LTCNS

LTCNS LPN

Clinical Documentation Specialist, LTC

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  1. I worked at a LTC years ago where the nurses frequently ended up having to buy insulin syringes and needles out of their own pockets, and laundry was often not done because there was no electricity....
  2. Should I work in LTC ?

    If I had the choice between Home Health and LTC I would pick Home Health but I have been a LPN for 17 years. I have been trying for several years to land a Home Health position but nobody leaves lol!...
  3. The happy policy

    I know this is an older thread, but I wanted to share an experience I had while working as a MDS Nurse in LTC. Our DON went to a seminar and came back all excited telling everybody we'd better not get...
  4. I have learned that ambulatory care nursing isn't all it's cracked up to be. Believe it or not, I miss
  5. Just when I think I'm starting to feel better I crash. I actually had a couple of good days but today I feel horrible. Tired, weak, and just want to cry. I told the NM last week that I was going to...
  6. I started at a wound care clinic as a Hyperbaric Tech/Wound Nurse on November 7th. Last Thursday (12/20) I became very ill and went to the ER. ER doc did a chest X-ray and said she "saw something" in...
  7. Lets be careful how we use Med Aides

    Med. Aides are not used in LTCs MS. as far as I know. Too many risks involved
  8. Work related depression

    *Raises hand* Another nurse who wishes she had chosen a different profession. I started as a bedside nurse, thought the grass was greener in an office position so was a MDS Coordinator for 14 years,...
  9. I think they're sympathetic, but I do understand they need to be adequately staffed. If I was let go I wouldn't take it
  10. I cannot believe a nurse did this......

    In my experience working in LTCs for more than 15 years, the only medication that a nurse would remove the cotton from is an over the counter stock medication like Tylenol, a multivitamin or a stool...
  11. I'm not as worried as I was, but still have that little bit of fear in the back of my mind. Just taking it a day at a time. Worry never changes
  12. LPN-RN school online?

    I worked with a nurse who went from LPN to ADRN to getting her BSN in less than two years while working 8am-430pm Mon-Fri. It was stressful and made for many late nights studying but she did great. If...
  13. It has definitely brought me to my knees. I haven't been this sick in years. It's tasking just to walk a few feet to the
  14. Midnight rule

    In a nutshell, the BOM is billing for room and board for the time the patient was there, so the facility will get a default rate for the
  15. nuangle1, sounds like you was very ill. This is a tough time of year. I'm glad you're feeling better. The doctor wanted to admit me to a hospital, but also gave me the choice of doing nebulizer tx at...
  16. Thanks Lisa. The other nurse is leaving next week for a new job and although I've *heard* they've hired a replacement who knows the clinic since she works there PRN, I don't know for sure that they...
  17. Christmas Eve off and a nasty
  18. I have found in those situations, more times than not, that you catch more flies with
  19. I left a job in LTC because they wanted the nurses to clock out and finish charting. I politely told management I understood they had corporate bosses to answer to and have to play by the rules or be...
  20. Is LVN a good career choice?

    I've been a LPN since 1996 and put 16 years into LTC mostly as a MDS Coordinator and Medical Records Nurse. I recently went to work at a wound care clinic doing wound care and running hyperbaric...
  21. wound numbing spray

    I work in a wound clinic and we use 4% topical Lidocaine or injectable Lidocaine for deep lacerations/wounds. I wonder if topical Lidocaine applied a few minutes prior to dressing changes would help...
  22. I never thought the day would come that I would be ashamed to say I am a LPN, but lately I have been feeling that way. I work in a wound healing clinic and can do wound care right alongside the RNs...
  23. There are hospitals in my area who still hire LPNs in Med/Surg. I work in a wound healing clinic that is part of a hospital and the hospital is hiring LPNs right
  24. When you call a patient back to a room, always greet him/her with a cheerful good morning/afternoon and smile, smile, smile! I have found that helps ease the patient and helps set the tone for the...
  25. I got hired on today at a 60 bed nursing home as a backup MDS Nurse for the current MDS Nurse who will be going on maternity leave in the next 2 months, so the job will be temporary, then they will...