pixie120

pixie120

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All Content by pixie120

  1. I'm embarrassed, but can use some advice on time management

    pixie120 replied to nlk96's topic in Geriatric, LTC

    I would clarify with your pharmacist what the exact policy for that facility is, we can, per our policies, open and have on med carts, for 28 days,

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

    pixie120 replied to Izzy11's topic in Geriatric, LTC

    Honestly, my head is now spinning after reading all the posts on the supposed possible ways to pass the pills. No wonder there is so many med errors and overtime...how about do it correctly, sign out...

  3. How to approach this?

    pixie120 replied to Meraki's topic in Geriatric, LTC

    Thank-you for saying what needs to be said. As a DON/DNS, I MUST fix these complaints, they are not systems problems, these are people problems, and the fact that your grandmother is anxious only...

  4. Expected to do other nurse's work

    pixie120 replied to nurseblob's topic in Geriatric, LTC

    I agree, but.... good resident care dictates that when I find it was missed, I do it, or pass it on to next nurse... I worked the same unit though 5 nights per week, so only had to compensate on my...

  5. Low Census...and LOVING IT!

    pixie120 replied to qestout's topic in Geriatric, LTC

    Slumped, only after 5 pm though, before that I am happily computing hours and adding up all the numbers furiously on my calculator, there is one on my desk with paper in it, so I can SEE the numbers...

  6. Low Census...and LOVING IT!

    pixie120 replied to qestout's topic in Geriatric, LTC

    LOL, my job description as well. tee

  7. Low Census...and LOVING IT!

    pixie120 replied to qestout's topic in Geriatric, LTC

    There is nothing easy about sub-acute in LTC (medicare unit), we are taking people that are sicker, more acute, earlier discharging from the hospitals, with more meds, IV's,and bigger bugs and...

  8. New LPN, going on four months at LTC facility. HELP!!

    pixie120 replied to SweetmadnessLPN's topic in Geriatric, LTC

    As a DON, I would appreciate a nurse that came to me with this problem and I would gladly problem-solve, all nurses know who the good cna's are and the "bad" and it's quite possible they are testing...

  9. State~!

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

    Love the terms Barbecue....and blood bath, holy mother of all that is good, truer words were never spoken.I lost 15 pounds in 3 weeks, had unrelenting chest pain and was completely unable to eat or...

  10. State~!

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

    Average tags for QIS 20 first year in this state, only 6 buildings surveyed so far, 3 put in stop

  11. State~!

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

    Yep, they cited our medical director for "inappropriate hospice referrals" he/she filed a complaint, lots of ruffled feathers in this

  12. DNS advice

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

    Thanks very much for that comment, I really appreciate it. I don't truly think I failed, I think my facility fared far better for me being at the helm and you are very perceptive, NO support, lots of...

  13. LTC Emergencies - Not prepared!

    pixie120 replied to croppyRN's topic in Geriatric, LTC

    On report sheet, write allthat are fullcode> Most in LTC are DNR, so the full-codes would stand out (we used to have a coding system on our charts, however, wasn't kept up to date, so not helpful)....

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

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

    Yeah when I was an aide, nothing made me madder than this scenario: I am in a room giving care, the door and curtain are closed, the nurse pokes her head in and goes "THere's a calllight". yes,...

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

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

    Absolutely...when I worked the floor, the cna's were my eyes and ears, hands and feet and you better believe Ihelped them. If we had a wanderer or a frequest faller, that one came with me on med pass,...

  16. DNS advice

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

    Thanks very much. New to the job just a few months. Interviews that I am going on, I can't make it not negative and I really don't know what to say, I might need to simply go back to the floor and...

  17. Who's giving report, anyway?

    pixie120 replied to Old and New's topic in Geriatric, LTC

    I always left a written report, then try to give fast oral/count narcs and split, or catch up on charts etc. My goal was always to let the next shift get going for their

  18. Administrators

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

    I am not negative towards any part of management, and I think your post is very thoughtful and you seem to be truly interested in building a good team for your facility. The best thing that you can do...

  19. State~!

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

    69 residents, 3rd building in state to go thru it, surveyors openly frustrated with

  20. ADON misleading title? Rant from DON

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

    HOw is the job going now? 6 months have passed?Did it turn out to be a good decision? Your posts are very helpful, I am in my first DNS job, facing a lot of the same similiart behaviors from staff....

  21. DON passing trays in dining room

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

    Yeah, when I was a CNA, I would have been insulted that my DNS was passing trays,..and as a manager, we shared meal times duties thruout the management staff, we all pitched in. I have a good friend...

  22. Abuse Allegations

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

    Do you have a corporate compliance officer or an anoymous reporting line for the company?These are very serious allegations, all staff are mandated reporters, call in your suspicions as per...

  23. State~!

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

    OMG, what is up in my state then? 3 weeks, teams of 8-10, 20 plus citations in buildings with zero-deficiency surveys last 10 years, NOT

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

    pixie120 replied to NewestRN_OnTheBlock's topic in Geriatric, LTC

    Ok, lets start at the basics. As a nurse, you assign the times of the meds. The MD prescribes "Prilosec one tab po QD" we give it a time. Some of my residents take all of their AM meds at 5 pm, MD...

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

    pixie120 replied to NewestRN_OnTheBlock's topic in Geriatric, LTC