old rural nurse

old rural nurse RN

med-surg, home health, hospice, LTC

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All Content by old rural nurse

  1. Near death experiences stories

    old rural nurse replied to mondkmondk's topic in General Nursing

    I disagree, I know there is something to explain it, but I think you would not believe

  2. i hope i know when to hang up my stethoscope,

    old rural nurse replied to supernurse1230's topic in Geriatric, LTC

    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...

  3. The Patient I Failed

    old rural nurse replied to nerdtonurse?'s topic in Patient, Colleague Relations

    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...

  4. Coding and insurance authorizations

    old rural nurse replied to GmaC13's topic in Home Health

    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,...

  5. SICK OF IT ALL and getting out!!!

    old rural nurse replied to regnurse1995's topic in General Nursing

    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...

  6. Scheduled toileting not being done by certain CNAs

    old rural nurse posted a topic in Geriatric, LTC

    Our facility got deficiencies earlier for our incontinence program, which I corrected with new forms etc. The staff was very gung ho about the new program at first. But now I suspect that not all the...

  7. Beers Criteria Question

    old rural nurse replied to thanson809's topic in Geriatric, LTC

    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...

  8. Psych nurse needs advice please

    old rural nurse replied to jennerRNer's topic in General Nursing

    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...

  9. Could use some opinions and/or advice.

    old rural nurse replied to mandaleigh's topic in Geriatric, LTC

    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...

  10. What is an MDS nurse?

    old rural nurse replied to RNOTODAY's topic in General Nursing

    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...

  11. Ummm..not sure how to ask this but who has experience "digging out" a patient?

    old rural nurse replied to LucyLu's topic in General Nursing

    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 orifice while telling them to bear down....

  12. Out of nursing program cause i am smoker!!!

    old rural nurse replied to misstaz25's topic in General Nursing

    :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...

  13. Silly Episiotomy Question

    old rural nurse replied to TheCommuter's topic in Ob/Gyn

    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

  14. pacify or orientate? Alzheimers...

    old rural nurse replied to Lfransis's topic in Geriatric, LTC

    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...

  15. Stupid People Award

    old rural nurse replied to ER-RN2's topic in Emergency

  16. Over 20 years at the hospital, left and not even a "thank you"????????

    old rural nurse replied to 27YearRN's topic in General Nursing

    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...

  17. How about your favorite Old Wives Tales related to health?

    old rural nurse replied to NurseyTonyaLPN's topic in Nursing Humor

    Yes, any time during the pregnancy, just use first morning urine! Good

  18. How about your favorite Old Wives Tales related to health?

    old rural nurse replied to NurseyTonyaLPN's topic in Nursing Humor

    ABSOLUTELY TRUE!!!! But only use a couple tablespoons of urine and Drano, mix in a glass jar and set outside because of the fumes. I have been telling people about this for years and have NEVER had...

  19. Scheduled toileting not being done by certain CNAs

    old rural nurse replied to old rural nurse's topic in Geriatric, LTC

    I should have clarified in my original post, we have developed our program using the new guidelines, and toilet residents according to their toileting patterns. Very few are on a Q2H schedule, most...

  20. Sad and confused

    old rural nurse replied to javanurse2000's topic in Geriatric, LTC

    Hey Zoeboboey, Be thee a fan of the Gunslinger series? I would love to find a fellow nurse who is also a Stephen King fan, and since you are from Maine, I think it is a good chance! To the original...

  21. AAARRRRGGGGHHHHH!!! More new CMS guidelines!

    old rural nurse replied to CapeCodMermaid's topic in Geriatric, LTC

    Since I have not been to an inservice about this, can anyone tell me where to find the new regs on the net? How can they expect to hold us to those standards if you can't even find them, I looked on...

  22. Husband appaled when I chose to do nothing

    old rural nurse replied to JacelRN's topic in General Nursing

    I can relate to your story Haunted, we were at a lake several yrs ago, when a young couple pulled their kid up from the bottom of the swimming area, not breathing etc. I ran over to assist, and a...

  23. hourly RN pay vs. salaried?

    old rural nurse replied to SpecFuz's topic in General Nursing

    If this is a staff position on the floor, sorry to tell you, but I think they are trying to get out of paying you overtime. I would never take a floor job for a set salary. Guess who will get all the...

  24. Ghostly experiences??

    old rural nurse replied to Erin RN's topic in General Nursing

    These are great posts, I just read through the whole bunch, and have a couple of them to add myself. My family seems to get into weird subjects when we're together at holidays etc. My mother, before...

  25. question about a skilled nursing visit (homecare)

    old rural nurse replied to KEVIN88GT's topic in General Nursing

    If the nurse was teaching the caregiver how to do the dressing change and was watching a return demonstration, then yes, it would be a skilled visit. Now, if they performed it correctly, you couldn't...