mander

mander

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All Content by mander

  1. A challenging & rewarding job.... but a "dead end" in nursing?

    mander replied to WildflowerFairy's topic in Geriatric, LTC

    I parked my fat behind here and I’m going for my adult geriatric np. It’s up to you whether you reach a dead end or

  2. Question about adon position

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

    Can I ask how you are reimbursed for calls and texts? Or is it like on call hours for

  3. Question about adon position

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

    I got a $2 raise... mind you I was already making below what other charge nurses were making at the time... and when we are short staffed I was always coming in and I work well with my DON. You should...

  4. Organization tips as RCM

    mander replied to Valcorie34's topic in Geriatric, LTC

    Do you have a ward clerk that fills out lab slips for blood draws and appointments etc? All of our units have a falls binder (where we pretty much just write the date of the resident's name and date...

  5. Any tips for preparation of Adult Gerontology Acute Care NP ?

    mander replied to forevernurture's topic in Nurse Practitioners, NP

    Honestly, working 7 years n the ICU was probably the best thing you could have

  6. Reportables

    mander replied to CapeCodMermaid's topic in Geriatric, LTC

    That sounds asinine to me. I think we only report falls or incidents with injuries ONLY if there is a break in care plan or if it results in a death. Or if it's a burn. I don't think anyone wants to...

  7. Another Day Another Cut

    mander replied to CapeCodMermaid's topic in Geriatric, LTC

    Yikes, we have at least 4 CNAs on days for 40ish residents, 3 on evenings, and 1 on nights. That's minimum before the DON and I are called

  8. When They Don't Want To Pay

    mander replied to CapeCodMermaid's topic in Geriatric, LTC

    Smile... attempt to help... politely tell her she needs to calm down and tell her about discharging AMA.

  9. Walk In My Shoes

    mander replied to CapeCodMermaid's topic in Geriatric, LTC

    Yikes. We have unit clerks that do that! I can’t imagine how stressful your place of work is. We are low on census as well so of course that’s all we hear. We’re still busy!!! We couldn’t get...

  10. Medication nurse vs. Charge Nurse

    mander replied to Earthgrlrn's topic in Geriatric, LTC

    They are nurses. I know they did more than study the art of medication passing in school. They need to practice to the fullest extent of their licenses. Yes, they need to report things to the charge...

  11. Uniforms

    mander replied to CapeCodMermaid's topic in Geriatric, LTC

    I hate the damn white pants. We all have color coded name tags already anyways. But our LPNs/med cart RNs have white pants, other RNs scrubs and white lab coats. Admin RNs can wear dress clothes but...

  12. Christmas Gifts For Residents

    mander replied to CapeCodMermaid's topic in Geriatric, LTC

    We put up a Christmas tree in our lobby. Activities goes to every long term resident and asks them what they want for Christmas. If they can't speal for themselves we usually see if they need slippers...

  13. On Call

    mander replied to CapeCodMermaid's topic in Geriatric, LTC

    We have a house supervisor at all times. We have a specific list of "When to notify DON and administrator". If you call for something dumb you better go find some lube for the ass reaming you're gonna...

  14. RN Supervisor/receptionist

    mander replied to staffing24's topic in Geriatric, LTC

    And their argument would be that they are paying you to be a nurse AND answer the phone. I would add that family members are unhappy you have to suddenly step out or you are being interrupted during...

  15. DON on cart

    mander replied to arainh20's topic in LTC: Directors, Assistant

    ADON here. My DON and I area often coming in when staffing is critical. We've taken carts and done CNA shifts. Of course we're not going to be as fast and as organized but you gotta do what you gotta...

  16. I&O

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

    Our CNAs document foley output q shift. Nurses document exactly what they put into a tube feed, be it water or feed. So I never thought about it much but I guess we technically record

  17. Post Fall Neuro Checks

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

    We just have a form that asks for vitals, grip strength, pupil reaction, and whether the resident is alert, responds to stimuli or unresponsive etc. You do it every 2 hrs x4 then every 4 hrs x4 then...

  18. So you're an RN - you must be earning big!

    mander replied to _littlemissBSN's topic in General Nursing

    I hear it all of the time from family. "That's why you're making the big bucks! I know you RNs make $40 an hour!" I want to know where I can find a job like that in my area. People often say it to...

  19. Transitioning from paper charting

    mander replied to CoffeeRTC's topic in Geriatric, LTC

    We just switched from Sigma to PCC. We did it in sections (which we didn't agree with because we went from paper to Sigma a few years go and it was easier just to do the whole damn thing at once!) We...

  20. On Call

    mander replied to sue1000's topic in Geriatric, LTC

    I mean, that depends on your position. My DON is on call 24/7 and comes in when needed. But so do I. We just get the next day

  21. Reported abuse 4 days late

    mander replied to Flowerpower15's topic in Geriatric, LTC

    We have 2 hours to begin an investigation of abuse. We would right that person up for taking so long to

  22. Antibiotic Stewardship - a losing battle for the DON

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

    ADON here- We have issued out the McGeer criteria a billion times. We rely heavily on our nurses to not run to the MD about every little burning with urination. We make them document vital signs, all...

  23. What's your "normal" day like?

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

    My DON is barely in her office. Maybe half the day on a "good" day where she can get work done. Other than that a lot of time is spent in the administrative area discussing things, or searching for...

  24. DON after hours expectation

    mander replied to suey421's topic in LTC: Directors, Assistant

    By law in my state, you are on call 24/7 technically. Our facility has a "when to notify administrator or DON" list. On top of that, she is available for anyone in the building. She comes in when...

  25. How long is the window for state survey?

    mander replied to guest833402's topic in LTC: Directors, Assistant

    They got us on a dirty shower chair this year, and then were upset about the location of our sinks and dirty utility rooms (that have been that way for 30 years!). Our CNA didn't wash her hands for a...