Destinystar

Destinystar

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All Content by Destinystar

  1. Job won't quit calling on my days off!!!!!

    Destinystar replied to jenny_g's topic in General Nursing

    The day after I delivered my first child 18 years ago the place that I worked for called me at 5 am the next day and asked me to come to work, when I told them that I had just had a baby & was on...

  2. tipping nurses?

    Destinystar replied to chel_m's topic in General Nursing

    first of all i need to clarify if this person is an employee of yours working for you exclusivly in your grandmas home or if this person will be an employee of a nursing agency? if this person is...

  3. hand, foot and mouth disease, sounds serious but is not

    Destinystar replied to oramar's topic in Pediatric

    my son had it when he was 3 years old. looked like small blisters on the palms of his hands and the soles of his feet. i freaked out. but he did not appear to be ill, or feeling bad in anyway. several...

  4. Need info about a small syrnix @ C-2 ped.

    Destinystar replied to Destinystar's topic in Neuro Intensive Care, ICU

    I just want to say thank you and to tell you how much I appreciated the information that you passed on. I just visited one site and was able to download some info. This will be useful when I fax the...

  5. IELTS, TSE: A Regulation? or a Discrimination?...

    Destinystar replied to chronicTX's topic in Activism, Healthcare

    first of all i hope you pass the tse. with the nursing shortage being as severe as it is i would think that the us would want to make it as easy as possible for people to come here and practice...

  6. MDS/Medicare Coordinator job...Need info please

    Destinystar replied to jaxnRN's topic in Geriatric, LTC

    as far as mds is concerned it seems that it is a job that either nurses hate or love. i did it from 1995-2000. i really liked it. the part about confining yourself to only 8 hours a day is not...

  7. What can we do to improve working conditions in Nursing homes?

    Destinystar replied to Destinystar's topic in Geriatric, LTC

    sure cna's can utilize the process and i would encourage all of them to do so. there are so many more of you than there are licensed nurse in ltc. in california cna's belong to unions and have...

  8. geriatric research proposal

    Destinystar replied to Michelle_nurse's topic in Geriatric, LTC

    The standard in California is that a pitcher of ice water is placed at each residents bedside at least one time a day and refilled as needed. I believe that there is already data about what...

  9. What can we do to improve working conditions in Nursing homes?

    Destinystar replied to Destinystar's topic in Geriatric, LTC

    What I have been refering to is the staffing ratio in LTC which is different than in acute care. A licensed nurse in LTC could easily have 30 residents to take care of and CNA's to supervise. I agree...

  10. geriatric research proposal

    Destinystar replied to Michelle_nurse's topic in Geriatric, LTC

    In the Geritatric section. I started a thread on "Care Plans an Exercise in Futitlity" that generated a lot of comments from nursing. I can understand the nursing practice act, and federal guidelines...

  11. TV in the ED

    Destinystar replied to RNCENCCRNNREMTP's topic in Emergency

    We have individual TVs in our ER spots. Since I am in a family way with a sick kid it has made him feel better and kept his little bother and I have to admit me as well entertained while we had to...

  12. What can we do to improve working conditions in Nursing homes?

    Destinystar replied to Destinystar's topic in Geriatric, LTC

    You are right if the facilities are given more money they will probably just add it to their profits. Seems like it has to be mandated by State &/or federal regulations before anyone will adhere...

  13. What can we do to improve working conditions in Nursing homes?

    Destinystar replied to Destinystar's topic in Geriatric, LTC

    I agree Mister Chris. If we donate our time we are minimizing ourself to volunteer workers. In California some of the LTC facilities by pass this by giving administrative nurses and supervisors a...

  14. What is the Phillipine 'secret'?

    Destinystar replied to pickledpepperRN's topic in Activism, Healthcare

    it is not a secret it is an advantage b/c they are bilingual and educated in english. enough being said about all of the privileges the us grants them with. the phillipines has just as many privileges...

  15. Misdemeanor/Felony:Restricted License ??

    Destinystar replied to georgie's topic in Ohio Nursing

    Speaking from the point of view of Nursing in California. The license issued here look the same. We are mandated to verify licensure before we hire. At that time if the licensee has some kind of...

  16. itchy residents

    Destinystar replied to Nancy45's topic in Geriatric, LTC

    i agree with ktwlpn. in california nurses are not allowed to do scrapings to test for scabies only md's. do the staff have any symptoms? usually with scabies the staff have symptoms as

  17. Do more forms = better pt. care

    Destinystar replied to Destinystar's topic in Geriatric, LTC

    in california our regulations do not dictate the forms or the methods that we use for our documentation other than the mds. we used to have the same problem with our care plans with some surveyors...

  18. not enjoying job as a CNA

    Destinystar replied to Purple Princess's topic in Geriatric, LTC

    Maybe you could get some tips from the Thread about bullying in the work place. That is what this sounds like to

  19. Care Plans an Exercise in FUTILITY??????

    Destinystar replied to Destinystar's topic in Geriatric, LTC

    Maybe there could be a more effecient and effective way for nurses to document the nursing

  20. Care Plans an Exercise in FUTILITY??????

    Destinystar posted a topic in Geriatric, LTC

    :uhoh21: I would like to know how many of you out there sit down and read each and every care plan on each and everyone of your residents each and every day before you start work? I am not talking...

  21. my supervisor is becoming forgetful

    Destinystar replied to tiroka03's topic in General Nursing

    i am in california and the last time i looked if an lpn has accepted an assignment to take care of patients they can call the md to get an order to send the pt. to a hospital or call 911 whatever the...

  22. how do you tell people their loved one is near death?

    Destinystar replied to Purple Princess's topic in Hospice, Palliative

    I agree with Earle it is up to the MD or the licensed to discuss the residents condition and prognosis with the family. With Hippa you can only discuss information to people who are legally entitled...

  23. back injury ...career change?...HELP

    Destinystar replied to R.M. RN's topic in General Nursing

    you can go into teaching, mds, don, md office. you do not have to give up your

  24. Care Plans an Exercise in FUTILITY??????

    Destinystar replied to Destinystar's topic in Geriatric, LTC

    the last time i looked the mds was a tool to determine if residents qualified for snf level of care so that a facility could be reimbursed by medical and medicare (too many 0's meant they could be...

  25. Question about losing a liscence

    Destinystar replied to Achoo!'s topic in General Nursing

    just a reminder when peeps are asking questions please mention what state you are taking about. in california we have a diversion program. if she harmed a patient or performed care below a standard,...