mander

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 not.

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

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 really be getting a raise if you have this on cal...

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 of the fall as everything else is in the incident r...

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

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 sit there and read all of that. What a waste of y...

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 in...

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

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 things done before and now we are just barely keeping up. ...

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 nurse but they also need to do their best to take c...

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 I've been wearing scrubs because it's easier. CNAs ...

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 or socks or some supply/clothes or a gift certifi...

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 get!

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 assessments and this poses a risk to make an error....

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 do. As long as it's not a weekly occurrence and yo...

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 everythiiiiing.

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 every 8 hrs times 3 or 4.

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 imply we aren't doing enough or don't deserve what we...

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 entered in waves (general orders, then treatments,...

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 off.

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

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 possible s/s UTI and if they are NOT present, and ...

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 pharm recs and other auditing fun. We've been in a l...

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 people lose keys etc as she is the only one with spare...

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 long enough time, and another one put a dirty brie...