I feel so guilty if I need a day off. We have 1 (ONE!) pretty dependable sub. Our attendance clerk covers the clinic for me when I'm at lunch, and if I cannot get a sub, she's pulled in here. But,...
Home with a sick kid of my own today so I thought I'd take advantage. First time SN poster; about a year-long lurker. I started school August 9th and the kiddos started back August 16th. First six...
dd_txrn replied to pnkgirl25's topic in Home Health
Hi, pnk. I'm in Texas and have been working HH for about a year. 1. How long you usually spend with each pt? Minimum 30 minutes, of course this time can vary by the complexity of the case. 2. How...
I had a Medicare resident out for an outpatient procedure. He went out 5AM 10/4 and returned 10PM 10/5. He was out of the building for >24 hours. My assessment calendar would reset and we would...
My building has a MDS nurse, PPS nurse, and a TILE nurse, none of which take call. My administrator and RN consultant feel it is too taxing on that position and we need to be in our office doing...
Wow, I think WEEKS of orientation in LTC would be paradise!! I just started a job in LTC and got 8 hours on thursday and started my weekend 12-hour shifts the following saturday. As a new nurse, I...
I have to vent this out with some other people besides those I work with. We have a family member who is always complaining. My admin came and got me to speak with them ( I am the Medicare...
I didn't get a chance for and exit interview. My Admin came in to my office and said " I have to see this. You forgot to sign the letter." They have already started "training" the ADON to do my job...
Don't get me wrong, I totally agree that the wife had a very valid complaint. I was (am still) just very upset and embarrassed by the way DON handled it. Family members threaten to call state all...
Hi all! I just took over the TILE position @ my facility.( I was hired as Medicare coordinator), but I need help with ANY type of system. There is nothing in place now. In fact, I have so many E's...
Our therapy team leader sets the ARDs for our therapy residents. She uses grace days on EVERY 5 day assessment. She doesn't take into consideration the 'estimated # of minutes thru day 15'. In...
dd_txrn replied to Nascar nurse's topic in Geriatric, LTC
Ive been an LVN for 5 years and took a job as a Medicare Coordinator--which means I only do the Medicare MDS's and Care Plans and no TILEs--althought I am certified and they pay me 19.25/hr. Where...
Nasty teeth in a denture cup--yeah wipes me out----Old man feet with their thick yellow toenails ( usually smelly toe nail) grosses me out, but my all time #1 can't handle it... go away is sputum!!...
I know I am a little late, but I am needing to do and inservice on Medicare Charting--do you mind faxing or emailing me any info?? Fax # 817-444-8432 or email to
I work in LTC in Texas w/e dbl shifts with a Med Aide. It is trying at times because I don't have the "back up" of a LVN or RN. She is a good med aide, but it takes a long time to pass her pills....
Yes,you can be excluded from immunizations, I realize that. But you are making this personal--it is not "my belief system" I have chosen to have all 3 of my kids immunized against the common...
We use Zenaderm too. I found that it works great on reddened areas, in place of Duoderm.. But my facility is now using it for the Cure All. I can't stand it!! What do you guys use on clean...
If our docs cannot find an origin for a fever, and call it viral, they normally want to see them back in 5-7 days-just like yours did. At that time yes they usually order CBC UA. Maybe even a Rapid...
It was actually just a point to prove how important our physicians feel immunizations are. Yes, she does refer them to another pediatrician. And no she won't dismiss them if they had a rxn to the...
I see it all the time-- I work PRN now in a peds clinic and we get moms who are scared of Autism associated with Thimerisol. So they wait until the child is 4 to get all the immunizations. On one...