LTCNS

LTCNS LPN

Clinical Documentation Specialist, LTC

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All Content by LTCNS

  1. Late days and BIMS, MDS Nurse in a tough spot.

    LTCNS replied to LTCNS's topic in MDS Coordinator Information

    Oddly enough it's been put on the MDS nurse to do the BIMS. First place I've worked where that's the case. She's been there almost 30 years so gets away with dictating what she will and will not do....

  2. Written warning for a care plan written prior to my employment

    LTCNS replied to LTCNS's topic in Geriatric, LTC

    Thank you all for the great advice and support. I may have shot myself in the foot today. The other MDS nurse was doing her usual griping about the dates not meshing when she tried to close the MDS's...

  3. Written warning for a care plan written prior to my employment

    LTCNS replied to LTCNS's topic in Geriatric, LTC

    Thank you. My heart tells me it's unfair, but deep down I know there's not a thing I can do about it. They went straight from verbal corrective counseling to a category two written warning. I had...

  4. Written warning for a care plan written prior to my employment

    LTCNS replied to LTCNS's topic in Geriatric, LTC

    I tend to agree with you on that, but for some reason it is just not going to happen. I have just decided to let it go and do my best to keep them current. I realize any mistakes now are completely...

  5. Written warning for a care plan written prior to my employment

    LTCNS replied to LTCNS's topic in Geriatric, LTC

    Surveyors had just left a few days before I started and they got tagged on some care plans (otherwise a good survey) so the DON and unit managers have been auditing charts. Prior to the audits, the...

  6. Mistakes Are Inevitable: No One Is Perfect.

    LTCNS replied to Ruby Vee's topic in Nursing Professionalism

    This is right on time. Thank

  7. Written warning for a care plan written prior to my employment

    LTCNS replied to LTCNS's topic in Geriatric, LTC

    And I very much appreciate it. It really helped a lot to type it out. I will accept a write up gracefully if I know I am solely at fault, but it seems to me the nurses who missed it months ago should...

  8. HELP! Masking the smell of feces!

    LTCNS replied to WhitneyRene's topic in General Students

    I can handle the smell of poop (unless there is c-diff or a GI bleed. That is the worst) but I cannot handle thick oral/nasal mucus and the harking sounds that precede said mucus. Blood and guts,...

  9. Written warning for a care plan written prior to my employment

    LTCNS replied to LTCNS's topic in Geriatric, LTC

    This is great. Why couldn't I think of that when I was handed the write

  10. Written warning for a care plan written prior to my employment

    LTCNS replied to LTCNS's topic in Geriatric, LTC

    I was quite $$$$$$ after I stopped crying and it really hit me as to what had just happened. I wanted so badly to just get my stuff and go to the house, but I just can't leave right now. Too many...

  11. Written warning for a care plan written prior to my employment

    LTCNS replied to LTCNS's topic in Geriatric, LTC

    Yes, I signed it like an idiot. I was basically told "It's your problem now. You inherited it." I do understand their logic. I really do. I just don't understand why it's just now an issue when it...

  12. What Are The Most Creative Call-off Excuses You Have Heard?

    LTCNS replied to bluegeegoo2's topic in Nursing Professionalism

    Oddly enough, my company's employee handbook actually states employees do not have to give a reason for calling in, just to follow the call-in policy as to when to call in. I called in once a few...

  13. Do you like your job?

    LTCNS replied to Toomanyhatsforme's topic in General Nursing

    I like that I have a Mon-Fri. 8am-4:30pm job with holidays off, I like that as a LPN I am incredibly blessed to have an office job, I like many of my co-workers and I love the residents. My body...

  14. Medical terminology according to patients

    LTCNS replied to nursefrances's topic in Patient, Colleague Relations

    Sounds like someone forgot to educate her on the purpose of the prep I've heard: -Girly bits -Tally Whacker for a certain male part -Whizzing for wheezing -High blood and sugar diabetes -Low blood...

  15. A question about vapor cigarettes

    LTCNS replied to Nurse SMS's topic in General Nursing

    As a vaper myself, I have heard and read about people using the e-cigarettes for illegal drugs, but I never, ever put anything but flavored nicotine in mine, and never will put anything but flavored...

  16. How Does Your LTC Facility Identify DNR Patients?

    LTCNS replied to agingnurse's topic in Geriatric, LTC

    A big red DNR sticker on the inside of the front cover of the chart, on the MAR, on the care plan and on the

  17. Why do people insist on coming to work sick?

    LTCNS replied to LTCNS's topic in Patient, Colleague Relations

    I suppose insist was the wrong word to use now that I've thought about it, as I can understand why people might not have a choice. As I said earlier, the loss of pay for today is going to hurt. I...

  18. Why do people insist on coming to work sick?

    LTCNS replied to LTCNS's topic in Patient, Colleague Relations

    We work on a point system as well but can get 24 points before termination. 0-9 points is no action, then after that write ups start up to 24 points. Three warnings then

  19. Why do people insist on coming to work sick?

    LTCNS replied to LTCNS's topic in Patient, Colleague Relations

    Thank you. I think I will pick up a multivitamin and B-C complex this weekend. I currently take Vitamin D3 and magnesium, but need something to boost my immune

  20. Why do people insist on coming to work sick?

    LTCNS replied to LTCNS's topic in Patient, Colleague Relations

    LadyFree, what sort of interventions have you put in place to improve your health? I have Fibromyalgia, arthritis, neuropathy and some other issues and am tired of getting sick everytime somebody...

  21. Why do people insist on coming to work sick?

    LTCNS replied to LTCNS's topic in Patient, Colleague Relations

    Thank you j0y. I very much understand needing the money, but what I don't understand is why risk getting others sick, especially the

  22. Nursing Salary Survey 2014

    LTCNS replied to TheCommuter's topic in General Nursing

    Geographic location-Central MS. Pay rate-$20/hr. In which area / specialty do you work?-MDS Nurse What type of license do you have (RN or LPN)?-LPN What type of degree and/or certification do you...

  23. med error

    LTCNS replied to Inaniel's topic in Geriatric, LTC

    This is so true, especially for a skilled rehab patient. I've also been witness to a nurse being terminated because she told a hospital they couldn't accept a patient during shift

  24. Your most embarrassing experience with a patient

    LTCNS replied to FranEMTnurse's topic in Patient, Colleague Relations

    That is so

  25. med error

    LTCNS replied to Inaniel's topic in Geriatric, LTC

    This is pretty much what I was going to say. Thorough documentation, and reevaluation with follow up documentation is key. I wonder how her pain level is during the day? KUDOS to you for offering...