RainRN1

RainRN1 ASN, RN

LTC

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All Content by RainRN1

  1. Directors covering open shifts

    RainRN1 posted a topic in LTC: Directors, Assistant

    How often are you covering open shifts? Seems like it's common and if so how are you getting your job

  2. Directors covering open shifts

    RainRN1 replied to RainRN1's topic in LTC: Directors, Assistant

    Not all directors are the same. I wish I could just work

  3. New Grad- What did I just get myself into?

    RainRN1 replied to newRNnc's topic in Geriatric, LTC

    That's not appropriate and an med error needs to be completed along with md and family notification!!!!! Complete crap. I have worked in ltc/snf'S for 18 years you wear gloves and you administer the...

  4. Directors covering open shifts

    RainRN1 replied to RainRN1's topic in LTC: Directors, Assistant

    It's killing me. I'm ready to quit nursing all together. I've been a nurse for 18 years I've never seen staffing this bad. I know one thing I'm done working all different shifts whether it's as a...

  5. Directors covering open shifts

    RainRN1 replied to RainRN1's topic in LTC: Directors, Assistant

    Not quite sure how. I feel I am responsible for the residents which means ensuring care. I know there is no way to do my job right and cover the floor. How can staff expect change and better work...

  6. Directors covering open shifts

    RainRN1 replied to RainRN1's topic in LTC: Directors, Assistant

    It's feels like it's the norm now. I'm a new DNS and it's difficult to get down what I need for my responsibilities when I have to cover floor even the worry everyday about schedule is enough to...

  7. failed the nclex 4 times!!! need help/motivation

    RainRN1 replied to noccheer09's topic in NCLEX Exam, Programs

    I bought nclex 4000 when I was taking the nclex for the 2d time, and just kept answering questions it is what helped me the most. Its not so much the content its the way the questions are worded and...

  8. New ADON feeling inadequate

    RainRN1 posted a topic in LTC: Directors, Assistant

    I have been in LTC since 1991 started out as an aide, LPN, and have been an RN since 2010. I have been head of MDS department since 1998. I recently took an ADON position, I absolutely love my new job...

  9. New ADON feeling inadequate

    RainRN1 replied to RainRN1's topic in LTC: Directors, Assistant

    I am in charge of in services, employee PPDS, I am in charge of one hall, in charge of restorative program. I have no time to sit and do much of any of these I listed due to constantly putting out...

  10. Fun: Coke or Pepsi Nurses?

    RainRN1 replied to Brian's topic in Nursing Humor

    pepsi

  11. Disagreement with medical director over wound staging

    RainRN1 replied to savoytruffle's topic in Geriatric, LTC

    I stage the way the RAI manual says to. I do not go by any other standard. I am also a RAC-CT have been doing MDS since 1998. If you go by too many things you will get

  12. LPN= MDS?

    RainRN1 replied to focusedvalpn's topic in MDS Coordinator Information

    I have been Head of MDS department for 13 years as an LPN for 12 of them, with the DON signing and another LPN working under me. I decided it was time to further my education for myself. These...

  13. ICF resident returns skilled for short term

    RainRN1 replied to brandnew2mdsrn's topic in MDS Coordinator Information

    If this person is medicaid and you give the significant change assessment an ard a day apart from the pps then what you are doing is giving this person a rug score on the medicaid side. I think that...

  14. Combining assessment types

    RainRN1 replied to rukiddingme's topic in MDS Coordinator Information

    There are only 2 assessments you cannot combine with another assessment and those are the entry and death in the facility I believe. There is a chart in the RAI manual that tells you which assessments...

  15. Combining assessment types

    RainRN1 replied to rukiddingme's topic in MDS Coordinator Information

    Move the quarterly ard to the 18th I can't imagine it will throw you out of compliance unless you are using the 92nd day already

  16. New to Home Health

    RainRN1 replied to RainRN1's topic in Home Health

    Thank You very much for yur reply's I have been trying to get ahold of clients the day before also but I am finding the office changes my schedule on a daily basis which for a new HH nurse is hard to...

  17. New to Home Health

    RainRN1 posted a topic in Home Health

    I have a question - Do you always call clients the day before you go to their house or the day of? I am having a really hard time getting my day scheduled due to clients in bed til late or I cant go...

  18. CPNE 2 quick questions

    RainRN1 replied to vredsox's topic in Online Distance Learning

    I graduated last year from Excelsior, I am not sure what has changed, but the way I had to do it was the 20 minute checks were done within the first 20 minutes of entering the room. The rest of your...

  19. Taking the plunge

    RainRN1 replied to Thor77's topic in Medical-Surgical

    I have not really gotten an orientation today was my third day and I was on my own, my boss was there but she had to work the floor to due to call ins which is seeming to be a pattern. I think it is...

  20. Taking the plunge

    RainRN1 replied to Thor77's topic in Medical-Surgical

    Congrats I just did the same thing after 13 years the only thing I can tell ya after 2 days is it is different. Good Luck hope you like it I still havnt made up my mind yet

  21. Need some advice please

    RainRN1 replied to RainRN1's topic in Medical-Surgical

    Thank You both for responding. was an LPN for 14 years and have been an RN almost a year but I have worked in LTC until I took this job in med-surg. I have done skilled visits for home health in the...

  22. Need some advice please

    RainRN1 posted a topic in Medical-Surgical

    I am starting a med surg job tomorrow it is night shift weekend option after orientation of course. I recieved a call today offering an ADON position in home health???? I have been and MDS coordinator...

  23. MDS course and certification

    RainRN1 replied to aminv's topic in MDS Coordinator Information

    Look up AANAC they are a group for MDS coordinators and are very active they do the certifications the membership used to about 120 a year but they are a great resource. I have been an MDS coordinator...

  24. Cause for HUGE blisters on feet?

    RainRN1 replied to ws582's topic in Medical-Surgical

    I dont know what caused them but I will tell you that I had one of my kids at Shriners for a burn that was blistered and the doctor did say to leave it intact if at all possible, he just had us doing...

  25. Confused

    RainRN1 replied to RainRN1's topic in Medical-Surgical

    Yay, I got a phone call this morning and I start the day after my other job ends so 3 8 hrs then 2 12 hrs !!! Thats okay didnot want to be with no job. Kayern thank you so much for your support it...