old rural nurse RN

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

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...

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 ...

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...

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...

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 CNAs are following the schedule for toileting cert...

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, ...

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...

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...

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...

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...

: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 ...

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:)

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...

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...

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

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 one be wrong! Ha ha ha (I'm sure its just coincidenc...

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 are Q3H, and I still question whether it is being fo...

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 OP: It is NOT like that everywhere! At least not whe...

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 the net for a good hour yesterday without success.

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 couple people ran up and said We're EMTs, we can help,...

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 calls to come in extra, stay late, work holidays e...

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 she died, told us about a figure in black that woul...

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 justify further visits to observe, but could still...