fluffwad

MDS coordinator, hospice, ortho/ neuro

Member

  • Content

    262

  • Visitors

    6,180

  • Followers

    0

  • Likes

    1

All Content by fluffwad

  1. fluffwad

    Private LTC vs. For Profit LTC

    fluffwad replied to Serenity USVI's topic in Geriatric, LTC

    I work for a privately owned for profit facility. In the past I've worked for private non-profit facilities and for large chains. A lot of it depends on who the people at the top are, if they're...
  2. fluffwad

    Getting started as MDS nurse

    fluffwad replied to farmgirl2's topic in MDS Coordinator Information

    www.aanac.org Is this place willing to train you , or send you to training? Will you be working with another MDS nurse with experience? Get a copy of the RAI manual rom your employer, or you can read...
  3. fluffwad

    Would you have a child because you thought you would regret it later on if you didn't

    fluffwad replied to smack050505's topic in General Nursing

    :yeahthat: It isn't like getting a dog and then deciding you don't really like having one. If you don't really want kids, having them just because everyone else does is asinine. When I was 13 I...
  4. fluffwad

    Have you ever gone in to find a patient dead? What happened?

    fluffwad replied to DutchgirlRN's topic in General Nursing

    Yup. One night I was working a hospice unit ( 8 beds reserved for our hospice's patients who where having issues that couldn't be dealt with at home). Went in at 6am to check on lady #1, and she was...
  5. fluffwad

    Feeding and toileting

    fluffwad replied to SouthernLPN2RN's topic in Geriatric, LTC

    I can't see something like that surviving the next state survey. When ya gotta go, or when your patient is sitting there soaked you just can't leave them. But they probably did that because someone...
  6. fluffwad

    Hourly vs Salaried position

    fluffwad replied to Inquisitive one's topic in Nurse Management

    How do you know that this is true? Do you have access to the records of who makes what? Every place I've ever worked there has always been one who starts with this kind of thing. I'd bring this to...
  7. fluffwad

    ADON job offered to someone outside & not me. Need opinion.

    fluffwad replied to Shell5's topic in Geriatric, LTC

    no, it wasn't posted, but it wasn't posted for the lady they called either. it's obvious it wasn't offered because i had been there a while because she wasn't even working there at the time. that...
  8. fluffwad

    ADON job offered to someone outside & not me. Need opinion.

    fluffwad replied to Shell5's topic in Geriatric, LTC

    1. Was the position posted and did you apply for it? You won't be asked just 'cause you've been there a while. 2. a pending board investigation would almost automatically disqualify you in just about...
  9. fluffwad

    Medication Nurse Assistants

    fluffwad replied to K205's topic in General Nursing

    Ohio recently passed a bill for med techs.............our facility is thinking about hiring a few. Personally I think this could be a good idea.......on some of our units, the nurses spend 40-50% of...
  10. fluffwad

    moving to day shift---HELP

    fluffwad replied to sueQ's topic in Geriatric, LTC

    i did 11-7 for 12 years ........... it took a while to get my sleep cycle re-adjusted. it also took some time to get used to a different way of thinking about keeping track of time ( when you come...
  11. fluffwad

    Night Nurses: Why Do You Work Nights?

    fluffwad replied to tattooednurse's topic in Geriatric, LTC

    I used to work nights because: the administration wasn't there....less aggravation the families weren't there.....same as above I've moved state to state a few times and you can get a night position...
  12. fluffwad

    VERY weird code today

    fluffwad replied to ShayRN's topic in General Nursing

    When I was working for a hospice, I had a patient who had no vital signs.....I'd been listening for an apical for at least a minute......then suddenly the man sucked in a huge breath and opened his...
  13. fluffwad

    What happens to your integrity when you go into management?

    fluffwad replied to olympiad27's topic in Nurse Management

    I'm currently working under a DON who has a great deal of knowledge and a great deal of insecurity. She really knows her stuff but won't delegate , and gets defensive ( as if anyone really wants her...
  14. fluffwad

    Is it absolutly neccasry to swap out the needle after I draw it?

    fluffwad replied to bjware's topic in General Nursing

    My facility uses a brand of syringes where the needles cannot be removed. I was not taught to change needles......I was taught to use ' a smooth darting motion' and I can give IM and SQ injections...
  15. fluffwad

    Patient Attachment Help!!

    fluffwad replied to Happytocare's topic in Geriatric, LTC

    Sounds like this man might be anxious and might benefit from an psych consult / antianxiety agent...........is he able to explain why he wants to be will you all the time and gets upset when you...
  16. fluffwad

    how often MDS C. work floor?

    fluffwad replied to pageplace's topic in Geriatric, LTC

    amen! had some new grad bop by my office and ask "how i get an easy job like yours?" i told her ...get your rn and at least 3 -5 years floor experience, then get your crrn, then get your...
  17. fluffwad

    MDS Process nurses

    fluffwad replied to nursegirl62's topic in Geriatric, LTC

    I am the MDS coodinator in a 99 bed facility. I have an LPN who also is a full time MDS nurse. I find it works best if we can both are able do everything, but it makes sense to divide up the tasks so...
  18. fluffwad

    Management?

    fluffwad replied to danursern's topic in Nurse Management

    The MDS is complicated....I'm certified for it, and it's the kind of thing you probably can't learn on the outside and just start doing it. It's best to get a job where they will train you. Same thing...
  19. fluffwad

    Do you feel valued in your current nursing position?

    fluffwad replied to Brian's topic in General Nursing

    My bosses tell me they value me as an employee, but some how it just seems like lip service. I know that what I do is important and that I am doing a good job, but the way things have been in...
  20. fluffwad

    Management?

    fluffwad replied to danursern's topic in Nurse Management

    What ADONs do depends on the facility. In most of the LTC places I've worked the ADON did disciplinary actions, scheduling, staffing. Some were also responsible for MDS co-ordination, care plan...
  21. fluffwad

    I'm supposed to wear an "Ask me if I washed my hands!" button?!

    fluffwad replied to daisybaby's topic in Activism, Healthcare

    This gives me ideas...............I'm so frustrated with my administration right now I could just scream. But I'd rather beat someone to death with my keyboard.:angryfire How about: " Ask me if my...
  22. fluffwad

    How's your pressure ulcer prevention care on your residents like?

    fluffwad replied to Jubei's topic in Geriatric, LTC

    Some of this depends on what kind of patients you have. Some homes cater to younger disabled, a few places take only the walkie-talkies. The average age at my facility is about 87 and we have several...
  23. fluffwad

    Has anyone ever been assaulted by a patient?

    fluffwad replied to OUBobcat94's topic in General Nursing

    i used to work on a ortho/ neuro rehab unit that got a lot of head injuries......a lot of them druggies. most of that set were violent in the early stages and basic jerks after they'd recovered enough...
  24. fluffwad

    Are women psychologically predisposed to cattiness?

    fluffwad replied to Mirai Kangofu's topic in General Nursing

    I absolutely agree................healthcare management tends to be very non-supportive of its staff. In 22 years I've only encountered one place where I trusted the management....a non profit...
  25. fluffwad

    Skilled Nursing (LTC)

    fluffwad replied to nurseangel78's topic in General Nursing

    I have worked LTC for 22 years. I give them one verbal warning then I start writing. I report all issues to the DON, verbal or not. Unfortunately babysitting and herding morons is a part of nursing...