LTCNS

LTCNS LPN

Clinical Documentation Specialist, LTC

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All Content by LTCNS

  1. OOPS! Dulicate
  2. Do you have to count lyrica at your LTC facility?

    Lyrica and Tramadol are counted here as well. I'm in MS. Oh and I generally don't write on the cards. If there is a doseage change a new label is requested from the pharmacy and the change made on the...
  3. I am a big advocate for pain management in the elderly and often see long term care patients with severe arthritis, for example, not even have Tylenol ordered for pain when they are obviously...
  4. Sadly CNAs here only make about $8 an hour and that is with experience. LPN and RN pay in MS. is sadly low as well with RN pay on the high end being $25 an hour in LTC. What I didn't mention is that I...
  5. Thanks for taking the time...

    What a wonderful story. God bless the kind soul who took the time to make your mother more comfortable and give her back her dignity. My mom had to go to the ED this past Tuesday evening for severe...
  6. Aggressive staffing person at LTC

    Agreed. Don't answer your phone. You are not obligated to go in on your days off. They cannot let you go unless you are on call and required to cover shifts in the event of call outs. I used to feel...
  7. Exactly. I have been a MDS Nurse for about 14 years of my almost 17 years as a LPN. Things have changed so much with the implementation of MDS 3.0 it's just not that enjoyable anymore. I don't mind...
  8. New DON

    I am so happy for you and your staff! Thank you for making such a huge difference
  9. Edited to add: The Hyperbaric therapy job would pay $15 an hour (maybe a little more) but that's okay because I feel the experience will be wonderful for me, esp. since I will have the opportunity to...
  10. LPN salary questions

    It definitely depends on where you are. In MS. most LPNs start between $12 and $15 an hour in clinics and $16 and $18 an hour in LTCs. Hospitals average about $14-$15 an hour. As a MDS Nurse I have...
  11. I know exactly what you're talking about. I have worked with some great Social Workers in my 14 years experience doing MDS's but the common thread among every single one of them is getting the...
  12. Well guess what lol! Apparently the nurse they hired just last week has quit already so they want me to come and interview. I don't think so! That is the biggest red flag I have ever seen. Something...
  13. How much of a chance would I have of getting hired on at a clinic? I have an interview this coming Thursday at a Renal Clinic. They have seen my resume' and know where most of my experience lies. I...
  14. LPN's: What was your first job like?

    In a nutshell it was a nightmare. I had my license in my hand one day, applied at a nursing home the next and was hired on the spot as a brand spanking new graduate. Because they were so desperate for...
  15. Am I wrong to turn down the job?

    You did the right thing. Too many unethical practices going on there and $11 and hour is not worth risking your license for. Good for you for turning it
  16. How do you keep your faith in LTC?

    Brandon, thank God for nurses like you :) I had become burned out on LTC not because of the residents, but because of management, and I used to love LTC. However, I am ashamed to say that because...
  17. Well...I ended up with a nasty stomach virus and couldn't make the interview so somebody else got the job I did find out the clinic is in a very bad area of the city. The area around the clinic is...
  18. CHF Protocols

    I have what might be a silly question regarding diets. In most of the homes I have worked in, if a resident is admitted with a specific diet like 2gm Na diet or 1800 calorie Diabetic Heart Healthy...
  19. Thank you! That makes me feel better :) I hope I don't flub the interview too bad. I get nervous and can be terrible at being interviewed. I seem to say all the wrong
  20. RN was fired because the patient didn't like her

    That is so sad I hope she is able to find another job quickly. God Bless her. There is a resident at the last place I worked who has that type of influence. She demanded that they put me on her wing...
  21. I'm burned out

    I'm a LPN in the process of changing environments myself. I thought I was burned out from being in an office for so many years, but it's the whole LTC scene all together. I adore the elderly and...
  22. I am a LPN and have an interview tomorrow for a Float Nurse position at a brand new clinic local to me. They have three openings for LPNs in Family Practice, OB/GYN and a Float LPN. They want...
  23. Thank you SShannon. Even though the pay is significantly less than what I'm used to, it sounds like something I would like. Not to mention I REALLY need a job right now so I hope it's offered to me....
  24. Dear God, Help me

    CT Pixie, that is such a cute story but I am sitting here with tears rolling down my face imagining a little old lady begging for God to tell her it was okay to go to sleep. It takes some very...
  25. I'm not very familiar with regulations governing ALFs, but in the homes I have worked in a RN or LPN is *required* to be present in the dining room for all meals in the LTC/SNF in case of choke,...