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I wish I had one of those! Thanks for the coment,Jean :rotfl:

Hi Ann, Thank you for your kind response.It sounds like you may have hit upon a really good treatment for you.I hope it continues to help you.I have heard of others who have the myofascial treatments.My friend has myofacial syndrome from an auto accident and has been disabled for years but she gets the treatments and it does seem to help her.I think everyone who has this terrible foe should go for anything that can be safely done to get relief. I am gong to my doctors tommorow and am going to ask for Cymbalta.I am on Lexapro now(I've been on evey antidepressant since 1979) and have been having a lot of pain especially in the abdomen which I am sure came from the recent kidney surgery. I have been on medical leave since last August for one thing after the other and I dearly wish to go back to work.Not only do I love it but I need to build up my retirement so I can retire in about 9 more years. I think exercise is the best thing you can do for fibro but sometimes it's not always convenient.I can't walk on my treadmill yet because of my leg surgery but I hope he will release me tommorow to do that and to go back to work.Do you work outside of your home? Does the Cymbalta really help your pain?I already take Neurontin for my peripheral neuropathy(My fibro was caused by a bad fall and resulted in the neuropathy from damaged nerves) and don't need it for that.I have been on the same medical therapy for 8 years and with the exception of antidepressants have never changed.I take Ultram three times a day and zanaflex at bedtime so I can go to sleep.I have always been a very poor sleeper.I also take Elavil.I have never had any unfavorable side effects from any medications and I count my blessings for that. I hope to get back into a regular routine and can get back to work.It affords me alot of activity. Thank You again Ann and I hope you have a great week,Jean

Thank you Dave to sending along the article on the history of FMS.I have suffered from this for many years.AS an RN I see lots of pain and give lots of pain meds.Some succeful and some are not.I have been out of work for 6 months with, C-Diff colitis, kidney cancer, compound fx with titanium rod insertion in left lower leg and fx of right foot.I am having an enormous increase if fibro pain especially in the abdominal area.No doubt thanks to the kidney surgery and all of this immobility.I can't wait to get to the doctor on Monday to discull Cymbala with him.The therapy I have been on for seven years has sustained me very well but I'm afraid it no longer affords me the same level of comfort.The increased fatigue and I will admit to some degree of depression is becoming hard to bear.Hopefully this new drug will help.Thanks again for the article, Jean

The Don came to me when she first started and asked me to do something for her and this was her comment."I was told,to get things done you go to the person who is the busiest and I brought this right to you". For about a half a minute I thought it was a compliment.DUH! And it hasn't stopped since.

Been there, done that, don't wanna go back.Boy all of these comments sound so familar.I guess the problem is universal.Thanks for responding.Jean

Oh I'm not the UM, I'm the charge nurse on the sub-acute unit b ut they offered me the posi:rotfl: tion because it is a new position at my facility and i turned it down.

You know we have two nurses who do nothing but MDS,RAps,and care plans.Our unit manager is nursing and CNA supervisor also. Our unit manager is also our risk manager,wound care and anything else the don can "delegate" In addition to all you listed below and anything else anyone doesn't want to do.Basically a dumping ground for all the others don't have time or don't want to do.All the Don does is sits in the RCC room doing MDS,RAPS and care planning meetings snacking ,drin king sodas and having a great time.We can hear them out on the floor.Thanks for resonding.I think every reponse has felt like they were being used in this position.

I'm sorry but RCC is what we call our resident care coordinator.They are the ones who do all of the MDS and have care plans.They used to do alot more but all of the extras they do have rolled over to the floor nurses in order for them to concentrate on the care plans and mds's.She said that is the financial part and that's how we get paid.You are very fortunate in that your nurses work so well together.Thanks for the response.Jean

Are they over your RCC nurses? They contact doctors, transcribe orders, fax for orders, go to care conference, help the primary care nurses, go on rounds with MDs, sit on committees such as the fall team, meet with me weekly. They do the nursing admissions (not the consents and stuff, just the medical stuff and assessments) .They monitor the nurses and nursing assistants. They each have a unit of 45 residents.

In other words it's just too much for one person,huh?

W here I am they are two separate positions.this was changed just recently because the RCC can't handle all of the work.Nurse manager is also Risk manager and Wound care nurse and takes care of infection control in addition to all of the managing of nurses and CNA's,is on the weight and restraint committee and attends all of the careplan meetings.She also has to go through all of the charts to make sure they are state ready.Did you have all of those responsibilities?Thanks,Jean :rotfl: :balloons:

Can anyone tell me if a unit manager is over Resident Care Coordinator in the chain of command in long term care.Thank You, Jean

Thank you so much, this info has been so helpful to me and my efforts to create a job description for a position we have never had before.Again my thanks to you, Jean

Thank You so much, that's just what I was looking for.If you can add anymore duties to that, I would certainly appreciciate it.Are they responsible for risk management or would care? do they also handle ward clerk duties? ie: appointments etc?

Thank you Michelle for your response. Jean