Bird2

Bird2

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All Content by Bird2

  1. Verbal Abuse?!?!?

    Bird2 replied to CuriousMe's topic in General Nursing

    It is never okay to be verbally abused. I just look at the person that is attempting to verbally acost me and say " Why would you think it is ok to speak to me in that manner, I don't treat you badly...

  2. MDS Job Offer-Need Advice

    Bird2 replied to nursediz's topic in General Nursing

    I posted in the LTC forum but wanted to ask what kind of training would they give you? The MDS position is an awesome responsibility so congratulations on the offer and good luck. Keep us

  3. MDS Job Offer-Need Advice

    Bird2 replied to nursediz's topic in Geriatric, LTC

    Try to stay away from salary. If you are salary you will lose any chance of overtime. I would ask if they plan on pulling you to the floor when they are short. If you are pulled and you have to...

  4. Do you have internet at work?

    Bird2 replied to KCIN's topic in General Nursing

    We also have the internet at work. The intention is for nursing to be able to research on it. On occasion we have an employee researching Lands End for Christmas but usually thus occurs on the...

  5. Incontinent Briefs

    Bird2 replied to GooeyRN's topic in Geriatric, LTC

    Most LTC's don't believe this but the truth is that it is cheaper to buy the higher quality, more expensive briefs. The better quality the more they will wick the urine away from the skin, control...

  6. state survey question

    Bird2 replied to tlrochelpn's topic in Geriatric, LTC

    It would depend on when the insulin would peak. They might need a mid morning snack or a good

  7. any facilty overdocument???HOW FRUSTRATING

    Bird2 replied to johnson0424's topic in Geriatric, LTC

    Sometimes LTC's in a panic create forms to satisfy DPH requirements. I have worked the floor and in management so I truly believe that the best information is obtained by the floor nurses. The...

  8. Your shift is over. Go home!

    Bird2 replied to Blackcat99's topic in General Nursing

    So sorry but I miss read the OP. I certainly did not intend to upset you. Have a great

  9. Your shift is over. Go home!

    Bird2 replied to Blackcat99's topic in General Nursing

    I've worked with many nurses who hang around to "milk the clock". Think about it an hour or two a day overtime starts to add up on the pay

  10. I have a question for everyone

    Bird2 replied to southern_rn_brat's topic in Geriatric, LTC

    Have you checked with your pharmacy to see if they can do some education in your facility? I would also request that the pharmacy give you a cheat sheet for each nurses station that list each...

  11. DON's going back to floor nursing

    Bird2 replied to Monica RN,BSN's topic in Nurse Management

    I have worked with management that had decided to go back to floor nursing and they did fine. Two continued to work in our facility without a problem. Although at first staff still tried to go to...

  12. any facilty overdocument???HOW FRUSTRATING

    Bird2 replied to johnson0424's topic in Geriatric, LTC

    Unfortunately LTC's are known for over regulation and facilities pay the price for noncompliance. The regs clearly state that an injury of unknown orgin can be considered abuse. That is why they are...

  13. DNR orders

    Bird2 replied to night owl's topic in Geriatric, LTC

    I've never heard of a DNR expiring in LTC. They review the code status at each care plan meeting but I've never seen a family say Hmm Mom's been DNR for 2 years let's try her being a full code for...

  14. Call-off policy

    Bird2 replied to TeleRN44's topic in Geriatric, LTC

    Our policy states that an employee must call off 3 hours prior to the start of a shift. If someone called off on a week-end they were to make up the hours on another week-end when we were short but...

  15. State Survey...Advice Please

    Bird2 replied to annabrooke93's topic in Geriatric, LTC

    I would like to congratulate you on the "miraculous resolution" of the healing stage 4. Although the treatment is not the norm you have obviously sucessful. Good for you for knowing the regs and...

  16. State Survey...Advice Please

    Bird2 replied to annabrooke93's topic in Geriatric, LTC

    We had our survey about 3 weeks ago and I am thrilled to say that after 12 annual surveys this was the best one as far as the way we were treated. The surveys were polite, friendly, professional....

  17. Just went through a lay off, more trouble ahead. (sorry, long)

    Bird2 replied to estrogen's topic in General Nursing

    Typically in LTC when they implement a change like you are referring to many nurses will walk. Hang in there and all will work out. We have been trying to go to 8 hour shifts and I could not believe...

  18. Nurse staffing ratios for LTC?

    Bird2 replied to nurse_wannabe's topic in General Nursing

    The Missouri Department of Public Health should have the guidelines on their website. The State guidelines are the mininum requirements for LTC staffing. The Illinois guideline is a formula that...

  19. Geriatric nurses, can you help?

    Bird2 replied to UM Review RN's topic in Geriatric, LTC

    How is the residents renal function? I would consult with a Dietician to make sure they can handle the extra protein. BTW - great suggestion on the Pscyh eval and Remeron. We have had good luck...

  20. Feeding and toileting

    Bird2 replied to SouthernLPN2RN's topic in Geriatric, LTC

    We have one CNA at each meal that just answers lights and toliets residents. Who ever implemented the new rule will regret it. What a dining experience for the poor resident that was incontinent!...

  21. Ideas for a fun celebration for a colleague who is retiring...

    Bird2 replied to SukiRN's topic in Geriatric, LTC

    How about a video of all of her current and previous coworkers waving goodbye then have every one write their most memorable moment or story to create a memory book. This can be presented at the...

  22. Calling family for TX!!!

    Bird2 replied to Antikigirl's topic in Geriatric, LTC

    In Illinois the State regs state that a family member/POA/Guardian must be notified of any changes. A treatment order would be a change. Are you sure that they did not mean notification of change in...

  23. The bedpan incident, this is long

    Bird2 replied to dinkymouse's topic in Geriatric, LTC

    Do the PM and Noc CNA's do a walking round together at shift change? This might help with the

  24. How do you communicate between staff???

    Bird2 replied to johnson0424's topic in Geriatric, LTC

    We often use e-mail but find that many do not read them. We used the communication books but many wrote inappropriate things in them. Verbal reports were/are a joke. Taped reports were worse than...

  25. Should I apply at a nursing home that was recently negatively reviewed?

    Bird2 replied to ceryna's topic in Nursing Career

    Any facility can have something go wrong. The important thing is did they fix it. I would apply, ask for a tour, and ask the pertinent questions at that time. Then you can make an informed...