No good. I can't help you on the first one- My SNF always had 3 aides/60 and 2 charge nurses at night, and we do mighty fine, I am lobbying for more, of course, but.... Cannot help you...

  14. how to fix discharge teaching?

    NurseGuyBri replied to dancingostrich's topic in Patient Education

    I'm going to be very generic here, and you may have done all of what I'm about to say. First, you have to thoroughly evaluate and understand why you feel how you feel and know where you are. You're in...

  15. Yeah, I'm your nurse. What, I don't look like a nurse?

    NurseGuyBri replied to algebra_demystified's topic in Men in Nursing

    Welcome to the site! Pick a topic and have at

  16. Not falling for that old trick

    NurseGuyBri replied to beeker's topic in Patient, Colleague Relations

    Touche, monkeybug! You are right, it does follow management- but I'll tell you, it depends on the TEAM as a whole! I know I'm not telling you anything you don't already know. One nurse who isn't part...

  17. Interview for LTC Charge.... new grad

    NurseGuyBri replied to Staragate's topic in Job Search, Interview, Resume

    Sounds to me like you're being a nurse :-) Well

  18. SICK of BSN Pedestal

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

    alicia125- so beautifully put! You made the point I've been trying to make but couldn't find the

  19. Nurses HELP ME pls

    NurseGuyBri replied to BelleNurseRN's topic in Geriatric, LTC

    Good answer, Orange Tree! I agree- I can see staying a little late, but as a manager, the budge has to be balanced too. If what you say is true and you have earnestly tried to get help/ assistance/ or...

  20. Has anyone heard of this?

    NurseGuyBri replied to HeyNurse09's topic in LPN, LVN Corner

    As a recent graduate of a LPN-RN program in house, I'm telling you that to be a really good nurse, you need really good clinicals. Online classes are great, but the clinical component is the TRUE KEY...

  21. I received a "write up" warning at my LTC

    NurseGuyBri replied to Blackcat99's topic in Geriatric, LTC

    ybanurse- It's the nature of the job, take it or leave it :) I'm not saying that to be mean, but it is what it is. I've been in your situation, and you do your best. You have to re-assess at some...

  22. Replaced by Certified Medication Aide!

    NurseGuyBri replied to ladyjanelpn's topic in LPN, LVN Corner

    I do have to say I agree so much with what much of you say, I DO. Only a nurse can do many things that are important. But look around at nursing in LTC now. MANY MANY MANY of the nurses now are just...

  23. SICK of BSN Pedestal

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

    MOM To 4 - I completely agree with you, well said! I do want to add a few things to this discussion. I'm concerned that people are too stuck on the letters. LET IT GO. RN is the only set of letters...

  24. Interview for LTC Charge.... new grad

    NurseGuyBri replied to Staragate's topic in Job Search, Interview, Resume

    It sounds to me like you've made a good choice. The key to being a charge nurse to me is the ability to KNOW when there is a change. You may not know what to do, but that's when you use your...

  25. After Nursing: Is There Life Out There?

    NurseGuyBri replied to VivaLasViejas's topic in General Nursing

    I agree with one thing here- Once a nurse, always a nurse. Maybe you just need a new venue. TRUST ME when I say there is still a place for you. I know an ADN who is a Nurse Consultant, mainly because...