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also a single mother of 3 daughters

ecb's Latest Activity

  1. I was just interviewed for a job that offered 20-23 an hour, should I worry?
  2. ecb

    What can you do with your pay?

    1. Own and maintain a home in a mid to upper class neighborhood? Only because my husband died and we had Mortgage Insurance (otherwise I would have had to sell it) 2. Own and maintain a car driven by those who live in a mid to upper class neighborhood? I was given a down payment to buy a minivan by my parents, or I would only have a 7 year old Civic 3. Send your children to private schools? My Parents pay for that 4. Eat healthy diets? I try, its still hard unless the babysitter cooks 5. Join a trade organization or attend trade conferences once or twice a year? when!?!?!?! I work 50-60 hours a week, and need to have time with the kids 6. Take trips to other countries or take extended vacations? to go on vacation, I drive, not fly, and even then; I get a womens retreat 1X a year, and go home to see my parents 2 Xs a year 7. Join special tennis or similar clubs for exercise and out of the box networking purposes? I have a membership to the local YMCA so the kids can take T-ball and swim (does that count?) 8. Enroll your child into activities like the scouts or music lessons? I repeate WHEN!?!?!?!?! I have a live in nanny, because my hours are hellish, and its still cheeper than day care or after care from the school, and if I have to go in (on call) its covered as flex time for her, with little or no muss or fuss I take my GF out about 1X a month, and she takes me out 2X a month
  3. ecb

    Please help my unit succeed!!

    I work in a NH/rehab setting we have about 10-15 patients for Rehab in a 180 bed facility we have 1 pt, 1 ot, and 1 st. we have 2 CNAs who work Restorative for each of 3 floors(step down from Rehab) and all of our CNAs are given additional training to do step 3 restorative. we have 2 LPNs and 1 RN for each of the non skilled floors, and 2 RNs and 2 LPNs for the skilled floor, and a Wound care nurse who does our Stage III and Stage IV, Surgical, and unstaged Wounds (the ones from the hospitals mostly) We have 2 ADONs, and 1 DON who cover the administrative stuff, and deal with the contract PROBLEMS (you know what I mean) and 2 RNACs, and 2 Social Workers its about that busy for them, and the LTCers (personally, I LOVE IT)
  4. ecb


    there is a deal in Philadelphia, if you go to the Nursing Union and apply to have your classes paid for, they will match any monies supplied by your work for your continuing education classes, CNA to LPN, LPN to RN, RN to BSN, BSN to MSN, whatever. Our staff development person has been pushing it because the city has not been able to give away all the money given by the state, and the city will loose it. you do NOT have to be part of the union to get the money, you just have to be accepted into a program before you apply for the $$$ I do not have the details, more than that
  5. ecb

    honoring patient decisions

    ok, I will do you one. I am an executor of my Fathers Living will. This document clearly states he never wishes to have a tube placed in his body for the purpose of feeding or hydration. He never wants CPR or Ventilation done on him. This documnet is 8 years old. 1 year ago he developed ALS. My mother is the primary executor, I am the secondary. She is normally the one who helps people deal with their own deaths when their families abandon them, or just cannot deal. She is a ROCK! (as long as she has my father to be there for her) but this time it is HIM I have asked my father if any of his wishes have changed, and he has told me (with some anger ) that NOTHING in his advanced directive has been or will change. I am not looking to see it changed, i just want to know. I am scared, and I want to do what is right for him, and I will even go against my own beliefs to give him what he says he wants. but I am scared. and when faced with his anger, and my mothers anxiety, I am even more scared. as nuses, what would you do? Now, as ME what would you do? now.... [ May 15, 2001: Message edited by: ecb ]
  6. ecb

    Has a patient ever affected your health?

    One trick I learned, a couple years ago. Is she yelling rhythmically? AAhh AAhh AAhh AAhh, or AAAh ah AAAh ah, whatever, does it sound like a pattern? if it does sometimes tapping out a different, slightly more complex rhythm, can help. I had one woman actually thank me after I interupted her yelling this way. It works a short time, but in the long run its another tool.
  7. ecb

    I have a question for all nursing home nurses.

