rnto?

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

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 pressure to cut costs, etc. I think that is still one of ...

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 is skilled with 30 beds. I am currently struggling...

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, so you can theoretically have 1cna for 150 reside...

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, as we are being expected to do more with less. Th...

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 heads take turns helping in the dining room for lunc...

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 overnight, you don't really need to call about a s...

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

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 talking about minimal errors here. I'm talking missin...

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, I've yelled. I have some good staff, but there ar...

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 depends on the state you live in as well.

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 staff.

I just wanted to vent. I've heard several people say, over the past few days, "Well, they're a DNR so why are we doing XYZ?" Um, because if their heart stops they don't want CPR, but the last time I checked treating Afib with coumadin was not CPR? Mo...

If someone had chickenpox as a child, is lifetime immunity against varicella zoster guaranteed or do you need to do titers to verify?

i've been a supervisor at a snf/sub acute facility for a little over 2 years. Until May, when I left for mat. leave, I was whole-house supervisor on weekends. In July, while on mat. leave, I was asked to take a newly created night shift whole house s...

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 downscale the position to a charge nurse helping at the d...

the DON is on a business trip until Thursday

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 I resign. We're living paycheck to paycheck as it...

I'm working M-F 11p-7a as RN supervisor in LTC/SubAcute, but I also have a 6month old that I'm breastfeeding. I have plenty of time to pump on this shift, whereas on daylight -ya right! I have a white noise CD for the baby that I use during the day, ...

I have a suspicion of this also. I never wanted to be night turn forever. If this is the case DH thinks I should tell the DON that I'm looking elsewhere. I will look elsewhere if I've been pigeon-holed into not receiving a promotion

I should add that the DON asked the other two girls on Monday, before I expressed interest.

can cme for physicians count as our ceus for rns? sorry no punctuation-baby in other arm:)

I am currently a supervisor in sub acute/ltc facility. I supervise 160beds, and 20 nursing staff members during off shifts and have done so for 2 years, with excellent reviews. It is a national company w/ 3 local facilities. I would like to get my ma...

shadow some doctors and some nurses. having a family member who's a nurse does not mean you know what it's all about. at the most basic level nursing is caring for a patient by following physician orders, but we assess, intervene within our scope of ...

I've been a supervisor at a SubAcute/LTC facility for the past 2 years. 2 months ago I became a night supervisor (after returning from maternity leave). Since I started as supervisor i've been told by the don/adon that non-emergent issues on off-shif...