old rural nurse

old rural nurse RN

med-surg, home health, hospice, LTC

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About old rural nurse

old rural nurse has 27 years experience as a RN and specializes in med-surg, home health, hospice, LTC.


married, 4 children, RN for 26 yrs

Latest Activity

  1. Near death experiences stories

    I disagree, I know there is something to explain it, but I think you would not believe it!
  2. i hope i know when to hang up my stethoscope,

    Dear Supernurse, did you ever think about how many extra shifts you would need to work to cover all the open shifts that would appear if all those old nurses DID "hang up their stethoscopes"? Be thankful you have them to go to when you suddenly reali...
  3. The Patient I Failed

    What an eloquent way to describe such an awful situation. I have printed this out and am going to have all my children and husband read it, and let them know I will haunt them if this happens to me! I can't imagine how the daughter will ever forgive ...
  4. Coding and insurance authorizations

    When I worked as a Clinical Coordinator for our fairly small HH agency, I, myself did the preauthorizations and coding. But I was mainly in the office "coordinating" and only did visits for vacations, therapy admits, or in a pinch. If I couldn't fig...
  5. SICK OF IT ALL and getting out!!!

    I can relate to all that you all have said, I left nursing almost a yr ago due to burnout and frustration with the state survey process and staffing issues. :banghead:I am working for my husband's business, doing payables etc, and am more relaxed tha...
  6. Beers Criteria Question

    The pm just stands for the formation, not Benadryl, so its not the same as Tylenol PM as far as sedation etc. You should document what nonpharmacological interventions you have tried on this rsd, and any other meds that were tried and not effective, ...
  7. Psych nurse needs advice please

    I think one of the reasons HR seems to want to hire new rather than transfer staff is that then they would have 2 people to train to each area, with associated expense, rather than just one new person! Trudy-you said a mouthful, and said it very well...
  8. Could use some opinions and/or advice.

    OK here's my 2cents: Our surveyors just left my building today and I would never tell a staff person to do things differently when state is here than when they are not!!! Staff get nervous being observed and critiqued, if you take shortcuts routinely...
  9. What is an MDS nurse?

    An MDS nurse is the nurse in the long term care facility who schedules and completes the RAI-Resident Assessment Instrument, a detailed assessment done at least quarterly on every nursing home resident. The MDS nurse is also usually responsible to co...
  10. One thing to try before actually digging is to really lube up the area while they are on the commode (gravity helps), and then pushing up gently around the anus while telling them to bear down. Sometimes once you get it started for them then they can...
  11. Out of nursing program cause i am smoker!!!

    :yeahthat: I would looove to tell you to take it as far as it goes with her administration, but am afraid you would only get the repercussions and no benefit. Gee, to remember back to my school days when we were all treated like second graders -had ...
  12. Silly Episiotomy Question

    When I had my first baby, she came so fast the MD did two cuts to prevent me from tearing, with no lidocaine, but with all the pressure down there, I did feel something but it did not hurt:)
  13. pacify or orientate? Alzheimers...

    Wow, I just read thru this whole thread, but now wish it was longer!!!!!!! I am the DON at our facility, and wholeheartedly agree that "therapeutic lying" is best for both the resident themself as well as the staff, and often the other residents, who...
  14. Stupid People Award

  15. Gee, and I thought it was only because we had a b---- for a HR Director, but when I left a (am I allowed to say CHI?) hospital after 20 yrs and 3 months, after giving a full 4 week notice, I was told I was not eligible for a 20 year award, since I wa...