    In our facility, and organisation, we have and create CNA Specialists, who have more education in Geriatrics and dignity, and residents rights and the stuff that is not touched on when they are in their 78 hour classes. Another thing we/they do is have PreNursing exams, so that CNAs will know what, if anything they need to brush up on before they take the LPN or the RN classes. They are starting a deal where the Facility will pay for a class, and then deduct the cost from the paychecks leading up to completion of the class. When you take in proof of an acceptable grade you get a check for the entire class cost. that goes for CNAs, LPNs, RNs, BSNs, MSNs without limits as long as you are emplyee in good standing. ------------------ *** May we all have the serenity to accept what we cannot change, and the determination to change what we cannot accept. ***
  8. ecb

    New Nurse Manager - need advice!!

    I need advice, on a personalities issue. I am new Unit Manager on a Skilled Floor (medicare, very high paced) and I freely admit I am in over my head, and my DON has offered (and I have accepted) for me to move to another floor. That siad, I had a nurse get hysterical on me just now when I went to correct her on some work she is doing a poor job of. I needed to correct her about orders on surgical wounds not being written, and immobilizers not being ordered on ORIF patients fresh out of the hospital, and she LOST the medical records, or at least did not place the records in the chart(she says I lost it because I am such a lousy manager) but she was terrified of me, and was shreeking at me in the nursing station and in my office. I am worried that she is applying issues that do not relate to her, or this (specifically another nurse I made an error of writting up incorrectly, for hanging the wrong Tube feeding, when there was no signature on the MAR. and i admit I made an error, and no harm came except the speaking this nurse did on the issue himself) she was repeating his words to me, and she was SO upset. She was threatening to copy patient records and have my license pulled. IS there a best way to deal with this? Tot op it off I am the On Call Supervisor, if she decides to walk out on the job (which is the impression she gave) I will have to go in and do a double shift to make up for her. how do you deal with someone who is SO frantic and upset that they cannot talk, or listen? ------------------ *** May we all have the serenity to accept what we cannot change, and the determination to change what we cannot accept. ***
  9. ecb


    WOW for you, having 2 MDS Nurses and 2 for care plans for 120, We have 180 residents At my facility and we have 2 RNACs who initiate and review MDS, and the Unit Manangers are responsible for care plans AND MDS (except for a couple sections for other departments) I have between 4 and 9 each week to do, and all the care plans and MDSs include the ADL sheets, the Bradens, the fall, skin, pain,restraint assessment forms...THEN there is my managerial work, and i get pulled to the desk +/o the floor if we are short staffed. BTW I also do the PPS, and Ihave had a grand total of 2 1/2 hours training in all of it ------------------ *** May we all have the serenity to accept what we cannot change, and the determination to change what we cannot accept. *** [This message has been edited by ecb (edited April 26, 2001).]
  10. ecb

    New Job- no knowledge base

    I am a BRAND NEW Unit Manager, I interviewed for a supervisors position, and got hired as a Unit Manager (big raise, and better hours, very supportive DON and ADONs) but very little in the way of orientation (more like try this, if you get it right I do not have to teach you anymore) and NO inhouse, mandatory inservice type orientation. MDS are totally alien to me. I get told I need to have my staff document on this or that, but one week a really good note a week is ok, and others everyday is required. My RNAC is fairly petty and spiteful (by her own admission she holds a grudge forever) and after 2 months I only just translated her system for "on time" accuracy, before this as long as it was done by care conference it was good enough, and now I am putting the MDSes on the chart myself because she is not getting them there by the day they must be compleated, not even by the day of referance. She has told me all medicares are 10 page ones until quarterlies. at least I will not be missing anything using that rule. for the most part I am consistant with the scaling, and it seems I am more accurate than my predecessor, but the RNAC is still totally dissatisfied with my work performance. I am frustrated, ad would love advice! ------------------ *** May we all have the serenity to accept what we cannot change, and the determination to change what we cannot accept. ***
  11. ecb

