Bird2

Bird2

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All Content by Bird2

  1. No luck in finding Nursing job.

    Bird2 replied to brotherbear's topic in Nursing Career

    Will they not hire you because you are a new grad or because they don't want to deal with license

  2. Tuberculin Skin Test

    Bird2 replied to mojopsych's topic in General Nursing

    Redness and itching is not a positive reaction. A lump (induration) is a positive reaction. If I had an employee react positive to a TB test I would first fill out a form that reviews and signs and...

  3. Help! I need great shoes

    Bird2 replied to spicynolanurse2B's topic in General Nursing

    I like the Birkenstocks. The are expensive but last forever. I have not been wearing the Birks consistently for the last month and now my feet and legs hurt. I also fell in the regular shoes. I...

  4. my ADN program not so good?

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

    You can never learn everything or remember everything that taught in the nursing program. Your learning will continue in leaps and bounds in your first few years. You will be trained in your new...

  5. question regarding insulin administration

    Bird2 replied to Ms.RN's topic in Geriatric, LTC

    i would call the m.d. and review the past glucose levels. this resident is not well controlled. maybe she needs an oral med like glucophage. i would also have the dietician review her diet. what...

  6. Incident Reports

    Bird2 replied to lewwilann's topic in Geriatric, LTC

    I agree. Follow the policy but cover your own

  7. Is Hospice Helpful In Your Facility?

    Bird2 replied to Shell5's topic in Geriatric, LTC

    Have you sat down with the Administrator and DON and explained why you are not satisfied with the care of the one Hospice. Maybe they are not fully informed. If enough employees speak up in a calm,...

  8. Incident Reports

    Bird2 replied to lewwilann's topic in Geriatric, LTC

    I have never heard of a facility keeping the incident reports in the chart. We keep them in a binder and locked in an office. We NEVER chart the word incident. It sounds as though someone...

  9. Charting/Nurses Notes

    Bird2 replied to StormyCD's topic in Geriatric, LTC

    We chart on the computer. It is much easier. The charts are neater and lets face it some of us have awful

  10. Cna

    Bird2 replied to perlita17's topic in General Nursing

    I work in a LTC facility and we love to get new c.n.a.'s so we can train them. Although we are very picky about who we hire. Here are some suggestions. When these places that you have applied to...

  11. HIPPA Question/Need Help

    Bird2 replied to bobnurse's topic in General Nursing

    I asked our HIPPA Compliance Officer and they stated that the Isolation sign is fine becaues it does not state the specific

  12. AAARRRRGGGGHHHHH!!! More new CMS guidelines!

    Bird2 replied to CapeCodMermaid's topic in Geriatric, LTC

    I am extremely worried. F315 becomes effective June 27th. I believe that date is correct. Corporate is in the midst of making policies to match the 38 page incontinece guidelines. OMG bladder...

  13. Staff morale / targeting

    Bird2 replied to porsch65's topic in Nurse Management

    Is it possible that the bully is dragging down the staff? I would speak to the bully and tell them that the behavior is unacceptable and will not be tolerated. I would then follow up with them weekly...

  14. What's the role of the charge RN @nsg. home?

    Bird2 replied to goodgyrl's topic in General Nursing

    Same at the facility I work. We used Agency for awhile and we never allowed an agency nurse be in charge. They do not know enough about our policies and procedures and especially the

  15. In nursing home against will?!

    Bird2 replied to MissJoRN's topic in Geriatric, LTC

    I agree AMA might be a terrible move for this resident financially. The scenanrio does not sound right to me. How did he do on his mini-mental exam? If he is Medicare A they can skill him for...

  16. plS help!! VERY desperate..

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

    It sounds like you will do fine. It is easy for me to say but you need to relax. Take a deep breath and do the best that you can. Review the areas that you feel weak in but don't panic. I have...

  17. what is a pps/mds coordinator?

    Bird2 replied to sun_chica's topic in General Nursing

    MDS is the minimun data set. PPS is prospective payment system. In LTC every Medicare and Medicaid resident has a MDS completed. It is a very detailed assessment (approx 10 pages). This assessment...

  18. Hep B. Know of someone who became sick?

    Bird2 replied to Maisie's topic in General Nursing

    Part of my job is to give TB's and Hep vacs to employess. I have never seen a reaction except soreness at the injection site. More health care workers will get Hep B than HIV. The majority of our...

  19. What would you do if diabetic pt. has 14 blood sugar.

    Bird2 replied to Sue7573's topic in Geriatric, LTC

    The last time I saw a glucoscan of 14 the resident was unconscious and having a

  20. chest pain or anxiety

    Bird2 replied to medicarelpn's topic in Geriatric, LTC

    You should be proud of youself for doing right by your patient. Chest pain should be taken seriously the other nurse hopefully will learn from YOUR

  21. coumadin error

    Bird2 replied to medicarelpn's topic in Geriatric, LTC

    If they are on disability they can be under 65. We have had only a few resident under 65 and they are usually short

  22. Withholding food and fluid in a dying patient

    Bird2 replied to CapeCodMermaid's topic in Geriatric, LTC

    We have had families/residents sign releases that state that they are aware of the consequences of not following the prescribed diet. I agree that NPO can be wrong for some residents. If the end of...

  23. coumadin error

    Bird2 replied to medicarelpn's topic in Geriatric, LTC

    I agree. The MD should have been paged to verify the order and an incident report should have been

  24. any advise for a first timer?

    Bird2 replied to hunny_pye's topic in Geriatric, LTC

    Also - We run 5 nurses on days and 3 on nights. We average 100 residents. The RN is the charge nurse and works the Medicare

  25. any advise for a first timer?

    Bird2 replied to hunny_pye's topic in Geriatric, LTC

    The facility that I work does 6 days of orientation which is 2 weeks. We work 12 hour shifts. It is not enough for many nurses. It may work for the experienced LTC nurse. It would be nice if they...