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ame222

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  1. Does anyone have an actual schedule with labs depending on what medication they take?
  2. FYI: This is for long term care nursing:
  3. From ame222: Can anyone share their schedules / forms for recommended labs for medication monitoring and how often they are being done. What forms / tracking procedure do you use to assure these are being completed. Who orders your initial labs and who follows up on further labs to be ordered? How do you audit your ordered labs on new admissions--then the follow-up labs. Any forms you could share? Does anyone have a form they could share on lab tracking: When labs are drawn, verifying all results are recieved. What procedures do you use to assure all lab slips are made? What procedures do you use to assure routine drraws are being ordered and done? I am open to any suggestions and would like any forms you are willing to share. Thankyou for your help.:)
  4. Can anyone share their schedules / forms for recommended labs for medication monitoring and how often they are being done. What forms / tracking procedure do you use to assure these are being completed. Who orders your initial labs and who follows up on further labs to be ordered? How do you audit your ordered labs on new admissions--then the follow-up labs. Any forms you could share? Does anyone have a form they could share on lab tracking: When labs are drawn, verifying all results are recieved. What procedures do you use to assure all lab slips are made? What procedures do you use to assure routine drraws are being ordered and done? I am open to any suggestions and would like any forms you are willing to share. Thankyou for your help.:)
  5. Can anyone share their schedules / forms for recommended labs for medication monitoring and how often they are being done. What forms / tracking procedure do you use to assure these are being completed. Who orders your initial labs and who follows up on further labs to be ordered? How do you audit your ordered labs on new admissions--then the follow-up labs. Any forms you could share? Does anyone have a form they could share on lab tracking: When labs are drawn, verifying all results are recieved. What procedures do you use to assure all lab slips are made? What procedures do you use to assure routine drraws are being ordered and done? I am open to any suggestions and would like any forms you are willing to share. Thankyou for your help.:)
  6. F:283 Dischage Summaries: Recapitulation of the residents stay, Final Summary of Status. Does anyone have any advice to share with me on the correct way these are to be done? How do you coordinate with medical records? Are these to be done after the entire chart is closed, or immediately after the resident is discharged. Does anyone have a form they could share with me? Thankyou to anyone who can offer assistance on this. :redbeathe
  7. Dear Cape Cod Mermaid: Can you (or anyone else) point out some specific web sites, books and any other resources I would be able to study and learn from to bring out the best possible expertise? I am very organized, can stay focused and multi task at the same time. I have found out there is specific training provided but I also want to learn on my own time as well. Any information, resources and or good ideas or encouragement anyone might have is appreciated. Thankyou to anyone who responds.
  8. I have been filling in as Interim DON for several months. I was asked to do it, it's not something I necessarily would have wanted, however in many ways it's made me a better person, much stronger and I realize I am able to cope with much more than I ever gave myself credit for. They weren't able to hire one as soon as they thought and several lined up rescinded their offer. I have been offered (almost pressured) to take the DON position by upper management, Administration. I have been an ER, Acute care nurse for many years, in Long Term for a little more than 5 years. I do not feel I have the knowledge required for this position and the more I realize the seriousness of the responsibility, I don't think I would be the fit they are looking for. I am very strong Clinically and am very organized,. I feel challenged in multi-tasking and have a great relationship with the entire staff at the facility. Eventhough many think I should and could do it, I feel my knowledge is inadequate to do the job justice. I think the person in that position should already know what is required and any corporation wouldn't accept the excuse "I didn't know, I didn't do that on purpose, I'm still learning." I am currently a VERY BUSY Clinical Care Coordinator, plus taking on many extra jobs as the Interim DON, which makes my days very long. Many days I'm working 10-12 hours before I finish up. Where many commend me that I am doing a great job, I still feel I lack knowledge that is mandatory in that position. The thought of accepting the position, then failing at it (like I have watched many before me do) would be totally devastating to me. Can anyone enlighten and advise me on this. I would like to hear of your past and present experiences with this position and what type of person you think it takes to REALLY succeed at it. I would like to hear the advice and suggestions anyone might have on this. Thankyou.
  9. Thanks for responding. I can really say "DITTO" to feeling much the same as you. The job offered me in Home Health sounded like a real "dream job". It didn't turn out that way. I, too, got very tired of the "politics" and "competition" there. They offered me something to start that I believe they couldn't ever provide me. I was assured there were NO politics there (by the DON who is also part owner of the company) before I started, but then I guess it's however YOU classify politics and who makes them! There are politics everywhere, and I believe there is no "perfect job anywhere". I never got the amount ($ or # of visits) they promised me, then when questioned, was given "excuses" as if I didn't understand what I was told, when I felt it was made VERY clear. I also liked the work...alot, but after weighing the pros/cons I decided to take the new job offered me, which is exciting to me. The Home Care company was pvt. owned, and many of their policies just didn't seem very honest, but then I wasn't the one running the place and if you work for them, you have to go by their "rules", right or wrong. Where I'll also miss the independence, I won't miss the "politics". The benefits of working in LTC don't even touch the surface of what I was offered (not given) in Home Care. Once I made the decision to accept the new job, I didn't feel bad leaving the company, however telling the clients was difficult. I based my decision on economy, which made it easier. Good luck to you.
  10. .....Just curious. Why did you choose to leave Home Health. I will be doing the same. I'm leaving Home Health, have accepted a job as Clinical Coortinator/Unit Manager in a LTC Rehab Center, which I previously worked at for several years. I'm excited about going back to this new position. How is your job going? Good luck to you.
  11. The HH Agency is "thinking" about providing a cell phone for business use only. How does someone "estimate" the # of minutes needed? What are other Agencies doing in this area? Various cell phone companies provide different plans. Just curious as to how others handle this and what other Agencies are providing for employees.
  12. Our agency does not provied cell phones, nor do they reimburse us for business time spent on our own cell phones. I don't think this is fair to be expected to pay for our own plan (family plan) with specific minutes which of course are used up making calls, recieving calls and messages when we are in "no service" areas...which often resultes in overage minutes which are paid at top rate. I have mentioned the possibility of either reimbursing me a specific fee monthly or providing me with a phone for business use only. They haven't moved on this yet. Any suggestions on a different approach? How do others deal with this issue? This ends up being extra money out of our family budget... and causes problems.
  13. My first admission alone took me 2.5 hrs in the home and another 3 hrs. finishing up at home. We get paid a flat rate, no difference for admissions. I have to agree, practice really helps. The OASIS is so foreign at first, but again, practice helps. I can do an admission in much less time now. Perserverance pays off.
  14. In reference to the following note, this might help. I purchased the book called "Wound Care Essentials" by Sharon Baranoski and Elizabeth Ayello. It is a great reference book and has helped me alot.
  15. ame222 replied to lovely1981's topic in Home Health
    What kind of information are you looking for?

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