rnto?

rnto? has 5 years experience and specializes in Med-Surg, LTC.

Latest Activity

1. From experience, has anyone had a relatively low stress nursing job ?

   rnto? replied to studentnurse9806's topic in General Nursing

   I also think there is no such thing as low stress-it's just a trade of stressors when you're in

2. From experience, has anyone had a relatively low stress nursing job ?

   rnto? replied to studentnurse9806's topic in General Nursing

   I am a director of nursing in LTC, it is very low stress. Ha ha! Obviously don't recommend management if you're looking for low stress. I've heard that case management is getting more and more...

3. Minimum requirements

   rnto? replied to winnowill's topic in Geriatric, LTC

   Whats mandated is direct care nursing hours per patient day, or the total amount of nurse and CNA hours divided by the number of patients over a 24 hour period. It doesn't matter how that is divided,...

4. Staff/Patient Ratio - 30 Patients per Nurse

   rnto? replied to Colima's topic in Geriatric, LTC

   As far as changing the patterns, we need to utilize our collective power. The public and those in office need to know what is truly going on. The Medicare and Medicaid cutbacks have HURT our industry,...

5. Staff/Patient Ratio - 30 Patients per Nurse

   rnto? replied to Colima's topic in Geriatric, LTC

   Not all LTC facilities are this bad. I have 2 units, a LTC unit and a subacute/rehab unit. My LTC unit runs with 1nurse and 2aides for 25 patients, but my Adon handles dr calls and labs, department...

6. When to call or page the doctor?

   rnto? replied to mibrow81's topic in Geriatric, LTC

   Ditto what kitty said about having your ducks in. Row before you call! You will make the call and your life so much easier! You will learn to use your judgement about when to call. If you are working...

7. need an honest answer from DON

   rnto? replied to Ms.RN's topic in LTC: Directors, Assistant

   Ditto, suspension pending investigation. And if the nurse in question did not tell me about the suspended license, THAT would be immediate

8. Don't You Just Want To Scream?

   rnto? replied to CapeCodMermaid's topic in LTC: Directors, Assistant

   Lvn2bsoon - I totally agree with you in theory. The thing is, though, that it doesn't seem to make a difference when I praise, give constructive advice, etc. That's where I get frustrated. I'm not...

9. Don't You Just Want To Scream?

   rnto? replied to CapeCodMermaid's topic in LTC: Directors, Assistant

   I'd really like a discussion about how to make nurses think. I took over as don in a facility where it seems no one knows anything. I've educated, I've put processes in place to streamline their work,...

10. ON CALL

    rnto? replied to Shell5's topic in LTC: Directors, Assistant

    Sounds like you are the unofficial number two. I agree that it is not illegal to not be paid for being on call unless you work, but there are a lot of caveats to the on call laws and I think it...

11. Lungs sounds assessment question.

    rnto? replied to pretty70's topic in Geriatric, LTC

    Ditto what both previous posters said. I am curious where one would get a cd of lung sounds? I am a new DON and looking to improve the skill set of some of my

12. Restorative program in small facility

    rnto? posted a topic in LTC: Directors, Assistant

    How do you DONs at small facilities manage your restorative program? I am currently a new DON in a 55 bed facility which has two levels. The lower Level is my long term unit and has 25 beds. Upstairs...

13. promotion?

    rnto? replied to rnto?'s topic in Geriatric, LTC

    OK, I really need follow up advice. About 2 weeks ago, the DON and administrator called me and said that since they didn't get what they wanted out of the last unit manager, they were going to...

14. promotion?

    rnto? replied to rnto?'s topic in Geriatric, LTC

    the DON is on a business trip until

15. promotion?

    rnto? replied to rnto?'s topic in Geriatric, LTC

    thanks for the advice everyone. I will be calling the DON tomorrow. CapeCodMermaid-glad things worked out for you. I too am hoping for upward mobility. I can't afford not to have a job lined up before...