bossynurse101

bossynurse101

Med Surg, Nursing Administration for SNF

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All Content by bossynurse101

  1. HELP! Ok so we are going to move to CO in a couple of months & I plan to apply for licensure by endorsement. I currently hold a FL RN license and have an "exemption" for a 25 year old felony conviction. I recently realized that I will not be a...
  2. OK --- oops and double oops! Should have posted this thread first and days ago! Am interviewing for DON position - my first after years of being an ADON. Problem is, my most recent ADON position was only six months long and I have only been at curren...
  3. Hi everyone! Well I am finally going to take the plunge and go for a DON position after years of being ADON. I never had the confidence before, but I feel good about the facility that I am interviewing with and the administrator seems to be on top ...
  4. Am wondering if anyone else has felt like this. . . . . Have been a nurse for about 9+ yrs. Started in the hosp (brand new on the most hectic floor - felt constantly overwhelmed, hated it but did a year of it) did another yr in LTC on the floor (...
  5. Oxygen Administration

    In my state oxygen is considered a medication - and - it is out of their scope of practice.
  6. What a great idea! However - I can see it making me crazier than I already am trying to keep up with all of the constant and continuing education after education etc. You finally get ALL the CNA's on board with proper peri care technique, and no ho...
  7. Getting out of LTC??

    Best of luck to both of you! I know exactly how you feel - yesterday I went round and round with our pharm consultant - Not sure what color the sky is in his world, but he truly expects our nurses to get diagnoses from the docs for all of the meds th...
  8. education/experience requirements for DON/ADON

    I also started out as a CNA (in the 80's), but only for a couple of years as conditions were pretty bad back then. Didnt go for my RN degree til late 90's and got my degree in 2001. I worked in the hospital for a year - would strongly suggest every...
  9. ADON responsibilities

    WOW. I must say, I am a bit shocked at your pay rate. I am an ADON in central Fla (we are considered one of the lowest pd states for nsg) and am currently at 68K salary with seven yrs exp including MDS & Case Mgt as well as ADON. HOWEVER . . . I ...
  10. Defiant and Insubordinate

    Not sure that the issue has to do with credentials (I know many LPNs who could leave me in the dust with critical thinking skills) as much as those of us who supervise anyone are responsible for thier actions as we supervise them or delegate to them...
  11. GETTING BURNT OUT OF LTC - suggestions please!

    Actually, I did MDS about six years ago in a different facililty- and was on call as well. Was pulled to the floor but not very often. We just hired a new MDS RN who does not have to take call (the old one did take call) but that is because she cam...
  12. OK - so we all know the drill. Decent pay as ADON or DON but I am to the point where I am wondering if it's worth it anymore. As an ADON I am on call a lot and hate it. Constant calls, constant staff drama, constant abuse from the non-nursing depts a...
  13. behavior monitoring

    Here in FL we used to be required to monitor hypnotics on BMF's but not anymore. Not trying to be rude but I cant imagine adding yet more to my 11-7 nurses, asking them to monitor number of hrs slept! Yikes! But I do see the point of trying to mon...
  14. GETTING BURNT OUT OF LTC - suggestions please!

    Thanks Sue, I needed that!:)
  15. Terminated without warning

    Am very sorry for the blow to your spirit, but maybe it was a blessing in disguise. As everyone else pretty much said, sometimes the DON is the sacrificial lamb so to speak. Often times the ED (or Admin) or corporate has to cover thier own butt and s...
  16. In my experience the admission paperwork is pretty cumbersome - with many, many financial questions. Most of the AD's I've dealt with are happy to just get the Consent to Treat papers signed and that's it. They will deal with the rest when they com...
  17. Hmm . . . . im thinking op just tossed out $8.50 amount to imply as some lowly figure & that some of us are truly in this for the cash. Well I just got home from a typical crappy work day at the SNF trying to figure out what to do with the train...
  18. Need Help From Nurses In Recovery!

    Hi guys :wink2: Let me first say that I celebrated seven yrs last mo. That being said, I just joined this forum this month. Yesterday I happened to respond to the General Nsg Discussion thread entitled "Substance Abusers Disillusion Me". What I r...
  19. what do i say?

    Ok, I'm a little all over the place on this issue. Being new to the job (and the facility) it is probably wise to divulge as little as info as possible. After and if you get to know your supervisor (many months down the road), you might be up front...
  20. Burnout

    Im sorry to hear that you're having such a difficult time. I know that for myself and most nurses I know, the first couple of years are tough - especially if you float (which if you go per-diem you probably would not have a permanent cart . . . ) Fee...
  21. Does Methadone really help prevent relapse?

    First of all, let me say that I am sorry for the pain you are feeling. It sucks to be so powerless over our children. I am a past heroin addict that went on the Methadone program many many years ago. It was a joke. For myself, it was an easy out...
  22. need aa sponsor

    Welcome! I can truly say that a sponsor is vital for growth in recovery. Because our disease is a disease of perception, it takes someone else to point out what isnt always obvious, or call us on our bs, or point out denial, etc etc. For me the be...
  23. How to forgive and forget? Also, met with BON today...

    ok now i get it. (Sorry, so much to read and catch up!) To this day I thank God for the nurse who turned me in - she saved my life. Dont know what her motive was, doesnt matter. I am learning that nothing, absolutely nothing happens in Gods world...
  24. Re: Wubbzy

    Give her a BIG hug and tell her prayers and kind thought are with her. I am so excited for her. What a blessing and opportunity!!
  25. PTSD- Am I alone??

    Oh this is such a grrrrrrrrr topic for me. I also grew up in alcoholic home complete with a step monster who liked to do many wierd things to make sure my life was miserable (stand on a chair in the middle of the nite, not feed me, send me to school...