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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 failing. Less than five years ago it was a 5-star facil...

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 we don't have cable internet or DSL. I can get 4G ...

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 America

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 day off and my bosses feel that's just how it's supp...

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 three weeks without a day off. If people don't show u...

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 it would pay significantly less, I'm willing to ta...

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 been an RN for 18 years and only recently come to the...

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 and a backup babysitter and a plan for if the schoo...

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 the commitment to becoming a nurse, driving to wor...

What are co-working spots? That sounds promising!

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 bigger things to worry about but it appears the head of...

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, medical records person, dietary aides etc. just continue...

Hmmm I wonder what I would have to pay for an office space

So today I had to talk to a CNA about her attitude. I rehearsed the conversation before having it - made sure to emphasize her many positive attributes before asking her to please "reign in her negativity" a bit. She's been very loudly negative in ...

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 this battle. The corporate DON 100% backed me on...

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 working the floor covering a sick call where I'm DON. ...

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 term care position. Before that I did 6 years of...

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 diastolic blood pressure didn't mean much at all and...

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 their scope of practice but did not have all the ...

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 others and everybody tells me it's like this in ev...

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 all the help they need and be extremely appreciat...

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 true. Most of the nurse bullies I've met fall into o...

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 at a faciility that had recently had a bad survey,...

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 success, to have her transferred to a more appropriate ...

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 state things very, very strongly to the higher ups...