Nascar nurse ASN, RN

LTC, Hospice, Case Management

Member

  • Content

    2,218

  • Visitors

    35,067

  • Followers

    0

  • Likes

    91

All Content by Nascar nurse

  1. Nascar nurse

    Don

    Nascar nurse replied to NurseAlwaysNForever's topic in LTC: Directors, Assistant

    Your facility should have a regulation book. I've always heard it referred to as "the Watermelon book" (not real sure where that name came from but most people I meet seem to know what it is in our...
  2. Nascar nurse

    Care of Pressure area to heels

    Nascar nurse replied to litbitblack's topic in General Nursing

    How To Handle Black Eschar Formation | Podiatry Today Dr. Hadi adds that when eschar is solely caused by an area of pressure (such as a heel pressure ulcer), it is strictly due to focal pressure...
  3. Nascar nurse

    Care of Pressure area to heels

    Nascar nurse replied to litbitblack's topic in General Nursing

    Skin prep those heels, off load pressure, no shoes, multivitamin & nutritional supplements. DO NOT debrid a deep tissue wound on the heel that is not open. This will likely make the situation...
  4. Nascar nurse

    When to turn in nursing notes

    Nascar nurse replied to crscott08's topic in Hospice, Palliative

    My office requires that we turn paperwork in every couple days. My notes are completed at time of visit but I only get over to the office every couple days
  5. Nascar nurse

    Survey: Caring for the Patient with Alzheimer's Disease and Delirium

    Nascar nurse replied to cparker67's topic in Geriatric, LTC

    Oh my...I've worked in LTC as an aide, LPN, RN (finished and left LTC at the DON position). After nearly 30 years, I thought I could be helpful to your project but to be honest, I have absolutely no...
  6. Nascar nurse

    Systems to manage as an ADNS/DON

    Nascar nurse replied to andersonterry's topic in LTC: Directors, Assistant

    Gee, just reviewing this thread gives me shivers. Not regretting leaving my DON job one little
  7. Nascar nurse

    Songs That Remind You of Nursing....

    Nascar nurse replied to sarahbellum's topic in General Nursing

    Hospice nurse here, headed towards a dying patient. Radio playing "knocking on heavens
  8. Nascar nurse

    Writing multiple times?

    Nascar nurse replied to loriangel14's topic in General Nursing

    Oh my! I read the entire thread in your link. Not only is it scary that the OP has failed so many times, it's scarier that so many are cheering her on & insisting she can do it. Get real...
  9. Nascar nurse

    Resources for hospice medications

    Nascar nurse replied to Nascar nurse's topic in Hospice, Palliative

    Well dang...that thread didn't pop up when I did a search first. Thanks for pointing it
  10. Nascar nurse

    Resources for hospice medications

    Nascar nurse posted a topic in Hospice, Palliative

    I'm looking for a good reference book regarding hospice medications. I'm a long time LTC nurse and new to hospice. I need a better understanding of starting dosages (morphine, atropine, etc) &...
  11. Nascar nurse

    Let's Scam the SNF

    Nascar nurse replied to CapeCodMermaid's topic in Geriatric, LTC

    Do you have someone that goes out for a face to face assessment? Sometimes that can be helpful in identifying what is already in use. Of course this assumes the person that goes out actually has...
  12. Nascar nurse

    skilled medicare payment...

    Nascar nurse replied to LaRN's topic in Geriatric, LTC

    As the others have said, it depends on many factors....also is there therapy, what's the ADL score, where are you located, etc. usually can range from $300 -$550/day based on these many factors....
  13. Nascar nurse

    HELP hr/pay??

    Nascar nurse replied to lezleyhindman's topic in Geriatric, LTC

    I'm in Indiana & new grads don't start that high here. I'm in a different part of the state so it may vary but a new LPN about $18 to $20/hr. A new RN about $20 to $22/hr. Like an above poster...
  14. Nascar nurse

    Please tell me why you dreamed of being a nurse from a young age

    Nascar nurse replied to avhoney's topic in General Nursing

    Ok, I'm the oddball here. I'm the one that wanted to be a nurse from the age of 6. I don't know why, I had absolutely no outside influence. No one was sick, no one in my family had ever had a...
  15. Nascar nurse

    Saying good bye to LTC....

    Nascar nurse replied to blessedmomma247's topic in Geriatric, LTC

    I have worked in LTC as a nurse since 1986. Quit my DON job last week and moving on to a hospice job - where I will go in and out of LTC to care for their hospice patients. Seems like a fine way to...
  16. Nascar nurse

    Start up of a new facility - Did I get myself into a hot mess?

    Nascar nurse replied to Nascar nurse's topic in LTC: Directors, Assistant

    Update...I start Tuesday as a hospice case manager & had a 2nd interview with Point Click Care as a trainer. Bye bye LTC but yet still with direct involvement. Could be the best of both
  17. Nascar nurse

    Start up of a new facility - Did I get myself into a hot mess?

    Nascar nurse replied to Nascar nurse's topic in LTC: Directors, Assistant

    I wish you knew how much this really meant to me on this particular day! I'm down to only 2 days left and had another absolute miserable day again. I've worked in this field for many years and I...
  18. Nascar nurse

    Systems to manage as an ADNS/DON

    Nascar nurse replied to andersonterry's topic in LTC: Directors, Assistant

    Dietary consultations (Weekly & monthly weights) Fall/risk management program Medicare management program Infection Control Pharmacy consults - gradual dosage reductions Admission order reviews...
  19. Nascar nurse

    Weekend Call Outs

    Nascar nurse replied to LTCRN4LIFE's topic in LTC: Directors, Assistant

    We have a general callout policy that seems to be working out very fair. Everyone's name is on a list. If there is a callout and your name is at the top of the list then you are the one mandated to...
  20. Nascar nurse

    Survey's Over

    Nascar nurse replied to LTCRN4LIFE's topic in LTC: Directors, Assistant

    Congratulations. Are they doing QIS in your area
  21. Nascar nurse

    High Cost Medications

    Nascar nurse replied to CapeCodMermaid's topic in LTC: Directors, Assistant

    Typical Medicare reimbursement for a medicare resident (we'll assume they are there for 2 weeks of rehab). Daily rate of about $450/day x 14 days = $6,300 - revenue Costs: Zyvox 600mg bid x 2 weeks -...
  22. Nascar nurse

    Witnessing and reporting resident abuse.

    Nascar nurse replied to wjg2882's topic in Geriatric, LTC

    You should have reported it immediately to whoever is in charge...I would just about bet that is your policy. Now you need to notify the administrator ASAP. It is his/her legal responsibility to do...
  23. Nascar nurse

    DON works 40/wk.

    Nascar nurse replied to adamsmom2's topic in LTC: Directors, Assistant

    Yep, I knew that...just wasn't sure where we would be on the Atlantic. It is now decided. Will be Ocean City, MD and I think you are a little further north than that. Now to just make it thru these...
  24. Nascar nurse

    DON works 40/wk.

    Nascar nurse replied to adamsmom2's topic in LTC: Directors, Assistant

    I'm a DON. My last DON job I could reasonably do 9 hours a day plus call 24/7, wkend manager, etc. It was all pretty reasonable & I was encouraged to take a day off if the hours started stacking...
  25. Nascar nurse

    Help developing leadership/accountability in our nurses

    Nascar nurse replied to HeyHeyitsMaay's topic in LTC: Directors, Assistant

    Because the ADON is likely circulating around the building at any given time. The nurses....the ones who work side-by-side the aides need to be setting the standards of behaviors. If not, everyone...