mander

mander

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All Content by mander

  1. Excessive absenteeism

    mander replied to RRRNNN's topic in LTC: Directors, Assistant

    I may have just left work in a rage because of low staffing and call ins... We can barely meet minimum lately. I got the scheduler to swap someone from Friday morning to tomorrow evening... but she...

  2. Scheduling

    mander replied to CoffeeRTC's topic in LTC: Directors, Assistant

    We use Kronos. I hate it because I can't even log in on most of the computers to do anything... but it works for the scheduler. She's new and we're sort of low on staff so it's been...fun. We have the...

  3. Wardrobe

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

    I used to wear scrubs (and the white lab coat our admin loves way too much... hellooooo 90 degrees...). I'm pregnant and when my scrubs started getting tighter I bought exactly 5 pairs of pants to...

  4. What Is the Problem???

    mander replied to CapeCodMermaid's topic in Geriatric, LTC

    I'm not sure how to feel on this one! (before I start, I've been a registered nurse for a wee 3 1/2 years) I work on a 44 bed rehab unit but only about half are actually rehab residents. Not even...

  5. Want to hear from experienced LTC nurses

    mander replied to CKPM2RN's topic in LTC: Directors, Assistant

    First of all, there must be some policy you can refer to. It might need revamping. When we have an uptick of new pressure areas, we put 2 hr turning sheets on all the closets for everyone to sign and...

  6. Adjusting to EMAR

    mander replied to Adele_Michal7's topic in Geriatric, LTC

    When we switched over we had a team of nurses (and some ward clerks) transcribing orders into the system. The biggest thing to do is teach staff to be vigilant. If they think there is something wrong...

  7. Fall and tabs/bed alarm inservice, any ideas

    mander replied to bbrown74's topic in Geriatric, LTC

    Yeah- get rid of the

  8. CMS 802

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

    That is what my administrator is yelling at us about. If they report 0 pain but get pain meds anyways... they show up! So she makes us manually check it off. In our opinion, the state will yes of...

  9. Sending res to hospital- did I make the right call?

    mander replied to suzw's topic in Geriatric, LTC

    A doctor gave you an order to send him. To me, it sounds like he was in far too worse shape for you guys to handle in LTC. At my facility we aren't even allowed to start IVs unless we're giving plain...

  10. CMS 802

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

    **I am not a director or assistant director, just a unit manager on the rehab floor. Perhaps we could work this out together because I'm having some serious issues with my matrix....

  11. Why do you wear a white coat? (if you indeed do)

    mander replied to RNdynamic's topic in Nursing Professionalism

    Because our dress code demands that we do. I'm a unit manager in LTC and I have to wear one. I hate it. I don't have the $ to buy a new one every few months when the sleeves get grody and it's too...

  12. Private Grumbling but NO Open Discussion!

    mander replied to CardiacRNLA's topic in General Nursing

    This made me want to post a long rant... but TL;DR I don't say anything anymore. I was shy, found a voice, and was shot down for daring to have an opinion and demand to be treated with respect. Our...

  13. Caregiver sibling abusive to bed-ridden grandfather

    mander replied to millmick30's topic in General Nursing

    I think you need to get grandpa into a long term care facility or get some more help at home. Just as no one deserves to be forced into being a caregiver, no one deserves to be ABUSED. And if you...

  14. Overweight

    mander replied to MCNERRA's topic in Health, Stress Management

    I just pre packed some lunches for me: spinach, hard boiled egg, 1/2 packet of salmon (the ones in the tear out pouches ready to eat), and some cherry tomatoes. Also some celery and peanut butter. I...

  15. Nurses- medical provider needs your opinion!

    mander replied to Buckeyeqt's topic in General Nursing

    Hey, if someone gets pissed at me for calling them at 3 a.m. then they can go ahead and not get pissed when I write an order given by Dr. XYZ that wasn't given by Dr. XYZ but I thought was a good...

  16. I Hate People (my rant)

    mander replied to AlyaMF's topic in Patient, Colleague Relations

    I hate people as well. As long as you can go to work and act like you don't hate everyone, you're golden. You can still hate people and enjoy helping/caring for

  17. But all the Nurse is doing is sitting down. Why cant the help?

    mander replied to downsouthlaff's topic in General Nursing

    I am lucky to have a lot of supportive CNAs on my floor. Everyone tells me that I always lend a hand and am always there when I need to be. They often bash the other nurses on other floors for always...

  18. LTC Nurses please respond

    mander replied to crd521's topic in Geriatric, LTC

    1. What size is your LTC facility? I.E. Maximum capacity for residents. 216 residents 2. What is the nursing to patient ratio? 1-2 LPNs per 44ish patients, 1 RN days, 1-2 LPNs evenings, 1 LPN nights...

  19. Who's using Neudexta in their facilities

    mander replied to LTCRN4LIFE's topic in LTC: Directors, Assistant

    We have one resident on it. I've always known him for crying constantly. I don't know what he was like before he was on it, but recently my friend who was put in charge of that unit noticed he was on...

  20. Trouble finding job in GA due to probation

    mander replied to dgoo1269's topic in Nurses Recovery

    I don't have any advice but I remember during our maternity clinicals the woman in charge of L & D told us that she is always willing to give people a second chance. Good luck and I hope you run...

  21. Hand Held Device Requirement for Clinical

    mander replied to tbbtpeach's topic in General Students

    A lot of people in my program came in with tablets the first day. They were told to return them! You need something small like a phone that you can keep in your pocket. We were required to purchase...

  22. Hospital budgets and cuts

    mander replied to ajw49886's topic in General Nursing

    My local hospital just fired an administrator and all of the managers he hired for no reason other than that they are his friends. Conveniently, he had a million dollars coming to him if they...

  23. New grad - starting new job- 1 yr gap since graduating

    mander replied to JuneLeeRN's topic in Geriatric, LTC

    I don't know what you're doing in your new position, but I just started as a sub at a LTC in September as my first job. I can pretty much take as long as I want to on admissions. They aren't that...

  24. Confused with Charting

    mander replied to ChampRN's topic in Geriatric, LTC

    I printed out the headlines in a piece of paper after you posted that and I keep it with me and look at it when I chart so I don't miss anything! It helps when I am playing unit manager and am being...

  25. How does your facility do the following:

    mander replied to TigerxLiLy's topic in Geriatric, LTC

    Usually the third shift nurses do the change overs. We write new orders on both when new MARS are available. I am a PRN. I was working 5 days a week but they had a few PRNs leave their other jobs for...