Destinystar

Destinystar

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All Content by Destinystar

  1. crossing the border..

    Destinystar replied to beausud's topic in International Nursing

    I would not take any chances. Do what you are required to do or you may be denied re-entry. I have had 2 friends denied entry b/c they did not have their Visas in order. Hope you have a nice visit...

  2. Are you in Nursing for the Caring or the Cash?? Be Honest

    Destinystar replied to 1BlessedRN's topic in General Nursing

    do people enter medical school or law school or construction for the money????????you bet they do. our services are just as valuable as the ones i mentioned above and there is nothing wrong with...

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

    Destinystar replied to Destinystar's topic in Geriatric, LTC

    i agree that nurses like you work very hard to produce a quality care plan that could improve the care of the residents if they were followed. i agree that there are nurses out there like you...

  4. LPN as supervisor?

    Destinystar replied to CapeCodMermaid's topic in Geriatric, LTC

    If you have IP's (Interim Permittees) both LVN and RN they can only practice nursing under the direct supervision of an RN. A DON can only be an RN. Only an RN can sign off MDS's. Only RN's can give...

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

    Destinystar replied to Destinystar's topic in Geriatric, LTC

    that is exactly my point after 27 years in ltc. i have written many (cause i had to) but have never neededto look at so much as 1 in my entire career. my post didnt ask if they are required i asked if...

  6. Can I give frank unsolicited advice?

    Destinystar replied to Todd SPN's topic in Geriatric, LTC

    the fact that you stated that this pt. has a crush on you gives you the leverage to put in a sexual harassment complaint and request to be reassigned. does not sound like either you or the pt. are...

  7. Is pay better in LTC facilities than hospitals

    Destinystar replied to Loraineo's topic in Geriatric, LTC

    hospitals usually have a scale based on years of experienced that is rather fixed. nursing homes dont. you have a lot more bargaining power with a nursing home in terms of salary and getting on health...

  8. Whistle Blowing In Ltc Bad Bad Idea

    Destinystar posted a topic in Geriatric, LTC

    "he who is without sin cast the first stone". if you complain about a ltc that you work at they have the same right to complain about you. so why complain about a ltc at your expense? just b/c you...

  9. Excelsior Pass Rate?

    Destinystar replied to MiaLyse's topic in Online Distance Learning

    :balloons: I went to Excelsior when it was the University of the State of New York and graduated in 1988. I was the first person out of the NCLEX and received a very high score. The school has high...

  10. Definition of Rural

    Destinystar replied to Idaho Nurse's topic in Rural

    if your neighbors live in a cabin you might be rural. my closest neighbor is one mile away. my street has 3 different names all on a wooden post. if i call 911 the dispatchers have a different street...

  11. RN bashing

    Destinystar replied to SCRN1's topic in General Nursing

    i worked my way up from cna, lvn, adn, bsn all in ltc. just give some of these people a little bit of power and they can be very nasty. when it comes to being nasty to cna's some rn's & lvn's run...

  12. Home like environment? Zoo like atmosphere

    Destinystar posted a topic in Geriatric, LTC

    lets put up menus, activity schedules, and photos over the beds of residents who cannot see, and stuffed animals fit for a childs nursery. turn on 2 or 3 tv sets (tuned into a language they cannot...

  13. Unite And Make A Difference!!!!!!!!!!!!

    Destinystar replied to Salus's topic in General Nursing

    i think the most effective way of sending a message is through the tv. have to come up with some attention getting story. get it on talk shows. i bet that a lot of people out there would be very much...

  14. Med Not Available = med error?

    Destinystar replied to findingmywayRN's topic in Geriatric, LTC

    call the md or the medical director. ask to get an order to hold the dose. then put in the doctors order and on the mar "hold 9 pm dose of ....." as well as in the nurses notes, report sheet, etc.then...

  15. Survey: Should nurses from other countries be recruited to aid in the nursing shortag

    Destinystar replied to Brian's topic in General Nursing

    :angryfire nurses here are being denied positions in preference to lower paid ip's from foreign countries. i dont think that a health care organization should be allowed to give a foreign nurse a...

  16. Worried about co-worker

    Destinystar replied to pgrsctrn2be's topic in Patient Safety Issues

    If the medication is perscribed by her MD she can take it. Unless you notice that she cant walk, talk, make decisions, I dont see any reason to report it. Nurses can and do take a lot of medication...

  17. Patients Rights vs. overly demanding patients

    Destinystar replied to Angela Mac's topic in General Nursing

    WAS THIS PATIENT IN A NURSING HOME OR A

  18. Patients Rights vs. overly demanding patients

    Destinystar replied to Angela Mac's topic in General Nursing

    most of those "social workers" are designees that have nothing more than a short course and a certificate. they are wanna be nurses. most of them don't know or do their jobs cause their so busy...

  19. Patients Rights vs. overly demanding patients

    Destinystar replied to Angela Mac's topic in General Nursing

    Unfortuantely whenever a pt. complains you have to assess him. If it turns out that he has a pattern of unfounded complaints have to get a psych consult. Have to care plan it. Have to try...

  20. How often are the Dads prosecuted?

    Destinystar replied to LydiaNN's topic in Ob/Gyn

    If the child was supervised appropriatly in the first place an opportunity would not exist. The parents are responsible for supervising their children. Do you ever see the childs parents going to jail...

  21. Do the state inspectors ever show up on noc shift?

    Destinystar replied to Blackcat99's topic in Geriatric, LTC

    :rotfl: :) :chuckle Not before like 5:00 am. These are government employees who are not about to go out of their way unless they absolutly have to. They know that noc hours are 11pm until 7:30 am so...

  22. staff RN's in LTC?

    Destinystar replied to lyceeboo's topic in Geriatric, LTC

    In assisted living sometimes they utilize LPN's & RN's in an adminstrative capacity. In California and Florida they have a serious shortage of RN's in the nursing home, they need them to fill the...

  23. staff RN's in LTC?

    Destinystar replied to lyceeboo's topic in Geriatric, LTC

    The requirements for RN staffing in LTC are mandated by OBRA (Federal Regulations) and state regulations. In California that would be Title 22. In California the RN staffing is based on the number of...

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

    Destinystar replied to Destinystar's topic in Geriatric, LTC

    company policy and procedures already at the nursing station are for. why keep duplicating the same thing over and over again. it takes time away from resident care. when you look at a residents care...

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

    Destinystar replied to Destinystar's topic in Geriatric, LTC

    I agree with you that the only reason why they exist in LTC is b/c OBRA and state regs. mandate it. With there being such a shortage of direct pt. care I dont think that the amount of time and $ that...