Nascar nurse ASN, RN

LTC, Hospice, Case Management

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All Content by Nascar nurse

  1. Thanks you guys. I was an MDS coordinator for 10 years & it might be time to brush up on those 3.0 rules that I'm not as familiar
  2. Nascar nurse

    Why can't I get a LTC job??

    Have you thought of volunteering at this facility doing non-nursing things. This might give you an opportunity to rub elbows with the DON and others - when a position does open they will already know...
  3. Just thought I would go back and update on this thread now that I'm about 5 months in. I'm not sure that I've ever had a job that I disliked so much. I'm so frustrated by the whole thing that I've...
  4. Nascar nurse

    Oldest patient

    Oldest was 106. She has been gone well over 10 years and I still consider her to be one of my all time favorites. Most recent was 102 year old that easily kept pace with me when we strolled down the...
  5. Nascar nurse

    High Cost Medications

    I've been given a rough estimate of about $50/day for med costs. Like a previous poster said, we do weigh out expected RUG score - estimated length of stay, etc when trying to make a determination....
  6. Nascar nurse

    Going alarm-free

    I'm trying so hard just to get some of ours reduced & meeting horrible resistance at every turn. I can't seem to convince anyone that alarms do not stop falls AND tends to create behaviors...
  7. Nascar nurse

    Time for a vacation!! Where do you want to go?

    Just this Thursday I got my birth certificate, a passport picture and a passport application. Was standing in the post office awaiting my appointment to finish the process when worked called with an...
  8. I have a phone interview this week with a popular electronic medical record company as an instructor. Anyone with any experience with this type of position? Any pointers? Any pros/cons? At this...
  9. dumb - dumb - dumb. Just because someone doesn't want to get up for breakfast does not mean they need to be hospitalized. Just
  10. Even more important....make sure they will say good things about you! It's unbelievable the number of references that tell me NOT to hire the
  11. Nascar nurse

    Rehab needs to get a clue

    Had a speech therapist, that I know has been in the business at least 20 years, working on a G-tube resident transitioning to oral feedings. She was discussing her plan with me that stated that only...
  12. Nascar nurse

    LTC Nurse: Patient Ratios

    Exactly. I've always heard it rumored that often times a state medicaid system will pay more for a convicted criminal care in jail on a daily basis than it does for a LTC resident on a daily basis....
  13. Nascar nurse

    Scrubs!!

    Just happened to stumble across this (clicked the link on the right side of the page). Word of caution - you now have your picture posted for the world to see which will always make you very easy to...
  14. Nascar nurse

    Can a physician deny an order to transport from LTC?

    As a long time LTC nurse and a DON - I would always transport a resident to the ER if they appear acutely ill and are requesting to go whether or not I had an order from the Dr. As I've aged &...
  15. Nascar nurse

    Travel/Interim DNS

    Leaving a comment mostly so I can follow the thread. My kids are getting very close to leaving the nest & I have a husband that I don't really like so I've also considered this as an option in a...
  16. I would probably want to know when this occurred...ie: if it occurred last month I might have a few more questions. If it occurred 5+ years ago and nothing since I wouldn't think anything about
  17. Nascar nurse

    Regarding Mother's Day...

    28 years in LTC. Hands down, Mother's Day has always been THE WORST holiday to get stuck working. Seems as those that just don't want to deal with Mom always find somewhere/someone else to be with...
  18. Nascar nurse

    Invisible illnesses...

    I remember the day I left a shopping cart right next to my car rather than going taking it to the cart corral just 4 parking spots over. Some middle age man chewed me out royally about my laziness....
  19. Nascar nurse

    I Ask For "Nothing".

    Dang...where did those heart icons go? Thanks
  20. Nascar nurse

    I Ask For "Nothing".

    Just mean and uncalled
  21. Nascar nurse

    Raises/ending pay

    Here's a chuckle for you.... I started in a nursing facility as a LPN in 1987 at $6.75/hr (nope, that is NOT a typo). I quit there about 4 years ago at $29/hr (as the ADON & now an RN). Now...
  22. Do not ignore!!!! You are right, it is a poison and it will be contagious. I learned long ago that letting this go unchecked ends up running off the "good staff" who getting tired of putting up with...
  23. Nascar nurse

    I Ask For "Nothing".

    CP - Hands down, you have to be the best author on the board (and we are fortunate to have some really great authors!). I'm a DON in LTC and admittedly I struggle with your article and the own self...
  24. Nascar nurse

    Problems at the SNF

    1. It does not matter one little bit what the guy's history is - you are the professional and you are wrong. Good for you for at least owning this one. 2. I've worked in LTC a lot of years. I am...
  25. Nascar nurse

    Praying in the work place

    And that would be way out of line and really none of your business unless THEY bring it up to YOU. I'd be curious to know how you respond when they tell you they haven't? I'd be curious to know...