dinky35

Sorry for so many posts another thing is I have 35 patients plus charting orders and new admissions

The Dr also went up to bat for me with her Telling her that I'm one of her best nurses if not the best. The nurses there can't think on there own and they have no skill set.if course those one are the favorites.Before my previous employer called me back he told me to start looking for another job and he would be my refence. His words were your going to risk your profession staying here

In need if advice. I am currently work in memory care .nit at an Alf. There has been issues there since before my employment with them. They can't seem to get there stuff straight. Before I came they had several violations with state and there license was on probation. We've been having issues with w brittle diabetic that is being manage by our medical director I suggested to the administrator that we send her to an endo. Her response was no so I called the medical director and wanted ha input. He stated that at this time he feels that its the best plan of action and that He was thinking the same thing. So now she is ****** at me because I didn't listen to her. First off its what the patient needs second off I'm not risking my license for anyone. She thinks she knows everything and will try and make dx she's not a Dr she isn't even a nurse.We had a new Adon walk out mid shift because she didn't like what she saw. So I got a phone call today from my previous place of employment wanting me back. Its a peds home health case. The only reason I left was because I didn't feel challenge enough. I feel like taking it is the best option. Maybe Alf and ltc aren't for me. I can't take the back stabbing and managnent playing favorites.I also feel like I'm being blocked with patient care.

Meant AOD

We use eldermark it has point of care as well. Also have used aid which I like much better

Hello I'm new to the site. I have been a nurse for 5 years. Recently I started a new job at an Alf. We have gotten a new administrator and she is changing everything which most tend to do. She has been on my ass from the get go. On Saturday my day off she called me and told me that she had a question on my skin assessments. She said that I had no new areas noted. I agreed. She stated well patient A has a rash. I agreeded and told her that it was documented on the previous assessment that was done earlier in the week. She then stated that everytime we are to do a skin assessment we need to put everything on it even if it was previously. documented. So if they have a scar on them that has been there for 25 years it needs to be documented everytime not only on admission. Every place I have worked had me doing it the way I am. How do you do your skin assessments? Also when there is an area noted we chart on it for 3 days and what intervensions we did.