debRN0417

debRN0417

LTC, ER, ICU, Psych, Med-surg...etc...

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All Content by debRN0417

  1. Nurse Practitioners at SNFs as huge health reform tool

    debRN0417 replied to 3rdcareerRN's topic in Geriatric, LTC

    I have been at a couple of places recently that have NP's- I think it is wonderful! The NP's are there every day, they see sick patients, do recerts, do wound rounds and all sorts of stuff. I think...

  2. Survey is coming,need help

    debRN0417 replied to monirockstar25's topic in Geriatric, LTC

    It's a 1,000$ fine if somebody leaked that the surveyors were coming....not to mention their

  3. One on one supervision

    debRN0417 replied to BoopetteRN's topic in Geriatric, LTC

    How in the world do you do all those 1:1's? Where does the staff come from? I cannot understand the rationale for closing phych/mental health facilities and placing the folks in nursing homes. I do...

  4. Questions on State Visits

    debRN0417 replied to Oranges3420's topic in LTC: Directors, Assistant

    . And by the way, it is a well-known legend that those who join the state surveyors were those who failed in management of a nursing unit of hospital elsewhere - don't get me wrong there are those...

  5. Sleep overs

    debRN0417 replied to CapeCodMermaid's topic in Geriatric, LTC

    There are such things as visiting hours....lots of folks don't respect them. A LTC facility is a person's home. I do not want someone visiting me after 8 or 9 p.m. at night after I have donned my...

  6. Survey is coming,need help

    debRN0417 replied to monirockstar25's topic in Geriatric, LTC

    Look under LTC Director and Assistant Director of Nursing section- there is a thread under there about state

  7. LTC Salary for new grad RN

    debRN0417 replied to Manang Biday's topic in Geriatric, LTC

    That's right! I thought I was rolling in the dough when I hit that 12/hr! OMG! and if I was fortunate enough to get OT-Hallelujah! Now I am just happy to have health insurance I can

  8. dispensing meds???

    debRN0417 replied to travel50's topic in LTC: Directors, Assistant

    Yeah, we have flushed so many drugs, they are showing up in our water...see this just goes to show there should be some way to take these drugs back and use them. How many people in the world, or...

  9. Virginia nurse roll call

    debRN0417 replied to starletRN's topic in Virginia Nursing

    Have you found something? UVA is hiring, Martha Jefferson and there are several decent nursing homes in the area/ Good luck. I am across the

  10. LTC Salary for new grad RN

    debRN0417 replied to Manang Biday's topic in Geriatric, LTC

    When I was a new grad I was thankful that someone would give me a job and orient me...course my first job as an RN was for under 8.00 an hour

  11. dispensing meds???

    debRN0417 replied to travel50's topic in LTC: Directors, Assistant

    The medications that are not used should be credited- I am not very insurance savvy, but I think that even if the facility "pays" for the medications, they have to be returned and there is some kind...

  12. Lost job april 09 ...need help

    debRN0417 replied to indiansfan's topic in Geriatric, LTC

    I am not sure how it works in your state, but file for unemployment- tell the truth- they will contact your previous employer and you may have a hearing about it. Go to the Department of Social...

  13. Sleep overs

    debRN0417 replied to CapeCodMermaid's topic in Geriatric, LTC

    That's the craziest thing I've ever heard of...now if , as others have said, the person is gravely ill, or the weather is bad...but routinely?????Ugh.....if your resident is able to "entertain"...

  14. The one with the never-ending problems

    debRN0417 replied to evilolive's topic in Geriatric, LTC

    What kinds of diversional activities are planned for this young person? Are things being done to keep him busy and his mind off his somatic issues? Sometimes that is the problem...too much time to...

  15. In your experience have you seen this happen?

    debRN0417 replied to Smith-Lee's topic in Geriatric, LTC

    Reeking is when you walk in and it takes your breath and you don't understand why no one else seems to notice. Reeking is when it stays, and it is everywhere. Reeking is when your eyes water and...

  16. I made a med error

    debRN0417 replied to southern_rn_brat's topic in Geriatric, LTC

    I carried malpractice insurance when I was a clinical nurse. I wanted to make sure that I had something to leave to my children should I ever get sued. They will not only garnish your wages, but...

  17. Questions on State Visits

    debRN0417 replied to Oranges3420's topic in LTC: Directors, Assistant

    Obviously you have had some rough surveys. Not all are like that, but I have known a few myself- I have had several discussions with some about attitudes and such. My experience is not to find fault...

  18. Pleasantly Confused

    debRN0417 posted a topic in Geriatric, LTC

    Does anyone have a reference on using the term "pleasantly confused"? I have used this term repeatedly throughout my 25+ years of nursing, but it has been brought to my attention that this term may...

  19. Questions on State Visits

    debRN0417 replied to Oranges3420's topic in LTC: Directors, Assistant

    I agree, but disagree. Complaints are not solicited- there is a list of questions that are standard that are asked at all group interviews. Yes, there are some folks who wait until the state gets...

  20. Abandoning Patients

    debRN0417 replied to CapeCodMermaid's topic in LTC: Directors, Assistant

    The nurse deserves the discipline of the DHP. You CANNOT leave your patients unattended for any reason without someone else there to take your

  21. Floor to LTC

    debRN0417 replied to RN007's topic in Geriatric, LTC

    How true Mermaid! A nurse with your experience RN007 would be a

  22. two residents kissing

    debRN0417 replied to Ms.RN's topic in Geriatric, LTC

    Absolutely positively. It matters not- the fact is there has to be mutual consent, and for mutual consent both parties have to be competent. It is very sad. Many times residents think others are...

  23. Pleasantly Confused

    debRN0417 replied to debRN0417's topic in Geriatric, LTC

    Thank you for your responses. I don't feel that the term is degrading, however, I guess it could be if the resident or family thinks

  24. Pleasantly Confused

    debRN0417 replied to debRN0417's topic in Geriatric, LTC

    Thanks for the replies. I was told that it is more appropriate to say pleasant AND confused- but to me pleasantly confused means just that- they are pleasant, relatively happy, calm, not anxious,...

  25. In your experience have you seen this happen?

    debRN0417 replied to Smith-Lee's topic in Geriatric, LTC

    Please report this to your state licencing agency that regulates the nursing homes. There is a complaint unit that would investigate these allegations. The facility has the responsibiltiy to...