RRRNNN

RRRNNN

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All Content by RRRNNN

  1. Hi. I'm an RN with 17 years of experience in ICU, ER, rehab, and home health case management. I just finished my first week in my new position of Risk Manager at a 90-bed nursing home that is...
  2. Hi I'm considering getting out of being a LTC DON and working from home. My cousin works in an at-home QI position for Humana now and she loves it. Unfortunately, I live in a rather rural area and...
  3. Too ugly to be a nurse..?!?

    When a person is in need of care, the care we provide and the way we treat them FAR outweighs our appearance. People would rather receive good care from an "ugly" person than bad care from Ms
  4. I'm currently DON in a LTC and can't take the stress and long hours any more. Don't get me wrong, I'm doing a great job. Just passed survey with flying colors. But in the past 3 weeks I've had 1...
  5. What's utilization management like?

    So it sounds like there is a lot to learn and probably a lot of stress while at work, but there is possibility of work life balance? Right now I never know when I will have to go into work. I went...
  6. What's utilization management like?

    Thanks for your response. It's for a payer. I'm wondering how the stress level would compare to my LTC DON position. The same corporation has a utilization review nurse position open and, although...
  7. Should I go to HR?

    If you ever find a nursing job where you don't have to deal with ******, snarky, petty, ridiculous bosses and coworkers, too much work, and abuse.....send me the address and I'll move there! I've...
  8. HELP!!!! Resume NEW GRAD

    The applicant I would be most likely to hire would say something like "I have a car that works and a backup plan if it has trouble. I either don't have kids or if I do have kids I have a babysitter...
  9. You seem to be having anxiety over the requirements of nursing school. Are you over the age of 18, or are you a minor? Is somebody forcing you to go to nursing school? Are you sure you want to make...
  10. What are co-working spots? That sounds
  11. When I imagined all of the hardships that would be associated with DON, I thought they'd be over more important things than poop and "who's better, nursing or housekeeping." Good Lord. I've got...
  12. And it's not as if there's a nationwide shortage of housekeepers! They keep driving off my staff. So then the CNAs will be working short because we're fresh out of CNAs, and the housekeepers,...
  13. Hmmm I wonder what I would have to pay for an office
  14. So today I had to talk to a CNA about her attitude. I reheorificed the conversation before having it - made sure to emphasize her many positive attributes before asking her to please "reign in her...
  15. Yes - I would think people would act like we're all on the same team, and work together to get the job done as efficiently as possible. Instead, it's a constant war between departments. I guess I won...
  16. being fired by patient's family member

    I've been "fired" by patients and family members a few times in my 18 years of nursing. I'm working LTC now (after ER, ICU, then home health). The most recent time I got "fired" was when I was...
  17. Tomorrow makes 2 months since I accepted DONship at a facility that had been let go for years. Before taking this position I had been risk manager there for about 7 months and that was my first long...
  18. Low Diastolic Pressure - I mean REALLy Low

    When I was working cardiac ICU I asked one of the cardiovascular surgeons what very low diastolic blood pressure meant. He said if it was non-invasive (AKA using a blood pressure cuff), a very low...
  19. Hypothetical situation, thoughts?

    I've seen some pretty bad harm, including death, done by "Good Samaritans" who truly thought they knew what they were doing, but who were working out of their scope of practice. Some were even within...
  20. I need a change nursing homes are full of drama

    Oh, yes - the drama is intense in nursing homes!! I've been an RN for 18 years and only the past 8 months have been spent in the nursing home setting and oh. my. goodness!!!! I've mentioned it to...
  21. Racism in Nursing

    Honestly, nursing is extremely hard work. Unless a unit is over-staffed (and when does that happen?) I can not imagine that anybody working hard and willing to help out their coworkers would not get...
  22. Workplace Bullying

    Bullying is a subject near and dear to my heart. When I was a staff nurse I often found myself the victim of bullying. Over the years I've realized that the stereotypes about bullies are actually...
  23. Just hypotethically - What happens to DONs if their facility gets an IJ and they lose their jobs? Do they remain employable in management positions? If a person were to accept the position of DON...
  24. I'm risk manager at LTC facility in KS. We have a resident with advanced dementia and schizophrenia. She has a BIMS of 3 and is strong, violent, and resisting cares. We have attempted, without...
  25. Catch 22 situation

    Thank you so much for your support. I was feeling insane because I was the only one in management who saw the seriousness of the situation. I was starting to wonder if I was over-reacting. I had to...