Nascar nurse ASN, RN

LTC, Hospice, Case Management

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All Content by Nascar nurse

  1. CNA's make no where near that here (start at $9 here) but an LPN with 17 years experience would likely make at least $19
  2. Nascar nurse

    New DON

    I did MDS's for 10 years and loved it. Got a wild hair up my rear and got this crazy notion that I needed to prove to myself that I was capable of being a DON and thought it would look good on my...
  3. I am the DON in a LTC facility. I currently have ads on careerbuilder for a full time CNA position as well as a full time LPN/RN position. Both positions are clearly advertised as 3-11 positions. I...
  4. I have to wonder if the chip on the shoulder shines through in the
  5. Nascar nurse

    Can I swap brains with you?

    I'd have to agree. Would never consider myself to be "super smart" but the NCLEX just wasn't as bad as some make it out to
  6. Nascar nurse

    CHF Protocols

    Not silly at all. I've been around this business longer than I care to admit and it's one gigantic pendulum. Way back in the day we had all these specialized diets for everyone. Later someone came...
  7. Nascar nurse

    Out of Scope of Practice?

    Yes, an eval requires an order. During an eval there will be resident specific concerns discussed, ie: what meds they are on, what end of life diagnosis will be used, contract agreements signed, the...
  8. Nascar nurse

    CHF Protocols

    Interesting. I wonder since you are actually in a hospital and presumably part of the hospital system how it works with the 30 day readmission? We have a very competitive LTC system in my area with 2...
  9. Nascar nurse

    Out of Scope of Practice?

    Just to talk to a hospice representative does NOT require a MD order. (The point of this conversation is a Q & A about what hospice care is all about, the services to be provided, financial...
  10. Nascar nurse

    Pulled from floor by "Men in Black"

    Yes, what she
  11. List your clinical experiences under education. List any odd jobs you may have had (actually I get the best references from some of these people - those employers tend to absolutely "gush" over how...
  12. Not calling you out in particular - just making a point and using your post to demonstrate so no offense intended personally. Ok! If you were a DON you would understand that this hiring blitz I'm...
  13. Nascar nurse

    Out of Scope of Practice?

    No kidding - geesh, if we waited on the Dr to decide on hospice a resident would NEVER get on hospice. My conversation: We see Mom is declining based on recent weight loss, labs, whatever. Did Mom...
  14. Nascar nurse

    CHF Protocols

    My company has been hot on this CHF protocol stuff. In my state we can't have any standing orders therefore we don't have any policies in place regarding IV Lasix and such. All admits with a...
  15. As others seem to be saying, I don't consider clinical rotation as a job and should not be listed as such on the
  16. Nascar nurse

    RN was fired because the patient didn't like her

    Warning * Warning * Warning* Anyone ever teach you all how Chinese telephone works? Just a caution that everything that gets passed thru your coworkers is not necessarily the truth. There have...
  17. Nascar nurse

    Please help! responses needed for class

    Yep, I started it but didn't see any possible connection to nursing and backed
  18. Nascar nurse

    Clinical Failure

    The rules at my school were: 1 minute late = absence. 3 absences = kicked out for the semester. My classmate and I were headed to clinicals in a snow storm and she lost control. We ended up...
  19. Nascar nurse

    Develop a Thick Skin - How?

    Oops - so who's perfect? Kick yourself in the rear, learn from your mistake, forgive yourself and move on. The Dr. has already moved on and has probably already yelled at 6 other people by now....
  20. Just my $0.02 (and you may have done this) but also explain WHY you want them to get a nurse first. I've always found better cooperation if they understand why I want something done the way I want it...
  21. Nascar nurse

    Peer interviews...again

    Want a job = play the game. You never know, you might just get it too. Good
  22. Nascar nurse

    5 things you wish you knew as a new nurse

    Yikes! That one made me
  23. Nascar nurse

    I don't know what to do...

    How are the other nurses handling this resident? Do the nurses with years of LTC experience do any better with her? There is a real talent to dealing with this kind of resident. Some of them really...
  24. Nascar nurse

    Doesn't It Make You Want To Scream, part two

    Yep - there are those days. Breath! Remember it really is illegal to kill 'em just because they are momentarily stupid. Hope tomorrow is
  25. Nascar nurse

    Clinical Care Supervisor?

    I would "assume" it's a fancy title for a unit manager position. In other words, you have direct supervision over all things related to your assigned unit. As far as pay, I doubt anyone will be able...