pixie120

pixie120

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All Content by pixie120

  1. Question for those who work the 11pm-7am shift

    pixie120 replied to NewestRN_OnTheBlock's topic in Geriatric, LTC

    I always chart in the MIDDLE of my shift. I don't understand nurses who chart at END of shift. If I have charted in the middle, and there is something new to report, then of course I do an addendum,...

  2. Question for those who work the 11pm-7am shift

    pixie120 replied to NewestRN_OnTheBlock's topic in Geriatric, LTC

    So..why not change the times to the actual times the meds are being given? If the resident always reallygets the thyroid med at 0445, change the time! If the tube feed is really changed over at 0200,...

  3. Anybody ever have an MD actively campaign to have you fired?

    pixie120 replied to imintrouble's topic in General Nursing

    I can commiserate, sometimes the bad press we get, thru no fault of our own, is our potential downfall. A few years ago, a building I was working in, a lot of rumors started about me. I worked...

  4. Has Mr Peabody been here with his Way Back Machine?

    pixie120 replied to CapeCodMermaid's topic in LTC: Directors, Assistant

    So...do the suits know that for any resident with dementia, it is best practice to wear "fun" street clothes, no white of any kind (look like a headless staffer), and that most folks just want their...

  5. Given another patient's medication to satisfy MAR.What do you do? Orientee

    pixie120 replied to rn_nxt_dr's topic in LTC: Directors, Assistant

    WOW, ok as a DNS, this is the issue. ALL Nurses, on ALL shifts are responsible, period for reordering ALL meds (not just the meds they give on their shift). The same is true of the e-kit, which is...

  6. is it Legal for DSD to give information

    pixie120 replied to bummer83's topic in LTC: Directors, Assistant

    I think there are some punctuation needs, like the can't. Us older folks can't function without the punctuation and the apostrophes etc. (and I want to kick myself for sounding like my mom now,

  7. is it Legal for DSD to give information

    pixie120 replied to bummer83's topic in LTC: Directors, Assistant

    Honestly, I would get up every single morning, put the biggest smile on my face, and leave that smile on all day. Sooner or later, they will all move on to another more interesting target, and really,...

  8. Morning Standup

    pixie120 replied to txadon's topic in LTC: Directors, Assistant

    WOW, my administrator would FLIP if I left before 6 pm. Seriously. And I work every Sat, drop in on Sundays. I have new RCM's, and they are both struggling, they complain a lot and get overwhelmed. I...

  9. State~!

    pixie120 replied to nghtfltguy's topic in LTC: Directors, Assistant

    That is a very, very good system and probably builds team work between buildings and surveyors. That is very encouraging. We used to have QUAN nurses but they have all been pulled to surveys as the...

  10. appropriate behaviors

    pixie120 replied to txdon's topic in LTC: Directors, Assistant

    Oh for pain med, give pain med every 4 hours while awake, start 0600, 1000, 2 pm 6 pm and 10 pm and get the doc to write an order that says may hold any med if resident asleep or if the resident wants...

  11. appropriate behaviors

    pixie120 replied to txdon's topic in LTC: Directors, Assistant

    On new admits, I look for the "real" psychiatric dx that led to the drug (rule out NEW serequel/zyprexa added in the hospital stay, look at the home meds list, if available). A lot of times cannot...

  12. Co-worker question

    pixie120 replied to SneakySnake's topic in Geriatric, LTC

    Excellent advice. The biggest downfall in LTC, that I personally face each and every day, is staff who do this type of thing, and then...when it gets even more "fun", run to the Administrator and...

  13. How is this fair?

    pixie120 replied to PhoenixTech's topic in Licensure: Criminal History

    Has your employer ran a Criminal Background check recently?It would be very helpful to see what shows up. In the past, there are some convictions that are "automatic" exclusions (for nursing homes,...

  14. Frustrated, need to vent and need advice...please!

    pixie120 replied to danihunter37's topic in Licensure: Criminal History

    Try Assisted Living, HomeHealth etc, anything just to get the hours, then later,

  15. AJN: Research Shows Link Between Nurse's Criminal History & Professional Misconduct

    pixie120 replied to NRSKarenRN's topic in Licensure: Criminal History

    NO kidding,...for some reason we all have to be "above" the law, and more "moral"than the rest, and yet, anyone can file any complaint they want, so...difficult boss, doesn't want you...

  16. License re-activation and DUI

    pixie120 replied to vermillionaire's topic in Licensure: Criminal History

    I applied for an LPN license, was concerned about a conviction for Negligent Driving, reduced down from a DUI, I called the BON, they told me exactly what to do (write it all down, ) and then "They...

  17. hired as RN consultant to res care

    pixie120 replied to skicoachrn's topic in LTC: Directors, Assistant

    Look for and update all the assessments, fall, skin, pain, smoking, nursing, AIMS, psychoactive, behavior,... careplans bring forward with dates... Make a list of the assessments needed, and done,...

  18. State~!

    pixie120 replied to nghtfltguy's topic in LTC: Directors, Assistant

    Yeah, I wish we had used it, we had a very long, difficult QIS survey, 3 weeks (4 days each week, July 4th was in there, exited July8th). Not too bad of an outcome, but lots of errors/staff fell...

  19. Rn's are better than lpn's???

    pixie120 replied to lisa41rn's topic in LTC: Directors, Assistant

    In LTC, dependent on the facility policies and procedures, LPN's have their own scope of practice. I was an LPN/Nurse manager for long time, I "supervised" RN's, LPN's and aides, however, each nurse...

  20. Rn's are better than lpn's???

    pixie120 replied to lisa41rn's topic in LTC: Directors, Assistant

    Oh my, I was a CNA, then an LPN, now an RN.... I could tell you some stories, bottom line, we are all health care workers, just as important as the next and now as a DNS, I suffer from "too far from...

  21. New Grad RN as new DON?

    pixie120 replied to rainbowsandsunshine's topic in LTC: Directors, Assistant

    Wow, I can totally relate, not the job I thought it was, receiving NOT support from my owner, administrator, QIS survey difficult, headed back to Assisted Living!!!

  22. New Grad RN as new DON?

    pixie120 replied to rainbowsandsunshine's topic in LTC: Directors, Assistant

    Truer words were never spoken.DNS job, on a good day, eats one alive, on a bad day, no experience....

  23. appropriate behaviors

    pixie120 replied to txdon's topic in LTC: Directors, Assistant

    Agree with previous poster, should be descriptive behaviors : s/sx depression AEB crying, yelling, self-isolating (for AD) hallucinations, paranoid statements, visual hallucinations for AP Insomnia...

  24. Administrators

    pixie120 replied to c.oconnor's topic in LTC: Directors, Assistant

    OH yeah, even if you are an RN/Administrator, remember you decided to be the Administrator, NOT the DNS, so support your clinical

  25. Administrators

    pixie120 replied to c.oconnor's topic in LTC: Directors, Assistant

    It's great that you are already not allowing staff to do staff splitting. That is the number one cause of trouble, appear unsupportive of your DNS, allow her/his staff to come to you for complaints,...