pixie120

pixie120

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All Content by pixie120

  1. New grad in LTC - frustrated

    pixie120 replied to SunshineAnytime's topic in Geriatric, LTC

    YOur DON is your best friend, IF you allow her to help you. DO NOT LISTEN TO BAD ADVICE from floor nurses, and DO NOT CHANGE YOUR PRACTICE from best practice by a reasonable and prudent nurse. I got...

  2. When staff knows more then the DON

    pixie120 replied to RNbeachmom's topic in Geriatric, LTC

    Yeah, I can't answer until I figure out what setting she is

  3. When staff knows more then the DON

    pixie120 replied to RNbeachmom's topic in Geriatric, LTC

    ummmmhhh, yeah. Same here. And mine is very, very argumenative, disruptive and verbally combative...and we careplanned it,

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

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

    Best practice guidelines: any change in elevation is a fall, nueros on all unwitnessed fall (doesn't matter what the resident tells you, do nueros), don't touch resident without nurse assessment...

  5. Co-worker question

    pixie120 replied to SneakySnake's topic in Geriatric, LTC

    Great advice. It is always better to address and confront all issues openly, in a written logical manner and as unemotional as possible. And anytime one focuses on the resident, and is a true resident...

  6. Nurse helping out Cna at times = they eventually expect the nurse to help them?

    pixie120 replied to nd deb's topic in Geriatric, LTC

    OMG, you are so right. I used to work in an assisted living. My administrator and general manager both started as CNA /med techs. One day, the administrator,the GM and the health office supervisor/med...

  7. Nurse helping out Cna at times = they eventually expect the nurse to help them?

    pixie120 replied to nd deb's topic in Geriatric, LTC

    You go girl!!!! Tough it out and you will find lots of support, interesting clients and lots to learn. Don't get overwhelmed, follow all instructions and you will reap the rewards!! Best of luck!...

  8. Recovering alcoholic RN wanting to work with addicts

    pixie120 replied to onlytimeforme's topic in Addictions

    Thanks for the update, the prisoners are mouthy, but you gotta have thick skin, and laugh or do what your friend does, overexaggerate and roll the eyes, they like tough chicks. What about "heavy on...

  9. "Strange Addiction"

    pixie120 replied to xtxrn's topic in Addictions

    YEah, I have to agree, I am finding that show difficult to understand. Before I was an RN, I was a social worker, didn't work in addictions, but certainly studied it and ran into it. The one that I...

  10. success although bittersweet

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

    Wow, it is a dilemma, what about after this bill is passed, and what would state of Illinois say to another state? Just that it is a probationary license? At least it would be interesting to find out,...

  11. staffing cuts

    pixie120 replied to katoline's topic in Geriatric, LTC

    Low census in all SNF's, all taking in the difficult clients that wreck havoc on the care staff (Bariatric, younger/more demanding and not easily satisfied, and dementia/elderly with fall...

  12. Am I freak for charting meds as I pull them?

    pixie120 replied to Izzy11's topic in Geriatric, LTC

    Ok, I have to jump in. The goal of med administration is "Safe administration". The safest, smartest, fastest way is become proficient at scanning your MAR's as you pop out the pills, and learn your...

  13. DNS advice

    pixie120 posted a topic in LTC: Directors, Assistant

    Hi everyone, looking for experienced DON/DNS advice. After survey now, QIS, lots of tags, one G, lots of attitude and pointing of fingers, difficult regional (at best prior to survey) now...

  14. DNS advice

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

    Yeah, its rampant here, yet...there are 8 DNS positions open and some in Assisted Living. The trend now is to put in an "interim" work her/him to death and then hire maybe in 6 months a real DNS, then...

  15. Recovering alcoholic RN wanting to work with addicts

    pixie120 replied to onlytimeforme's topic in Addictions

    Before I was a nurse, I was a corrections officer/counselor for the jail side of minor rehab (mostly alcohol), they did addiction classes and 12 step meetings etc. The counselors were all recovering...

  16. Nurse helping out Cna at times = they eventually expect the nurse to help them?

    pixie120 replied to nd deb's topic in Geriatric, LTC

    I am always available to help an aide pull someone up in bed, stand by assist for hoyer, all of that. It makes for such a stronger team/bond and I have aides that will work for me, no matter where I...

  17. DNS advice

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

    Unfortunately, all corporations are not supportive, no matter what the survey results are. We actually pulled off a decent survey, new management team, I as new DSN, NOT in stop placement like 4 other...

  18. success although bittersweet

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

  19. Low Census...and LOVING IT!

    pixie120 replied to qestout's topic in Geriatric, LTC

    The thing that I love best about LTC is that it IS such a learning curve for nurses, particularly new ones. I still learn something new every day, and I love to be at the bedside with the residents...

  20. DNS advice

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

    Count your blessings that you work in a supportive environment, and yep, surveyors are just plain nasty, there is no other way to describe it. I have to say that I have such a supportive team of...

  21. How is this fair?

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

    God bless you my friend, you WILL find strength in prayer, God DOES have an answer, it isn't always immediately apparent. I agree attitude is everything. I will tell you something though, years ago I...

  22. What time is PM and HS med pass typically?

    pixie120 replied to mamarhonda's topic in Geriatric, LTC

    We stopped using HS, we put the time, so if resident goes to bed at 6 pm, med is set for 6 pm if HS med, and our med passes are 0600,0800 1200, 4 pm 8 pm, with many variations on that theme. Again,...

  23. as DON/ADON ....do you help or hinder your staff?

    pixie120 replied to sasha2lady's topic in LTC: Directors, Assistant

    My goodness, this DNS must be a super woman, she seems to control and manipulate all. If you ever walked into my office and said "XYZ nurse isn't going to come in tonight, what are you going to do...

  24. as DON/ADON ....do you help or hinder your staff?

    pixie120 replied to sasha2lady's topic in LTC: Directors, Assistant

    Yep, well said. I care a great deal about all of my staff. I started in a building with no other managers, my nurses are kind and supportive, the corporation not, but I have had to hold ALL of my...

  25. Inappropriate medications for the elderly

    pixie120 replied to SneakySnake's topic in Geriatric, LTC

    Well, state surveyors might object, they seem to think these folks will NEVER die, and can't be hospice, and should get full treatment for all