Nancy1

Nancy1

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All Content by Nancy1

  1. Survey: Are your staff meetings productive?

    Nancy1 replied to Brian's topic in General Nursing

    Staff meetings can be productive if they are not allowed to become B sessions. I meet with my staff once a month scheduled. If there are other things going on, we may have to schedule another. I do...

  2. Thinking of taking a DON offer

    Nancy1 replied to suzqpart's topic in LTC: Directors, Assistant

    After reading the posts tonight, I have know I work in a great place,

  3. So long Nursing

    Nancy1 replied to realnursealso/LPN's topic in General Nursing

    I have been away from the boards for a while, but from what I read there is no change in tone. I guess I must live and work in the most wonderful facility in the country because the mamnagement, of...

  4. LTC careplans

    Nancy1 replied to megs1's topic in Geriatric, LTC

    I understand where you are coming from, and I agree that not everyone reads care plans. However, residents need summaries. We made it part of our weekly summary that the nurse needs to review 2...

  5. Thinking of taking a DON offer

    Nancy1 replied to suzqpart's topic in LTC: Directors, Assistant

    After reading all of these negative remarks, I am almost afraid to be positive. I personally feel the reason many crash and burn may because there is no support within the organization. Many times...

  6. Difficult patients and families

    Nancy1 replied to bunky's topic in Patient Safety Issues

    Roach, so you don't want to work for me, that's ok. I just thought I would clarify that if my CNA has 10 residents there are usually only 5 that would be a high care level. We have a fair number who...

  7. Difficult patients and families

    Nancy1 replied to bunky's topic in Patient Safety Issues

    Lee, Thanks for your comments. I admit I tell my staff they cannot use the phrase "We are working short today." This is because we do not believe in staffing at minimums. For 40 ICF residents I have 2...

  8. APPRECIATING YOUR STAFF/HOW TO IDEAS?

    Nancy1 replied to MEG4's topic in Geriatric, LTC

    One of the things that I have started doing and my staff seem to really like: When I see something special that an employee has done, I pull the person into my office and let the person chose...

  9. APPRECIATING YOUR STAFF/HOW TO IDEAS?

    Nancy1 replied to MEG4's topic in Geriatric, LTC

    Meg, I am an ADON in LTC and when I want to show the team they have done a great job, I bring in treats. Usuallysomething from the bakery as this crew I have now is not into hard rolls or bagels....

  10. Getting nurses to come to your inservice

    Nancy1 replied to lita1857's topic in General Nursing

    I work in LTC and we have a pharmacist that brings drug reps in once a month for an inservice and they provide lunch. Most of the nurses on at that time come, some from other shifts show up...

  11. Difficult patients and families

    Nancy1 replied to bunky's topic in Patient Safety Issues

    After reading the most recent posts, I had to chuckle. When I worked in a hospital I had a pt who expected me to be his handmaiden. I was CNA at the time, but in nursing school. We had our class that...

  12. Legal - required to take responsibility for cna's

    Nancy1 replied to skl0923's topic in Geriatric, LTC

    Unfortunately Maeve is right. I realize my nurses do not have time to follow up on what the CNAs do, just like I do not have time to follow the nurses around to make sure that they have done the B/Ps,...

  13. Letting LPN's give report at end of shift instead of the RN "covering" ?

    Nancy1 replied to kdblueey's topic in Nursing Career

    In LTC there may only be an LPN working the floor while there is an RN available at all times. The most important thing we all need to remember is it is the patient, resident, client (whatever term...

  14. Difficult patients and families

    Nancy1 replied to bunky's topic in Patient Safety Issues

    I checked my files, I am not sure if this will solve the problem, but it does give you a tool to help defuse anger, whether your own or a family member. The title is 21 Ways to Defuse Anger, there are...

  15. Difficult patients and families

    Nancy1 replied to bunky's topic in Patient Safety Issues

    This is a touchy issue no matter which area of nursing you are in. I work in long term care and have had a family member say "I don't want to hear you have 25 other patients, when I,(notice I) put on...

  16. Has anyone ever refused an assignment?

    Nancy1 replied to Palpitations's topic in General Nursing

    I admit that telling a nurse that she has to accept an assignment is rough, but as nursing administration it is my job to work out with the staff why the nurse is refusing to do something. In the case...

  17. Has anyone ever refused an assignment?

    Nancy1 replied to Palpitations's topic in General Nursing

    I have never refused an assignment, but I will tell you that at my LTC facility if someone walks off (refuses an assignment) I would ask are you refusing to do as you are asked? And are you aware that...

  18. Do you feel that the doctors you practice with respect you and your profession?

    Nancy1 replied to Brian's topic in Patient, Colleague Relations

    SSUleader, I read your posting about docs being on call and not returning calls. In our facility if we don't get a return call and we feel it is emergent, we call our medical director and cover...

  19. Shift Wars

    Nancy1 replied to LoPaidNut's topic in General Nursing

    Hi, I am sure that any place in the world has the same issue. I am in LTC management and I hear my nurses make snide remarks on how the shift that the particular nurse works in always the worse. As...

  20. How long did you stay on your first nursing job?

    Nancy1 replied to Linda J's topic in General Nursing

    I stayed with my first facility for 4.5 years. I was in 2 different positions. The first was an internal float nurse in LTC. I was hanging in because instructors and other nurses said I should have 1...

  21. Do you feel that the doctors you practice with respect you and your profession?

    Nancy1 replied to Brian's topic in Patient, Colleague Relations

    I feel that my work place has a very special relationship with our docs. I manage a 47 bed skilled unit. The residents for the most part are Lifecare, which means they gave us what they had and we...

  22. Leaving Management

    Nancy1 replied to Daisy's topic in General Nursing

    I accidentally cut myself off. I work in LTC and have been out of nursing school since Dec. 1993. In March, 1994 I became a Unit Manager. Stayed there for 3 years before decidng to leave for all...

  23. Leaving Management

    Nancy1 replied to Daisy's topic in General Nursing

    Dear Naomi, It was very distressing for me to read all the negative responses that were in this listing. It makes me realize that my employer is

  24. How can or do nurses deal with death and grieving?

    Nancy1 replied to SSUALE's topic in Patient, Colleague Relations

  25. Tell us about your computer system

    Nancy1 replied to Brian's topic in General Nursing