Bird2

Bird2

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All Content by Bird2

  1. First interview--scared stiff

    Bird2 replied to sav's topic in First Year After Licensure

    We just hired 5 lic pending nurses and the ones that got hired appeared genuinely interested in LTC. They seemed excited about working for us. We had many more applications that did not make the cut...

  2. Giving lovenox in LTC

    Bird2 replied to nurse yoda's topic in Geriatric, LTC

    I have never priced Lovenox but the cost of paying an empolyee to transport a resident seems silly. Facilities usually make a decent amount of money on fxs especialy if they have PT and OT involved....

  3. Surviving a state inspection survey

    Bird2 replied to MDSlady's topic in Geriatric, LTC

    Good morning DebRN. I see that you are the one that fairly recently crossed over. I'm sure you have experienced state surveys in the past and I would imagine that this will make you a better and...

  4. med/surg- do I have to?

    Bird2 replied to ks@va's topic in LPN, LVN Corner

    Do what you want and don't let the others pressure you. I also never wanted the hospital experience and I have friends that would not work anywhere else but a hospital. I received a lot of pressure...

  5. Did you see a positive PPD result?

    Bird2 replied to estrogen's topic in General Nursing

    Oops, I thought I was replying to thhe OP. Thanks for letiing me know nicely. Have a great

  6. Did you see a positive PPD result?

    Bird2 replied to estrogen's topic in General Nursing

    A nurse can and usually does read the test. If positive we call the health dept and the MD but the health dept then takes over while keeping the primary md informed. At least this is how it's done...

  7. Did you see a positive PPD result?

    Bird2 replied to estrogen's topic in General Nursing

    I would check with your local health dept. The redness is nothing but an induration (lump) should have been measured and you should have been referred to the health dept. They will probally re-test...

  8. Received an "F" for a "B"!

    Bird2 replied to Anjann's topic in General Nursing

    This is exactly how the policy was in school I went to. Three tries to get a 100% and the calculation test. It did not matter if you had a 100% for the entire course you were out. In the regular...

  9. Immunization Requirements - Help!

    Bird2 replied to DanaS's topic in Colorado Nursing

    I received my immunizations records from the high school that I attended. I was 40 at the time. I just called and they made me a copy that

  10. "Granny-Dumping" in Psyche Unit

    Bird2 replied to Town & Country's topic in Patient Safety Issues

    Thanks SriggRN320. I find it very offensive that the rants are often directed at LTC's. We are the most regulated in all of healthcare. I love working in Geriatrics and fortunately there are some...

  11. "Granny-Dumping" in Psyche Unit

    Bird2 replied to Town & Country's topic in Patient Safety Issues

    Wow I have never heard that term before. I can tell you that from my experience on the LTC side that we have extreme difficulty getting help for these residents. We will send them out when the are...

  12. MDS 2.0 August Revision, Final Section W

    Bird2 replied to Talino's topic in Geriatric, LTC

    I don't do the MDS but I do give the Flu and Pneumo vacs. Thanks for the

  13. Surviving a state inspection survey

    Bird2 replied to MDSlady's topic in Geriatric, LTC

    That Surveyor was out of line! I spoke with another LTC nurse that said her facility got tagged for having an isolation cart in the hallway and it was not moved for over 30 minutes. Who in the world...

  14. Work and Go To School?? Help!

    Bird2 replied to jodyangel's topic in LPN, LVN Corner

    I did work 45+ hours a week and go to school full time. I have a husband a 2 kids. The majority of my class did the same thing. It was hard but we all needed the money and our benefits. The time...

  15. Late hours

    Bird2 replied to ShayRN's topic in General Nursing

    Years ago when I worked midnights my mother use to pop in about 3-4 in the afternoon. She would actually make comments as though I was lazy since I still had my pajamas on. Goodness sakes I had just...

  16. LTC patient to nurse ratio

    Bird2 replied to SueNYC's topic in LPN, LVN Corner

    Staffing should reflect the acuity of the resident. Notice that I said should instead of does. We run 5 nurses on days for 100 residents and 3 on nights. But the extra nurse on days is for the...

  17. Questioning "gut instincts"

    Bird2 replied to grinnurse's topic in First Year After Licensure

    Once she leaves the hospital then you are done. The resposibility is the ambulance crew or who ever is doing the transferring because that pt was discharged from your facility. Have a great

  18. Questioning "gut instincts"

    Bird2 replied to grinnurse's topic in First Year After Licensure

    Here is the LTC perspective. We perfer the pt not have a foley r/t it putting them at a high risk for infection. BUT we assess why they need or do not need the foley when they return to the LTC....

  19. I told you guys I failed.

    Bird2 replied to ocb_dave_ocb's topic in NCLEX Exam, Programs

    Good luck!. I went to school with two top notch students that both failed the boards on the first try. Both passed on the second try. We all chalked it up to an extreme case of

  20. sacral wound dressing help

    Bird2 replied to lpn1313's topic in Wound, Ostomy, Continence

    Do you have access to a certified wound care nurse? That alone would be very helpful. It sounds like the eschar needs debridement. Maybe Accuzyme to the eschar and a zinc based ointment on the...

  21. sacral wound dressing help

    Bird2 replied to lpn1313's topic in Wound, Ostomy, Continence

    What is the stage, tissue type, length, width, depth, and status of the periulcer? More suggestions might come if we have some more specifics especially since this is such a hard sight to deal with a...

  22. What shoes are best for heel pain?

    Bird2 replied to ZZTopRN's topic in First Year After Licensure

    As long as I wear Birkenstocks I do not have the sharp heel pain. I had a Podiatrist tell me to try

  23. would you work for a DON that you dont respect?

    Bird2 replied to johnson0424's topic in Patient Safety Issues

    I would not work for her. If she's a mess the facility more than likely

  24. Looking For A Change Maybe Ltc?

    Bird2 replied to gladtobeOB's topic in Geriatric, LTC

    I knew if someone jumped in they would add good insight. You are very right about the website. 90% of the admits that we take from the hospital have pressure ulcers. We have very few acquired...

  25. Looking For A Change Maybe Ltc?

    Bird2 replied to gladtobeOB's topic in Geriatric, LTC

    Go to www. Medicare.gov and click on nursing home compare. From here you can check every nursing home in the US. It will list the findings from the last survey, complaint visits, quality indicators,...