    Kaiser Hospitals

    I believe a hospital has a MINIMUM of documentation they should require in order to hire someone. A criminal background check, proff of legal right to work in the area, proof of imunisation (to a degree, or justifiable reson why it is not up to date) permission to have taxes withheld, and proof of compitence (licensure /certification /etc,) From there they are allowed to request more, as long as they are not broaching your right to privacy about race, creed, religion (unless it is a catholic hospital run BY THE CHURCH) sexual orientation, etc. that is all I know on that ------------------ *** May we all have the serenity to accept what we cannot change, and the determination to change what we cannot accept. ***
  12. ecb

    Kaiser Hospitals

    I do not know without some more information would you please elaborate? ------------------ *** May we all have the serenity to accept what we cannot change, and the determination to change what we cannot accept. ***
  13. My facility has SELECTIVE mandatory over time. Night shoift is required to stay late into day shift if days is short, no day off, just time and a half, but Days is only ASKED to stay if they are NOT working the next day. Evening shift gets asked to stay if Nights is short, but is not mandated (because they are the people who do OT, do not want to anoy them) so nights works short, often, and is the only shift that gets actually MANDATED (unless there is only 1 LPN scheduled for night shift, then an RN HAS to stay, but she gets the next day off), I find this unfair, and discrimanatory, but that is a facility wide problem, and one even I cannot fight (I tried). ------------------ *** May we all have the serenity to accept what we cannot change, and the determination to change what we cannot accept. ***
  14. ecb

    Has anyone ever refused an assignment?

    this is nice, but where I work the DON is willing to have 1 RN and 1 LPN cover the entire house of 119 residents on night shift, they "compensate" by allowing us to sometimes have 6 CNAs (noramly 3-4, SOMETIMES 5) other times we have had 2 CNAs and 2 LPNs and 1 RN and she still expects us to get up 10-12 people because DAYSHIFT is running short. She has ONCE come in on nights, she came in to do turnover on the first of the month, because there were only 2 Lic in house that night (she came in at 3 with both unit managers, and we were still finding med errors 3 days later) she has never come in on nights to work that I have seen. The administrator is willing to pass trays, but the manager on the medicare floor, and the DON just walk around telling people what they are not getting done on days (yes I have seen it) I am pleased to see a administrator who is interested in getting thisngs working well, but it is a rarety, I have worked in 4 places, and find the $$$ pinches to be the most dangerus aspect of Nursing in general I consider the DON in this catagory, not in the catagory of nursing Sad but true sorry if I offended, but this is my impression from having worked all shifts in different facilities over the past few years. ------------------ *** May we all have the serenity to accept what we cannot change, and the determination to change what we cannot accept. ***
  15. ecb

    Has anyone ever refused an assignment?

    I have informed my employer I will not accept a tripple assignment, the position I hold entails taking 2 assignments, a short floor and cover the house, but they have begun adding on the second half of the whole floor (60 residents total) and I have done it 4 times, and so far nothing major has gone wrong, but a lot got missed. I have told them I will not do it, IF somting major happens elsewhere on the facility while I am supposed to be doing something on one of the wings of the floor, I would have to choose between basic care, and the chrisis and peoples FBSs and early am meds would be given significantly later. I am not willing to be in that possition again, and have put it in writting and my DON is not pleased oh well ------------------ *** May we all have the serenity to accept what we cannot change, and the determination to change what we cannot accept. ***
  16. ecb

    Symbols used for signs

    The best ones I have seen (from different places) were; A bee drinking from a flower for Nectar thick A bee on Honey Comb for Honey thick liquids A spoon at a cup for Pudding thick A Star for fall precautions (people with a Gold Start get extra checks on rounds) A water drop for Hydration protocol (force fluids) the cactus for Fluid restrictions and a Bunch of bananas for Diabetics (ketones, we remember, and the Aides remember only fruit for a snack) and a Blue dot for DNR status (if you don't see blue call code blue) I have seen up and down arrows at the head of the bed for siderails (with them cut in half for 1/2 SRs, ) I do not remember many more, I am sure there are more will come back later if I do remember ecb ------------------ *** May we all have the serenity to accept what we cannot change, and the determination to change what we cannot accept. ***