pixie120

pixie120

Member

  • Content

    256

  • Visitors

    5,271

  • Followers

    0

  • Likes

    0

All Content by pixie120

  1. RN aphabet letters for MDS completion

    pixie120 replied to pixie120's topic in MDS Coordinator Information

    It seems like our A section auto populates except for 3 parts, so RN should sign for A? SW does D, E, and part of discharge part, and Activities does her section F, so our RN's should sign: A, b,c,g,...

  2. RN aphabet letters for MDS completion

    pixie120 replied to pixie120's topic in MDS Coordinator Information

    Thanks very much, this helps a

  3. Don't You Just Want To Scream?

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

    So sad, really. It is just so very hard to hold these folks accountable, and so hard to get the managment above us, to support holding these people accountable. Really makes for poor patient...

  4. 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

    I once worked in a building that had a "new" pharmacy and we sat down for a meeting and went over the whole E-kit and told the pharmacy what we wanted in it. Every possible dose of Coumadin is one...

  5. Abuse Allegations

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

    I know this post is old but can I jump in here with a comment? In this state, the specific wordings and items that must be reported are in a purple book and the number of the state hotline clearly...

  6. NHPPD for California

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

    Sorry, didn't finish, not sure why, but one reason can't count DNS in facility over 60 beds, cuz she/he can't also function as Charge nurse. I think the others are per facility/corporate

  7. NHPPD for California

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

    MDS and DNS don't count, sometimes SDC does, last building did

  8. Taking the leap~~Nervously

    pixie120 replied to LTCRN4LIFE's topic in LTC: Directors, Assistant

    Smile, smile

  9. DNS/DON question

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

    Yes, thanks for the post.... I am going to continue looking at these other offers. I am not 100% sure that this place is a good fit for me, or for where I want to be in the next 5 years. So many of...

  10. DNS/DON question

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

    Yes, you were very lucky. I do agree that often it IS the nursing team that is resistive, set in stone, won't work with therapy but I worked for a long time as the Restorative nurse and went to a lot...

  11. I would like some interview answers from a don, adon, or manager

    pixie120 replied to loveu123's topic in LTC: Directors, Assistant

    Yep, seems like a lot of

  12. Older PCA/CNA

    pixie120 replied to Girlygirl69's topic in General Nursing

    Why? I think this explains and answers the problem at hand. An RN that doesn't see the total care of the resident as the RN responsibility, believes certain portions of care are NOT RN duties, and is...

  13. Older PCA/CNA

    pixie120 replied to Girlygirl69's topic in General Nursing

    sO.... not a hero nurse, do work in SNF, encouraging all to work as team and not JUST focus on the task before us. I hurt my back in early 1970's working in a SNF, SNF's were really different then, no...

  14. Describe good and bad CNA's you have seen

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

    I would try to talk with a supervisory RN/DNS/Staff Development nurse and put your complaints in writing. You may not know exactly what the sanctions are, maybe this person is on final warning,and to...

  15. DNS/DON question

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

    (Happened, the higher ups got it all nicely fixed, lol). Yep, that word default is a great word, and we have everything in writing now. It was a very large hill, but we climbed it, and can see...

  16. DNS/DON question

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

    NO fraud, no submissions. This was a question of what to do. I cannot see where I am being deemed hard core when we are required, as you indicate, by federal law to have accurate minutes, in a timely...

  17. DNS/DON question

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

    Ok, no one is knowlingly submitting anything.....it was a question regarding missing minutes. RUGS are a term from MDS 2.0. Fraud is a crime, interesting that as nurses we just love to identify...

  18. Speedy med pass

    pixie120 replied to sbostonRN's topic in Geriatric, LTC

    I love your reference to the administrative staff standing around arguing about who will be in charge, it is so true, when I was passing meds, I would half-listen and watch what the "managers" were...

  19. DNS/DON question

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

    (Ok, thanks for the advice, but it didn't address the question of missing minutes, that nursing cannot get, imagine, make up,

  20. DNS/DON question

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

    Yep, it was corrected by the higher up's, we got all the minutes now, no more drama, and nor more finger pointing. Interesting.......No defaults either (although we got a boatload of OMRA's now). I...

  21. New DON

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

    The big S has a wonderful system of the24 hour alert big, big books, which we bring to stand up every morning and

  22. F tag on CNA inservice

    pixie120 replied to ejpip1's topic in LTC: Directors, Assistant

    I would wait for the 2567 and see what they use to quote as this is true, in this state, it's also a state reg, so often times that is where we see the particulars. (I would IDR also, that should be...

  23. Nursing Home Bad Behavior (vent)

    pixie120 posted a topic in LTC: Directors, Assistant

    Good morning, Just a bit of a vent. Can anyone give me some advice on how to get a "bad" therapy manager to provide minutes, timely, to the MDS coordinators (there are three) TIMELY without her/him...

  24. Nursing Home Bad Behavior (vent)

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

    Ok, it was a little disjointed in the telling of the story, My apologies, will keep it simple and ask the relevant

  25. Nursing Home Bad Behavior (vent)

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

    What behaviors am I having if the therapy department won't/can't give minutes, and the other managers dump all over each other? This makes me have behaviors? A I prefaced it, this was a vent, my...