surfnbeagle

surfnbeagle

ltc,hospice

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All Content by surfnbeagle

  1. Is this a common requirement for being hired at a hospice?

    surfnbeagle replied to goodoldroxie's topic in Hospice, Palliative

    Where I worked it was not a policy. The nurses were all very professional in dealing with pts and their families. However, I did encounter several CNA's who had just had a recent loss and they would...

  2. Drug Diversion

    surfnbeagle replied to eileenis1's topic in Hospice, Palliative

    We have the medications dispensed in small amounts, eg: 3 or 4 day supply. It is very difficult to deal with

  3. Medical coding and being a nurse

    surfnbeagle replied to gabrielle76's topic in General Nursing

    Thank you for the above information. I recently trained as an field reviewer for a medical informatics company. There have been multiple problems with the equipment. One supervisor told me I could...

  4. Advice regarding termination

    surfnbeagle posted a topic in Geriatric, LTC

    I have been a nurse for 14 yrs, working in ltc for about 9 years. I was terminated from my last position because of an incident where the count was off by one but not noticed until the next shift....

  5. Advice regarding termination

    surfnbeagle replied to surfnbeagle's topic in Geriatric, LTC

    Yes, extremely bogus reason and I know it was a smokescreen. They were downsizing,etc. However, i cant lie on an application. I work in a right to work state, Florida. Unions I wish. Thank you for...

  6. I got people fired where I work, and now hate my job

    surfnbeagle replied to shannieliz's topic in Geriatric, LTC

    Nursing includes advocating for your patients . I believe you did the right thing. Yes, long term care facilities are notorious for their back-stabbing and gossip. As long as you believe in what...

  7. throw in the towel with MDS

    surfnbeagle posted a topic in Geriatric, LTC

    hi I am new to MDS, took a position 2 months ago. I WAS going to be trained by their former coordinator, but she left. I am reading my manual, and we have another MDS nurse, though she acts shall I...

  8. transition to management

    surfnbeagle posted a topic in Geriatric, LTC

    Hi, I am working in management now at a LTC facility in FL Specifically in restorative and MDS Ive been a floor nurse for 5 years. I was wondering if there is anyone out there who has gone through...

  9. Restorative Nursing

    surfnbeagle posted a topic in Geriatric, LTC

    Hi, I am new to a facility and I am doing some MDS assessments and managing the restorative program. Apparently, no one has really ever done that before. We have a census of about 100 including a...

  10. new to MDS

    surfnbeagle posted a topic in Geriatric, LTC

    Hi, I am new to MDS. I have been doing it for about a month. I am sure other MDS coordinators out there have come across an mds done by previous coordinators who dont agree with their assessment.I...

  11. CPR after rigor mortis

    surfnbeagle replied to HealinghandsRN's topic in Geriatric, LTC

    I should add that there were signs of lividity and the doctor was promptly called by the charge and the doc said not to do CPR due to the obvious signs of death. The Nazi risk manager is now the...

  12. CPR after rigor mortis

    surfnbeagle replied to HealinghandsRN's topic in Geriatric, LTC

    well, everyone funny I found this thread. I am sitting home now instead of being at work. Yesterday, at change of shift, a CNA asked me to look at a resident. She was obviously dead. I just...

  13. paranoid nurse

    surfnbeagle posted a topic in Geriatric, LTC

    Just wondering if anyone else out there has encountered this. We have a fairly new nurse (to our facility) who works 11-7 and follows me. I found a photocopy of her progress notes in a residents...

  14. paranoid nurse

    surfnbeagle replied to surfnbeagle's topic in Geriatric, LTC

    yep, she photocopied her notes! i never heard of anyone doing this. and i should add that the notes were about a resident we were having major difficulties with. but what is she doing, keeping...

  15. New Grad Rn In Ltc?

    surfnbeagle replied to foreverhope's topic in Geriatric, LTC

    Hi, I am an RN in long term care and work as a staff nurse, you don't have to go into management. I have seen RNs who have gone straight into management (like my DON) and they dont seem to have a clue...

  16. RNs and career advancement

    surfnbeagle posted a topic in Geriatric, LTC

    Hi I live in the Tampa Bay area and work in a snf. It would be nice to hear from nurses in snfs regarding whether or not they have become or know of RNs sho become supervisors by default, when the...

  17. .45NS vs .9NS

    surfnbeagle posted a topic in Infusion, Intravenous

    Hi, maybe someone can give me some info.. a pt had an order for .45NS for an elevated BUN at 96. The prior shift took the order and hung .9NS instead. I caught it,and hung the right bag. Question...

  18. Who is tired of the abuse from lg Corp politics?

    surfnbeagle replied to Rnltc's topic in Geriatric, LTC

    Certainly sounds like many of us are totally fed up with corp. Where I work there are also rules that only apply to some. We even have a married couple working on our wing,when the handbook says...

  19. gestapo nurse

    surfnbeagle posted a topic in Geriatric, LTC

    Hi, I just want to throw this out to the board. I am an RN and work in ltc in FL. I work on the 3 to 11 shift. We have a new nurse to our facility who works 11-7 and follows me. The other night...

  20. What meds do you use to treat your residents sores?

    surfnbeagle replied to PHTLS's topic in Geriatric, LTC

    Every wound is different, we work up pts for nutrition levels and have a great wound care nurse. We have found that Accuzyme is twice as effective as PANAFIL. iTS actually healing a wound that the...

  21. vancomycin in snfs

    surfnbeagle posted a topic in Infusion, Intravenous

    Can anyone out there identify with this? Lab is never on time to draw peak and trough. Should vanco be held before trough level is known? Also I was reading that use of a vacutainer is not as safe...

  22. vancomycin in snfs

    surfnbeagle replied to surfnbeagle's topic in Infusion, Intravenous

    Thanks for confirming what I thought. I told a new nurse to hold the vanco until she knew the trough, she never got that info, shift changed and she didnt hang it. So she has been told she made an...

  23. Staff RNs in LTC

    surfnbeagle posted a topic in Geriatric, LTC

    Hi! I am new to this board. Are there any staff RNs out there in LTC? I live in FL. There have been so many changes recently and turnover at our facility...I am the only staff RN on 3 to...

  24. Home health in Florida

    surfnbeagle posted a topic in Home Health

    Hi I am going to be working per diem for home health soon. I used to do it 4 years ago and I am somewhat familiar with OASIS. My questions are: anyone familiar with Heartland Home HealthCare. I may...

  25. returning to home health

    surfnbeagle posted a topic in Home Health

    Hi, I am starting to interview for home health positions. I did it for 4 years, last time in NJ and in 2000. Since then I have been working mainly in SNFs in FL. Any advice???? Are there any home...