mellster

mellster LPN

LTC, home health

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All Content by mellster

  1. Are you being required to wear face masks all shift now on assisted living, memory care or nursing homes?

    mellster replied to Blackcat99's topic in Disaster Preparation

    We were just told yesterday that we will have to use the same mask for several days and store in a paper bag. To me, that is just disgusting. I would love to culture those masks after a week to see...

  2. Changes to nursing theory course/exam delivery

    mellster replied to Lunah's topic in Excelsior College

    I have thought about trying Excelsior College for my RN for a while, but I'm afraid that taking the online classes will be too expensive. Excelsior charges over 500 per credit. That is kind of...

  3. Accepted to 2 Nursing Programs: Help me decide which is the best option

    mellster replied to Nurse Beth's topic in Career Advice Column

    Make sure you really know what you are getting into with nursing before you spend the money. I'm an LPN, and I have no desire to go on for my RN at this point. I make good money even as an LPN....

  4. LTC vs Assisted living

    mellster replied to Mscoleman78's topic in LPN, LVN Corner

    I had a job in assisted living for 2 years. I ended up going back to skilled nursing. In my AL, there were 3 buildings. 2 buildings were AL and 1 building had a locked dementia unit on the ground...

  5. "State's Here!": Demystifying the Long-Term Care Survey

    mellster replied to VivaLasViejas's topic in Geriatric, LTC

    The reason why the regulations aren't followed all year in most cases is that the facilities REFUSE to staff in such a way that it is possible to do your job properly. I think it is a disgrace that...

  6. I think my nurses are on the verge of mutiny!

    mellster replied to NurseGuyBri's topic in Geriatric, LTC

    Viva, I wish I could work at your facility. And it is so true about the DON setting the tone. If you don't have a strong DON morale really goes

  7. Frustrating Workplace

    mellster replied to smcklpn's topic in LPN, LVN Corner

    We had some of the same problems at the long term care facility I used to work at. We were also told not to chart supervisor aware. The supervisors were afraid they would be held liable if something...

  8. I think my nurses are on the verge of mutiny!

    mellster replied to NurseGuyBri's topic in Geriatric, LTC

    Please don't leave since you seem to really care, and we need nursing administration like you. Nursing administration at my old job just kept throwing more and more work at us and had an it's too bad...

  9. LPN or RN for nursing home

    mellster replied to snowwhite2002's topic in LPN to RN

    It pretty much sucks in just about every setting, because it is all about the almighty dollar. It won't improve, because nurses don't have the cohesiveness to stick together. If you bring your...

  10. Its official! I am leaving nursing.........

    mellster replied to Kashia's topic in General Nursing

    The problem is if you stand up for what's right administration will find a way to get rid of you. I have seen it happen too many times. Our job is one in which we have too much work piled onto us....

  11. RNs vs LPNs

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

    Not neccesarily. An LPN has the scope of practice to work on any LTC unit in my state including subacute rehab. This is a CMS thing. The rating system makes it so that a facility is rated better...

  12. Why the heck do I have to be assertive???

    mellster replied to JaRoJoCT's topic in General Students

    I am also a somewhat introverted person. I have been a nurse for several years now, and I am much more assertive. I am more outspoken with my opinions. The job will challenge you and make you grow...

  13. RNs vs LPNs

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

    We take IVs. I've noticed that back when the acuity was lower our facility did not allow us LPNs to do IVs even the our state nurse practice act allowed it. Now that the acuity is getting higher, we...

  14. RNs vs LPNs

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

    Number of RNs is part of the score, but only part. If your facility scores well in other areas, you can still be a 5 star facility. Also, it doesn't have to be all RNs. My facility has quite a few...

  15. RNs vs LPNs

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

    Forgot to mention that my facility has a fairly decent 5 star rating, because the "higher ups" all come crawling out of the woodwork giving us the support that we don't normally get when the surveyers...

  16. RNs vs LPNs

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

    Well, guess eventually I will have to get my RN now!! LOL!! I haven't gotten it yet, because I didn't want to work in the hospital. With all due respect, I know that there is a difference between...

  17. First job starts Wednesday, kinda freakin out!

    mellster replied to notyetnurse's topic in LPN, LVN Corner

    The main concern that I would have about this job is why would the manager be instructed not to help you. I know management has other duties and are also busy and cannot "hold your hand", but all the...

  18. SNF rehab unit 25 patients to one nurse

    mellster posted a topic in Geriatric, LTC

    I've been lurking for a while. I like to read this board to remind me that others have the same struggles as me on a daily basis. I am a restorative/float nurse in my facility. When I float to the...

  19. SNF rehab unit 25 patients to one nurse

    mellster replied to mellster's topic in Geriatric, LTC

    I wish there was a way to fix long term care, but I know that with the way things are not there are no easy

  20. Rehab needs to get a clue

    mellster replied to CapeCodMermaid's topic in Geriatric, LTC

    Sorry-posted this on the wrong

  21. Rehab needs to get a clue

    mellster replied to CapeCodMermaid's topic in Geriatric, LTC

    I wish there was a way to fix long term care, but I know with the current state of things there is no simple

  22. SNF rehab unit 25 patients to one nurse

    mellster replied to mellster's topic in Geriatric, LTC

    I would like to work for an acute rehab for better nurse/patient ratios, but I cannot find one in my area that hires LPNs. In my facility, the halls with the stable long term care residents all go to...

  23. SNF rehab unit 25 patients to one nurse

    mellster replied to mellster's topic in Geriatric, LTC

    I would kill for a treatment nurse. My point is this unit is ALL REHAB with high acuity. I have been a nurse for 17 years and have worked on LTC units with 40 residents-difficult but doable. There...