MrsStraty

how the heck do you do it? As you know I am on day 5 of my new job as a new unit manager at a LTC facility/Sub Acute Rehab and the biggest issue I see are the gaps. How do you get the nurses who give meds and do treatments and the CNA's to make sure ...

and boy do I feel 100% relieved! I have been toying with the idea for a few months now. I have been a Clinical Nurse Manager for 9 months now at a LTC and boy does it suck! I am responsible for everything the nurses DONT DO! I have been a nurse for 2...

Oh Thank you thank you! My shoulders have instantly stopped hurting. I feel it was the right decision, although I feel bad for my residents, all of whom I know adore me and think I am the best thing that has happened to the unit.......BUT......you al...

Hello. I just started to work on an Oncology floor/BMT floor. I work at a VERY large teaching university/medical center. We take everything when no one else will. Anyhows, my mother died last year of IBC at the age of 52 so that is why I want to work...

We use Resident information sheets, which the CNA's get a sheet for their group everyday. They are updated by myself, the unit manager a few times a week. Also on the assignments sheet they jot down the vitals, sign for their showers and weights. The...

There is nursing shortages EVERYWHERE, including the hospital setting. Still, nurses need to be held accountable for not signing their MARS and TARS! I just found one med error where a resident did not receive DILANTIN for a whole month, because it w...

I just accepted a position as an RN Unit Manager in a LTC/Sub Acute Rehab unit. I start next week. I am very excited as this is my 1st management job. I have worked acute care for 3 months and for the first 5 months I have had my license at a LTC fac...

It is not the multiple documentations.......It is signing for meds that you give that I am having the biggest issue with. There are far too many gaps on the MARs and that should not be. If you give the med sign for it. I have worked several different...

Thank you. That sounds great, maybe I'll try that.

Don't laugh....what is micromanagement?

I really want to implement a way to make sure that everyone signs their mars and tars but I'm afraid it will be like stepping on toes of people who have been there for years. I might have to resort to writing people up for med errors, which people w...

Alwats flush PICC lines with 20cc of NS. You flush 10cc with regular central lines. MrsStraty

WOW! Thank you Daytonite, what a post, you summed it all up for me and it was great. I have my job description now and you were right on point. Where do I find these seminars for 1st time managers? On how to supervise? MrsStraty

I have worked LTC almost my whole career, which began when I was 18 and I am now 35! I know ALL about LTC and their troubles and how desperate they are, but I also KNOW that LTC facilities need people like myself who actually care about their residen...

That is exactly how I am coming into the job, thinking I can make changes, we will see. I am truely excited and I can't wait to start on Tuesday. I hated the acute care setting and I am just so thrilled to go back to LTC, that is where I belong! Alth...

Yes I heard about the paperowrk thing.....and guess what I LOVE paperwork, I know I'm an oddball! I have worked LTC throughout my whole life, much of it as a CNA, and I left the acute setting to return to my roots, geriatrics. I absolutely LOVE geria...

I quit, just like that because the place sucked. A big huge medical center and 2 weeks ago I had a patient nearly code and he really needed O2, and guess what no friggen O2 thingys to put in the wall and NO suctioning to be found and NO damned 100% n...

I currently work in a hospital setting and have only been licensed a year now, but on Wednesday I am interviewing for a RN NUrse Manager job at a Sub Acute Rehab/ LTC facililty which will start me at $67,000 a year, which I have calculated at $34.89 ...

I too work on BMT unit and we start Vanco and Fortaz at the 1st neutropenic fever, right after the blood cultures are drawn that is. We culture anything that can be cultured. We have the no fresh flowers rule, no flowers at all actually. No fresh fru...

NEVER inject air into a Tubex, which is how our Ativan, Demerol and most of our Morphine comes! I guess I had to learn the hard way. We have prefilled 10 cc syringes and I let out 3 cc's of NS then I put on a blunt fill needle and draw up the Ativa...

:lol2: It helped immensly. Thank you for your reply. I did cry infront of the family and they knew why I cried, I was sad for them and I missed my mother. The other night I found one of my mother's hats that she wore when she had no hair.....oh did...

Well thank you all for the replies. I have heard some nurses say that the docs DO tell some patients the truth but the pts are in denial and so is the family. Also in my original post I was talking about my 36 y/o patient, who is on the brink of dea...

I live in Dutchess County NY and my investigator was from the Port Chester office in Westchester, NY. The investigator had to clear me and all was well with the BON. I had felony charges of Grand Larceny stemming from when my father died when I was 2...

Good Luck tomorrow. What state are you in? I had to go through a Moral Character review also and I live in NY. I never had to go meet the BON personally, and I just faxed them all the info they needed and dealt with the investigator over the telepho...

I just graduated in May and for some reason was scared to go to the hospital but I have been working in a Sub Acute Rehab/LTC facility for the past 4 months and I have 40 res. to do med pass to plus txs and medicare charting and I am the ONLY RN for ...