LTCNS

LTCNS LPN

Clinical Documentation Specialist, LTC

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All Content by LTCNS

  1. Doubles

    LTCNS replied to nursedanny614's topic in General Nursing

    You're still in the honeymoon phase then. I know how you feel saying no, but you have got to take care of yourself so you can take care of your patients. If you don't take your scheduled days off you...

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

    LTCNS posted a topic in Geriatric, LTC

    I just started my new job as a MDS nurse with this facility 3 weeks ago (Have 15 years MDS experience) and this morning I was called into the DON's office and given a written warning over a care plan...

  3. Doubles

    LTCNS replied to nursedanny614's topic in General Nursing

    How long have you been a nurse? When I first started out I used to work doubles all the time. I would go three and four weeks without a single day off and I was exhausted. After about two years I...

  4. To change or not to change

    LTCNS replied to turtlebob's topic in LPN, LVN Corner

    OP, I have no idea what a LPN tech does in the ED, but I'm a LPN, work in a community clinic and do all duties that entail nursing. The only RNs are the Nurse Practitioners. The rest of the staff are...

  5. New LPN Meets "Real World"

    LTCNS replied to Williams6's topic in LPN, LVN Corner

    If the blood pressure is low enough to cause you to question if you should hold it, and there are no parameters, you should notify the MD/NP and get an order from him/her to hold it if need be. Did...

  6. Low GPA..

    LTCNS replied to ilia_RN's topic in General Nursing

    Just wanted to pop in and comment on this. I started working in a Family Healthcare clinic three weeks ago. I had to provide a transcript of my grades from the college I attended and graduated from...

  7. Quit my first nursing home after 1 day!

    LTCNS replied to Trixyp's topic in Geriatric, LTC

    There are some very good LTC homes out there, but because of the homes like the one in the OP, they all get a bad name unfortunately. I have always loved geriatrics and have worked in as many good...

  8. Quit my first nursing home after 1 day!

    LTCNS replied to Trixyp's topic in Geriatric, LTC

    And I thought *I* had been through some bad experiences with LTCs! I don't blame you for not going back. That is

  9. Those who work in clinics who serve low income patients...

    LTCNS posted a topic in Ambulatory Care, Clinic

    What do you like about it? Dislike? What is a typical day like? Do you feel you are making a difference? Is there high staff turnover? I start a new job tomorrow in a clinic who serves majority low...

  10. Those who work in clinics who serve low income patients...

    LTCNS replied to LTCNS's topic in Ambulatory Care, Clinic

    Okay. I'm not going to lie. I am drowning. I have been there 1 & 1/2 weeks and I feel so lost. There are so many things the nurse is responsible for it seems impossible. We have to do our own...

  11. Those who work in clinics who serve low income patients...

    LTCNS replied to LTCNS's topic in Ambulatory Care, Clinic

    Thank you so much for this. I was speaking with someone last week who interprets for those of us who cannot speak Spanish about learning the language. She happens to give Spanish lessons so I will be...

  12. Those who work in clinics who serve low income patients...

    LTCNS replied to LTCNS's topic in Ambulatory Care, Clinic

    Right! How dare those patients take up my precious computer time! Shame on

  13. LPN Starting pay in your area?

    LTCNS replied to mfigueroa22's topic in LPN, LVN Corner

    In MS. starting pay for LPNs in LTC is $16-$18/hr., in clinics $14-$17/hr., Agency

  14. Those who work in clinics who serve low income patients...

    LTCNS replied to LTCNS's topic in Ambulatory Care, Clinic

    Thank you LadyFree. I would rather take my time than to give the wrong patient an injection, or the wrong medication to the patient the injection is meant for because I'm rushed and worried about...

  15. Those who work in clinics who serve low income patients...

    LTCNS replied to LTCNS's topic in Ambulatory Care, Clinic

    I really like the job so far, BUT (there's always a but isn't there?) I have literally been on my own since day two on the job. Working up and triaging the patients is the easy part. It's all the...

  16. Interviewing for MDS

    LTCNS replied to MichelletheRN's topic in MDS Coordinator Information

    Congrats! Sounds like you have all the support you need, and that is so important in a position such as MDS Coordinator. I sincerely hope and pray you enjoy every minute of it. Keep us updated on how...

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

    LTCNS replied to LTCNS's topic in MDS Coordinator Information

    It's great that you enjoy your new MDS position! Like I said, I enjoyed it until I got into a place where I had no support and it really did a number on me. Besides, I've been a MDS nurse for the...

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

    LTCNS posted a topic in MDS Coordinator Information

    I know BIMS have to be dated within the look back period, but what if, when the MDS nurse starts a new job at a new facility, the MDS are two months behind? Would you put dashes in section C to...

  19. LPN Job Duties

    LTCNS replied to Hoping2BeANurse's topic in LPN, LVN Corner

    NOADLs, I can't imagine someone being as heartless as you seem to be. I was a CNA for five years before I got my LPN license and have been a LPN for 18 years. Not once have I *ever* felt I was too...

  20. Those who work in clinics who serve low income patients...

    LTCNS replied to LTCNS's topic in Ambulatory Care, Clinic

    Thank you all so much for the great advice, links to resources and for sharing your experience with me! Today was a busy day but a good one overall. A couple of times I felt my eyes welling up with...

  21. Those who work in clinics who serve low income patients...

    LTCNS replied to LTCNS's topic in Ambulatory Care, Clinic

    Thank you so much SHGR! I will order that book

  22. Those who work in clinics who serve low income patients...

    LTCNS replied to LTCNS's topic in Ambulatory Care, Clinic

    Thank you klone and NRSKarenRN. NRSKarenRN, part of my job will be, as I understand it, helping find resources in the community for the patients to utilize, so I really appreciate that advice. There...

  23. Insulin adjustment

    LTCNS replied to Supercandy131's topic in Geriatric, LTC

    I'm so sorry you lost your job OP. If nothing else, like you said, at least it was a learning experience for you, and something you can pass on to another nurse you might be in the position of...

  24. Newborn pictures posted on social media?

    LTCNS replied to sandy79's topic in HIPAA Challenges

    I have a FB account only to keep up with my family and old friends. I never, ever friend co-workers, past or present, and I do not put where I live, work, or my occupation. Just too risky these

  25. Working crazy hours

    LTCNS replied to francoml's topic in General Nursing

    When I first started nursing I regularly worked 60+ hours per week with no days off for 3-4 weeks at a time. Now I can work "only" 40 hours per week now that I'm older, tired and my boys are grown...