NurseGuyBri

NurseGuyBri

LTC, Education, Management, QAPI

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All Content by NurseGuyBri

  1. frequent call offs = termination = paying unemployment

    NurseGuyBri replied to cwgrlup85's topic in LTC: Directors, Assistant

    Brandon, I only challenge unemployment if I believe they did something that caused their separation. In which case is everyone that gets terminated from my facility. It takes a lot to get terminated,...

  2. frequent call offs = termination = paying unemployment

    NurseGuyBri replied to cwgrlup85's topic in LTC: Directors, Assistant

    I agree as well w/ nascar. Our policy is EXCESSIVE EXCUSED OR UNEXCUSED that affect the employee's ability to complete the job. I am *very* liberal *if* you tell me ahead of time AND help me find...

  3. What clinical servcies does your LTC facility provide

    NurseGuyBri replied to jiggetts45's topic in LTC: Directors, Assistant

    Sorry I got off subject :) Clinically, (mixed snf) we offer heavy wound care, behavior monitoring, IV Fluid/ABT, Hypodermoclysis, and some other mild skilled things. Our practitioner is a large group...

  4. What clinical servcies does your LTC facility provide

    NurseGuyBri replied to jiggetts45's topic in LTC: Directors, Assistant

    This completely terrifies me, but I know there will be changes soon that I must make. We are in the process of using Interact as well, but I just cannot see the nurses being able to handle these...

  5. AM PM Med Pass

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

    I have a system that seems to work but it's difficult at first. The only thing we needed was MD approval once we laid out how we were going to work the meds. Since we are 100% EMR, it was necessary....

  6. Supervisor or at Fault

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

    Med error to the Nurse. If it's continued issue, written warning for the nurse. I would only involve fault with the supervisor if there is a continued issue with her staff not following orders AND you...

  7. Problems/Issues Encountered as an Director of Nursing

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

    YES Nascar, head on the nail! I'm right with you. I LOVE my job but there are some facets that would be so much better if people weren't so unrealistic in their demands. I do feel that survey gives...

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

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

    I will say this. What they're asking you to do is too much, but it's not unheard of. In my facility, the ADON is on call every 4th weekend. I (DON) take mon-fri call and help find coverage. In some...

  9. Help...do I want to do this???

    NurseGuyBri replied to dcrawford1's topic in LTC: Directors, Assistant

    I have experience as an ADON and I will tell you it is a difficult job. You are a gate keeper for so many things. For me, it was so rewarding because I helped staff, families, and patients. I...

  10. Employees and facebook negativity

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

    I have mixed emotions on this. On one hand, it's unprofessional. On the other, staff NEED to vent. When someone posts something on FB or somewhere and it's noted (we keep tabs on that, so does...

  11. Who organizes your care plan meetings?

    NurseGuyBri replied to RNS5's topic in LTC: Directors, Assistant

    As above, our MDS coordinator is the head of care plans. I come in once in a while and offer 2 cents. The Unit Managers coordinate the family meetings. By the way, make sure if you are a LTC RN, HUG...

  12. Emotionally I am spent

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

    Trust me I can feel you pain. I am training a new ADON, hiring new nurses, and my administrator is out for over a month. We had 12 admissions in 2 days (our average is 1-2 max/day) and I just felt...

  13. New Grads- any success in negotiating your pay?

    NurseGuyBri replied to SNB1014's topic in First Year After Licensure

    As in most of the above cases, my facility has a set grid of pay. A new

  14. Feeling like a failure most days

    NurseGuyBri replied to *4!#6's topic in First Year After Licensure

    One more thing. when you leave feeling like a hot mess, that means you probably did some real nursing and saved some lives. That will never go away, it will only decrease in frequency

  15. Feeling like a failure most days

    NurseGuyBri replied to *4!#6's topic in First Year After Licensure

    I truly think you are on the right track. You sound just like how I felt when I started. I became comfortable after about a month, but it was a full year before I felt truly confident. Even then, I...

  16. I apologize..

    NurseGuyBri replied to letsbefriends's topic in First Year After Licensure

    You made the right decision. I am a DON, and it is so difficult sometimes. we are stuck between maintaining a feather weight budget balance and floor staff. Sometimes we cannot do what we should, and...

  17. Thin skinned nurses

    NurseGuyBri replied to cinja's topic in Men in Nursing

    Someone said "perception is reality sometimes" above, but unfortunately for the subject person, perception is always the reality, even if it is a false one, to that person. I know what you mean,...

  18. Discrimination of Men as nurses?

    NurseGuyBri replied to bonestAx's topic in Men in Nursing

    I suppose I am the stereotypical male nurse as I am gay. I think though that there is discrimination in any job or field. I am not flagrant, flamboyant, loud, or prissy. Most people are shocked when...

  19. Help! I want to be a good nurse

    NurseGuyBri replied to lazume's topic in Men in Nursing

    Yes, cheat sheet all the way! I guarantee that if you attempt to fix/ compensate for what you are not good at, not only will you improve, but your management staff should notice. It's how I started...

  20. I'm a CNA and passed LPN boards what now..

    NurseGuyBri replied to liz321474's topic in LPN, LVN Corner

    no, they dont owe you back wages. It's snarky, but not illegal. I'd question my companies integrity if they made the promise, but its

  21. Why do we eat our young?

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

    I agree. It is a matter of eating young. Leadership doesnt have to be coddling or swaddling, but the phallacy of "i'll do it to you the way it was done to me" is bull. There's no reason for it, and it...

  22. New lpn that is feeling discouraged

    NurseGuyBri replied to angelg86's topic in LPN, LVN Corner

    Always remember that the #1 goal is safety of the patient!!! Keep that in your mind at all times and you will be

  23. Question about questions on applications

    NurseGuyBri replied to adbrowning's topic in Nurses Recovery

    If you pull your criminal history check, does your expunged record show? If so, I would be honest and include in on your application. As a hiring manager, I prefer to be told up front. I generally do...

  24. How Do You Share Knowledge/Skills With Your Colleagues

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

    Anytime I learn something new, I make sure to share it because it not only helps them, it helps me. If my colleagues have better outcomes and results, we become a better team. Not everyone can, but it...

  25. Old nurse, feeling washed up.

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

    Might I just say that i'm a 31 year old nurse and if I didn't have some 50, 60, or 70 year old nurses in my life, I would have failed miserably! You are not washed up, you are not old, you are not to...