pixie120

pixie120

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All Content by pixie120

  1. is it considered abandonment if no call no show?

    pixie120 replied to Ms.RN's topic in General Nursing

    Wow, these threads are that old, and still up?

  2. Let go during orientation, will I ever work again?

    pixie120 replied to ht07401's topic in General Nursing

    Are you sure they said you asked too many questions? or did they MEAN "You should know where tofind the answers yourself?. (And only you can answer that question) (Not trying to be mean, your attitude...

  3. Let go during orientation, will I ever work again?

    pixie120 replied to ht07401's topic in General Nursing

    As a DNS in LTC, I want to hear that you didn't burn a bridge, you take responsibility for all of your actions, and you are a sharp, quick learner and eager to learn and then tell me, what YOU can...

  4. is it considered abandonment if no call no show?

    pixie120 replied to Ms.RN's topic in General Nursing

    are you being serious? what about the welfare of the residents you are charged with caring for? it's not tit for tat, give proper notice, work out your notice and make sure those residents are getting...

  5. Dehydration and PEG tubes

    pixie120 replied to BrazoriaLVN's topic in General Nursing

    Ask your pharmacy for liquid meds for TF. Ask company to get self-flushing pumps (will still have to do 2 water bolus as pumps currently only deliver 500 cc water flush, 25 cc per hour). Ask central...

  6. initial physician certifications for skilled residents

    pixie120 replied to crnacc's topic in Geriatric, LTC

    We have them sign at Medicare/UR meeting, and we date them, MD signs, usually for the day of the medicare meeting which is weekly. They can pre-sgn and the first one can come from the Hospital MD...

  7. New Grad in LTC - Feeling Overwhelmed (21 pts)

    pixie120 replied to simpreza2's topic in Geriatric, LTC

    So... what is the actual acuity level of the 21 residents? Post-acute, recovering, ortho, or long term care and stable and predictable? It makes a hugh difference. If LTC, not sub-acute, you are...

  8. State~!

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

    If only you worked in my state. You are quite professional. OUr surveyors take it all very personally, and they interrupt our work for hours at a time, and this year, no less than 3 surveyors were...

  9. Is long term care that bad? and Long Term Care To Psych

    pixie120 replied to DA,RN's topic in Geriatric, LTC

    LTC is not scraping the bottom, and we get paid far more than Assisted Livings and hospital nurses, and we have to figure it out all on our own.. no MD's except by phone and have to have great...

  10. New Grad and scared might get fired

    pixie120 replied to NN2BVE's topic in Geriatric, LTC

    All IV orders should be verified, period. All questionable meds verified, new meds, unusual meds, unusual doses. RN DOES hold the higher scope of practice. There were 3 nurses (LPN failed patient...

  11. How can my shift deal with a nurse who is always causing drama?

    pixie120 replied to vampcna's topic in Geriatric, LTC

    I have a couple of questions and then a comment. Where is the supervisor when all of this is going on, what shift is this, and why don't you call the DNS everytime she starts this nonsense? As a DNS I...

  12. IDT Notes

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

    I would ask Medline representative and/or the Medicare B billers of treatment supplies (ask medline rep) for their RN wound specialists to look at any wounds and provide advice. WOund center should be...

  13. IDT Notes

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

    For EPS/TD I would ask the psychiatrist to eval and write a note to address what type/duration/going to get worse/any other ways to relieve it. I know that Zyprexa can/does mask some EPS/TD, and if...

  14. Don't You Just Want To Scream?

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

    Thank-you, I feel better....I thought it was just me, lol!There should be a rehab for nurses like us, that cannot understand WHY people don't just look at, read and follow the MAR. It seems to...

  15. After the Fall LTC/SNF Nursing Know-how 101

    pixie120 replied to Let's help out's topic in Geriatric, LTC

    Having been in LTC for a long time, I must say that we often send out to the ER for any amount of odd things s/p falls, especially as one wise nurse mentioned, resident on anticoagulants, or complains...

  16. Some perspective on nursing profession bashing

    pixie120 replied to jlpsu's topic in General Nursing

    If I sound negative, I really don't mean it, I just wish for feedback from others who might see the situation differently, or as a nurse manager/DNS see a way for me to proceed, based on their...

  17. appropriate behaviors

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

    Definetly your population is different, and yes, we try not to rearrange their meds. We are just trying to fix the medications that were all mixed up during the hospital stay, to get back to either...

  18. success although bittersweet

    pixie120 replied to jaznia15's topic in Licensure: Criminal History

    It takes time for the courts to follow statutes, I know that might not be that comforting, but you will get some relief from this. He can be appealed to a higher court or the defense attorneys might...

  19. Common meds

    pixie120 replied to Mommy of 2's topic in Geriatric, LTC

    The list from pistolchick is a great list. A lot of OTC meds every vitamin, MVI, Calcium, TUms, Prilosec, B-vitamins, C, Zinc, ; Lactulose, Miralax. A list to learn is what is a C-2, C-3 and C-4...

  20. When staff knows more then the DON

    pixie120 replied to RNbeachmom's topic in Geriatric, LTC

    Intervention number one: buy return trip airplane

  21. When staff knows more then the DON

    pixie120 replied to RNbeachmom's topic in Geriatric, LTC

    Nope, we careplanned her behavior with our interventions. We believe in the nursing

  22. New RN working Rehab/LTC Im overwhelmed. HELP!

    pixie120 replied to Jamie6RN's topic in Geriatric, LTC

    Make sure you get a good, thorough report from the off-going nurse, check the progress notes in the charts, and tell the family you will look into it. What types of questions? It is a very big...

  23. Motivating staff

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

    As weekend manager, I would make sure that first I model the behavior I want them to do. I have worked as W/E manager recently, I came in on time, told the staff I was there, asked what the issues...

  24. New RN working Rehab/LTC Im overwhelmed. HELP!

    pixie120 replied to Jamie6RN's topic in Geriatric, LTC

    I am not trying to mean here, and this is not directed at any particular nurse but after one graduates from an approved nursing program, with something like 1000 hours of clinical,how can a new grad...

  25. New Grad and scared might get fired

    pixie120 replied to NN2BVE's topic in Geriatric, LTC

    Having been LPN and now RN, couple concerns here. LPN assigned to patient, should have been assessing all along (I assume this is a SNF?) and you as the RN, with the bigger scope of practice, should...