rapkeygurl

rapkeygurl

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All Content by rapkeygurl

  1. Nurse Educators, Introduce Yourselves!

    rapkeygurl replied to VickyRN's topic in Nursing Educators, Faculty

    Hi all, I am a certified nurse assistant instructor in New Mexico, Actually I have been teaching for several years in Texas. Any information on the new mexico training differences would be greatly...

  2. Significant change or not?

    rapkeygurl replied to jessie26's topic in MDS Coordinator Information

    A “significant change” is a decline or improvement in a resident’s status that: 1. Will not normally resolve itself without intervention by staff or by implementing standard...

  3. GETTING BURNT OUT OF LTC - suggestions please!

    rapkeygurl replied to bossynurse101's topic in LTC: Directors, Assistant

    Wow you sound just like me. My back is killing me from the last 3 night of working 35 residents, One nurse aide and I might have been there by myself. We have had state in our building all week again...

  4. How do I stop getting my feelings hurt?

    rapkeygurl replied to SuesquatchRN's topic in Geriatric, LTC

    Sue, I feel for you in my small town in the last 5 years they have ran off every new DON that comes in. Really good ones too. I dont think they will run off the current one He frankly has cahunas to...

  5. How do I stop getting my feelings hurt?

    rapkeygurl replied to SuesquatchRN's topic in Geriatric, LTC

    Sue, I feel for you in my small town in the last 5 years they have ran off every new DON that comes in. Really good ones too. I dont think they will run off the current one He frankly has cahunas to...

  6. Why do many nurses look down on LTC?

    rapkeygurl replied to Kitty Hawk's topic in Geriatric, LTC

    I did complain to the CEO and the second time I tried to meet with them they where in the office but "in a meeting" But that was one bad apple but it left a horrible taste in my mouth and I will not...

  7. Why do many nurses look down on LTC?

    rapkeygurl replied to Kitty Hawk's topic in Geriatric, LTC

    I was in the hospital ER to have some staples removed after my c-section, and low and behold the er room next to mine was one of our residents, a very confused man with alzheimers and they had him...

  8. Crazy Work Environment

    rapkeygurl replied to carbaminohemoglobin's topic in Geriatric, LTC

    Oh gosh sweety, you sound so like me, I was pregnant and ADON and then the DON quit while I was 7 months pregnant and she was also our RN consultant, so I had noone to turn to in nursing but agency...

  9. what do you think of this policy?

    rapkeygurl replied to Ms.RN's topic in Geriatric, LTC

    we have a similar policy due to our recent ij involving not notifying md's of change of condition. Ours is to call the md first then the DON, but also if there is a change we are to let the DON know...

  10. New nurse looking for advice

    rapkeygurl replied to 1uvakindmom's topic in Geriatric, LTC

    YOU WILL GET BETTER, I felt the same as you almost 20 years ago at 19, but you really have a great ratio of nurses and CNA's which is not the norm were I am at we have 40 plus with 2 on and a...

  11. state survey and a bad reputation

    rapkeygurl replied to dulcemorena's topic in Geriatric, LTC

    yeah I am still confused, we had reported 5 incidents with injury and one of them there was no incident report and we really did not know how the fx happened. So we went into extended survey and with...

  12. What MDS data entry and resident management software does your facility use?

    rapkeygurl replied to catnip3's topic in MDS Coordinator Information

    We use Obra-EZ which is from MDI achieve out of Dallas, when you call them they say Quick Care but it is not? When we first had this system we were in dos, we had to change over all data from dos to...

  13. Is there a clearinghouse or forum where LTC facilities can share survey issues?

    rapkeygurl replied to ChesterCountyMSN's topic in LTC: Directors, Assistant

    you should check out mds forum and there is a section about survey stuff we just had a doozy lost our natcep program due to quality of care issues surveys. I have been seriously bummed, but I am going...

  14. state survey and a bad reputation

    rapkeygurl replied to dulcemorena's topic in Geriatric, LTC

    the worst part of the whole thing is that we lost the nurse aide program that of course I teach.. so I feel personally punished. I called the nurse aide creditialing office in our state they say I...

  15. Typical day in LTC nursing?

    rapkeygurl replied to LovePurple's topic in Geriatric, LTC

    One of the things I did not see was rounds, before I take on an assignment as a charge nurse I go look at everyone, make sure they are all there. then get report then get typically if working 10-6am...

  16. Was fired today......

    rapkeygurl replied to TrickieTam's topic in Geriatric, LTC

    Yes I was fired only once in my nursing career and I still cant see that I did anything wrong, and I am not one that can not admit my mistakes however, I feel the reason they got rid of me is that the...

  17. set up for failure

    rapkeygurl replied to evette74's topic in LTC: Directors, Assistant

    yeah that is why we got so badly tagged this time on falls because the old RNC put will do fall risk assessments by 24 hours after admission, q 3 months, q 48 hours after readmision and a post fall...

  18. set up for failure

    rapkeygurl replied to evette74's topic in LTC: Directors, Assistant

    OH gosh I just was up all night doing an inservice regarding changes of condition with will email it to you if you

  19. set up for failure

    rapkeygurl replied to evette74's topic in LTC: Directors, Assistant

    Yeah -- I am just bummed because I truly love teaching the nurse aides and when that light bulb turns on I feel very good. When they go on and get there nursing license I feel even better. When I have...

  20. set up for failure

    rapkeygurl replied to evette74's topic in LTC: Directors, Assistant

    well with the big fines I am sure my hours are gone with that. There is always something to do at the nursing home. I dont know about physically being a full time nurse aide lol that is the only thing...

  21. Incident Reports- VS six times, asking the same q's repeatedly

    rapkeygurl replied to Plagueis's topic in Geriatric, LTC

    We do the same as Cape Code does in her facility but when there is a fall we do a post fall assessment after that. Update the Careplan, of course if it is a fall with injury requiring hospitalization...

  22. set up for failure

    rapkeygurl replied to evette74's topic in LTC: Directors, Assistant

    gees we finally got our final POC back from state, they took our nurse aide class away?? for 2 years--- gosh this is upsetting I dont see how we can function without having nurse aides in the...

  23. Roster/Sample Matrix

    rapkeygurl replied to carrieMDSrn's topic in MDS Coordinator Information

    very nice program --- it is probably expensive -- my facility cooperates believe this philosopy: Well we will just pay the fines when the state sends them instead of making sure we dont get them. dang...

  24. What Can I Say?

    rapkeygurl replied to CapeCodMermaid's topic in Geriatric, LTC

    hm that was funny indeed, -- maybe add that the oral sex nurse- is proficient in perineal care lol . The slower than christmas nurse-- you might add that she is willing to stay late to get the job...

  25. MDS 3.0 Data Specs (Final) 10/30/09

    rapkeygurl replied to Talino's topic in MDS Coordinator Information

    Yeah, I gave our social worker the final draft, her mouth dropped to the floor lol. That will be great if we get web-based training and the no cost thing is a no brainer