freddiebear

freddiebear

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All Content by freddiebear

  1. jean

    freddiebear replied to LIjeany's topic in Geriatric, LTC

    WOW. It sounds like they did you a favor. The management team sounds like they are inexperienced, intolerant, unreasonable, etc. The part about hiring someone younger sounds like age discrimination to...

  2. Being a bi-polar nurse~what's it like?

    freddiebear replied to MsEnfermera's topic in Nurse Disabilities

    First for the sake of your sanity and confidence make 100% sure that you are mentally fit to work again. And do not return until you are. If you feel that you can not trust yourself to be mentally...

  3. Disqualification for Schizophrenia

    freddiebear replied to nursedreams11's topic in Nurse Disabilities

    With HIPPA I dont see how anyone can access someones medical file without either you signing permission for them to do so or a court order. You need to talk to your psychiatrist and ask him/her if...

  4. Can I lose my license for having a seizure?

    freddiebear replied to LovebugLPN's topic in Nurse Disabilities

    your question could be best answered by your BRN. Is there a position in nursing that you could hold that did not require direct patient

  5. Med Pass Timing in LTC

    freddiebear replied to mariyahsmommy's topic in Geriatric, LTC

    As far as meds are concerned in LTC a med can be given one hour before until one hour after the time ordered unless it is insulin, or a med that must be given before meals, after meals or with meals....

  6. Has Your Facility Ever Tried to Have a Set Schedule?

    freddiebear replied to flashpoint's topic in Geriatric, LTC

    cotjockey- Most facilities I have worked for had set schedules. Anything from 4 on 2 off to m-f with every week end off and a seperate weekend staff to every other week end off. 12 hour, 8 hour...

  7. Is there a flow sheet for nurses in LTC?

    freddiebear replied to barefootlady's topic in Geriatric, LTC

    Barefoot lady- I hear ya. But, the nursing act states that every nurse must perform the acceptable standard of care less one be accused of unprofessional conduct. Charting is basic. For example if...

  8. Seniority question and WWYD in this situation?

    freddiebear replied to mondkmondk's topic in Geriatric, LTC

    First you need to review her job description, what duties she is expected to perform. Then you need to review the employee manual. This is not a personal issue. So no need to make it one. Just write...

  9. Abandonment

    freddiebear replied to kamani811's topic in General Nursing

    You need to call your nursing board ask them the question. They can give you the best response you do not need to tell them who you are or where you work. Sounds like your facility had grounds for...

  10. Abuse?

    freddiebear replied to weirdRN's topic in Correctional

    When it comes to abuse I think the law is very clear. Even though someone is working in a prison cant an inmate complain to the RN board in regards to allegations of abuse? Sounds like there needs to...

  11. What do you LOVE about LTC/N.H.?

    freddiebear replied to Chloe'sinNYNow's topic in Geriatric, LTC

    What specialty a nurse chooses is a personal

  12. Patient ID Bracelets in LTC?

    freddiebear replied to kwvath's topic in Geriatric, LTC

    I was wondering what is your facilities policy regarding this issue and how do they ID

  13. Incident report on residnet who went out door. Advice

    freddiebear replied to ElderCare Nurse's topic in Geriatric, LTC

    The bottom line is outcome. The resident was observed and brought back to safety. If you want to defend yourself please look at the facility policy. If the facility policy states you were supposed to...

  14. New position and need some help

    freddiebear replied to RochesterRN-BSN's topic in Geriatric, LTC

    First of all you might want to consultant some references. The first one is your state regulations the second one your federal regulations (OBRA). In regard to what you must inservice staff on and...

  15. Are private duty nurses, independent contractors, or self-employed?

    freddiebear replied to vlntrnurs's topic in Private Duty

    Hmm. This is an excellent question. The best place to get an answer is through the labor board. If your were working as nurse, finding your own clients, setting your own fees and getting paid directly...

  16. Fax doc ONLY labs?

    freddiebear replied to jschut's topic in Geriatric, LTC

    As far as notifying an MD we must notify an MD if a resident has a change of condition or if we receive abnormal/critical lab values. Where I come from the Lab will call in critical lab values in...

  17. On the verge of quitting...

    freddiebear replied to evilolive's topic in Geriatric, LTC

    I have no idea what editing is but it sounds unreasonable to have such a large number of them done in such a short period of time. One would know that a licensed nurses priority would be carrying out...

  18. I need advice please

    freddiebear replied to pretty70's topic in Geriatric, LTC

    When it comes to carrying out an MD order related to pain meds i believe that it is time sensitive as in you only have so many hours to admin. The meds. I see two problems here. The first one is the...

  19. DON states she can't work as a nurse in LTC facility.

    freddiebear replied to LHH1996's topic in Geriatric, LTC

    To clarify this issue. There is a regulation that states a DON cannot be counted as a staff nurse in a SNF if the facility is licensed for so many beds but it does not prevent a DON from assisting one...

  20. Anyone with small children?

    freddiebear replied to CoffeeRTC's topic in LTC: Directors, Assistant

    cant do it. The 24 hour demand, long hours, sick kids, calls from school make it

  21. DON and filling in for staff

    freddiebear replied to mercy1975's topic in LTC: Directors, Assistant

    Mercy- First you need to consult the State Operations Manual with the OBRA guidelines and the state guidlines for staffing a LTC facility. Depending on the size of the facility a DON may not be...

  22. Discipline or Discrimination

    freddiebear replied to woundnurseq's topic in LTC: Directors, Assistant

    You say that you are new in a place where things were let go before you got there. Could be that in the past when nurses made med errors they were not disciplined. The EEOC may subpoena MAR's, etc. If...

  23. Anti-psychotics and geriatrics

    freddiebear replied to michael79's topic in Geriatric, LTC

    Its classified as a chemical restraint. We need to be sure that we dont use them for staff convienance. They can have toxic effects on some people and cause a decline in function. If someone is...

  24. Its Just not fair! Good Nurse getting fired (probably)

    freddiebear replied to funsizedliv's topic in Geriatric, LTC

    Unfortunatly this is not an uncommon thing to hear. Its not your fault. The situation doesnt sound good. I think you can tell that you cant work under this kind of

  25. how much time for AM med pass?

    freddiebear replied to retread71's topic in Geriatric, LTC

    The main focus should be on safety and accuracy. The priority is the timing of blood sugars and insulin. In my state you have one hour before and one hour after a medicine is ordered to administer it....