RainRN1 ASN, RN

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

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

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 correct dose of medication. That is resident abu...

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 nurse or an aide. How do you put your foot down whe...

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 conditions when some of us are on the floor too muc...

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 cause a nervous breakdown. I want to be an effective ...

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 this nclex 4000 mocks the nclex questions. I knew ...

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 and the people I work with right along with the a...

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 fires. My DON is new to the facility also she start...

pepsi

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 confused.

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 comments almost make me feel bad for becoming a RN ??? I ...

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 is what your corporate is talking about. But you ha...

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 can be combined and which ones can't so double ch...

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 Raine

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 keep up with. But it is getting somewhat better. I...

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 unless an aide is there. I just need some suggestio...

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 assessments you do the way the critical elements te...

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 more disorganized than what I am used to but I thin...

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 :)

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 for the last 12 years. I am not sure what to do. ...

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 past though. I am really liking the hours they are...

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 for 12 years and I really liked them

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 aquafor oint. to keep it moist. Hope everything wo...

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 really was appreciated :))