nnancy627

nnancy627

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All Content by nnancy627

  1. Does your facility send someone home every shift?

    nnancy627 replied to Blackcat99's topic in Geriatric, LTC

    What a 'brilliant' plan! Overstaffing every shift can prevent quite a few problems, some of which you might never even think of: One, you won't be understaffed, ever. Two, since you are never...

  2. All good things must come to an end!?

    nnancy627 replied to RN_by_day's topic in General Nursing

    All things come to an end- not just good things. Just wanted to get your mind in that thought train... "This too shall pass", Mom always

  3. Skilled Notes

    nnancy627 replied to Isitpossible's topic in Geriatric, LTC

    One more note, on 'skilled nurses notes': Used to be that the rehab professionals worked FOR the SNF, like nurses do. When the PPS came about, rehab people became employees of rehab companies that...

  4. Skilled Notes

    nnancy627 replied to Isitpossible's topic in Geriatric, LTC

    What case manager$ look for in fact, is whether nursing documentation jives with rehab notes, not so much the oher way around. It is not a matter of repetition (and case managers aren't EXPECTING...

  5. Skilled Notes

    nnancy627 replied to Isitpossible's topic in Geriatric, LTC

    I've seen 'many' instances of denied claims for skilled care, based soley upon having 'skilled charting' guidelines posted in the chart, as a sort fraudulent charting platform that was based solely on...

  6. Skilled Notes

    nnancy627 replied to Isitpossible's topic in Geriatric, LTC

    Hold onto your nurse cap, I'm about to blow your mind!: 'Skilled charting' doesn't really exist. The need for 'daily' documentation does exist for patients covered by Medicare, or certain HMOs, etc....

  7. How is this acceptable? 50 patients ltc/skilled DAYSHIFT!

    nnancy627 replied to CynicallyVexed's topic in Geriatric, LTC

    Fifty patients is laughable, if not sad- but almost an overthought, compared to the fact they are PRIVATE rooms. The amount of physical space (distance) you have to traverse in a shift is logistically...

  8. Ca. Board of Registered Nursing Enforcement Program

    nnancy627 replied to izzibella's topic in Licensure: Criminal History

    You're already taking another huge risk- in CA, you 'have' to inform the BON of your name, current physical address, mailing address (if different), and phone number- you can't 'use your parents'...

  9. Starting a Nurses Registry Business

    nnancy627 replied to student63's topic in Nurse Entrepreneurs, Innovators

    Lucrative? If your billing outweighs your expenses, sure. Agencies are a dime a dozen- all they have to verify, often, is a 3-6 month ability to pay bills, to get a license. Most scratch by, many...

  10. Fake nursing/CNA licenses or what?

    nnancy627 replied to Blackcat99's topic in Geriatric, LTC

    What's being 'nosey' (is that even a word?) about having pause to question a coworkers credentials? If you have a chance to look at your own state BON website, you'll find that every year, hundreds of...

  11. First write up as an RN

    nnancy627 replied to Leesha's topic in General Nursing

    Welcome to the American nursing home world. It's a big gooey pot of 'lose/lose' situations, daily. Same menu every day, just different spices. (Hot 'n' nasty being the

  12. Fake nursing/CNA licenses or what?

    nnancy627 replied to Blackcat99's topic in Geriatric, LTC

    Lots of people would fall off their chairs if they knew just how 'serious' such a 'slight' thing is, to not update your name, or address, as examples with MVD, the BON, etc. In some states you have...

  13. Fake nursing/CNA licenses or what?

    nnancy627 replied to Blackcat99's topic in Geriatric, LTC

    No chance that the are just 'not listed'. Even if they changed their names, like got married- those changes have to be reported to the BON, or whoever tracks CNAs. You mention more than one even, is...

  14. can my DON force me to work the floor?

    nnancy627 replied to glm777's topic in MDS Coordinator Information

    I'm baffled how an MDS Coordinator can not be familiar with current meds, much less not be familair with the common forms used for incidents,

  15. How and when to talk to CNA's

    nnancy627 replied to lstk8888's topic in Geriatric, LTC

    You're a bit too involved in your job. Take a step back, and look at the whole

  16. What if the Boston bomber was your pt

    nnancy627 replied to imintrouble's topic in Patient, Colleague Relations

    Since a claim has been made against him, that makes him guilty? So you became a grand juror, and a judge and juror by virtue of becoming a nurse? Hmm. On a sad note, I'll say that I've read that...

  17. What if the Boston bomber was your pt

    nnancy627 replied to imintrouble's topic in Patient, Colleague Relations

    In a free country, with a constitution, it's called 'innocent until proven

  18. PRN narcotics for patients who cant request it?

    nnancy627 replied to EMYrn2011's topic in Patient Medications

    If the med orders exist- the physician has determined the need for them. For the meds not be given, that indicates a lack of assessment.

  19. Should I be upset?

    nnancy627 replied to Rags2Riches RN's topic in General Nursing

    Welcome to the new

  20. I Hate LT: How I Want to Fix It

    nnancy627 replied to libran1984's topic in Geriatric, LTC

    Wow. I have a couple of observations. I see lot of 'I love my residents'. Strikes me as at best, as inappropriate, for a nurse, to 'love' a patient. Creepy. Compassion, empathy, understanding,...