Nascar nurse ASN, RN

LTC, Hospice, Case Management

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All Content by Nascar nurse

  1. From new grad to LTC floor to DON in just a couple months! Yikes and double yikes! Someone has set you up for failure! I'm not sure worrying about quarterly or monthly reports is really your...
  2. Nascar nurse

    What exactly is so bad about LTC??

    Me too and that is my next
  3. It does get disheartening to read all of the other posts. I struggled with this a few years ago myself. I had been an LPN (with the last 10 years of that as an MDS coordinator) and became a newly...
  4. Nascar nurse

    I love you boss ... BUT!!...

    Just say no politely and be done with it. Or, screen your calls. No need to feel guilty. The boss is just doing his/her job to try and cover the
  5. Nascar nurse

    Diagnoses you never thought you'd see?

    Never even heard of VATER syndrome - had to google this. Wow, good for you for coming so far. I'd say you've had a fantastic team of physicians and a whole lot of luck on your side. Congrats on...
  6. Nascar nurse

    Nitropaste

    We recently had a new admit come with orders for nitropaste. I hadn't seen it used in years either. The admitting nurse must not have liked the idea as she had the order changed before I could even...
  7. This is the same at my LTC facility. I don't have the budget $ to pay 2 salaries to get one job
  8. LTC facilities are not staffed the same as you probably learned in a hospital setting. Many, if not most, times you will find only one RN present for any shift. There is just as likely not to be an...
  9. Wow..no ADON or MDS? How many beds? What is average medicare census? That sounds
  10. Nascar nurse

    Do you have to always call for abnormal labs?

    Since you are a new nurse allow me to give you a piece of advice that you should never forget....some Drs are just jerks and they will act LIVID over anything and everything. If you really are unsure...
  11. Nascar nurse

    Do you have to always call for abnormal labs?

    We fax all normal and usual abnormal labs (ie: someone who has had a BUN of 40 for years is a usual abnormal lab). Abnormal labs are called to the
  12. My daughter is 18 so when she was an infant we did not have cell phones yet. I thought I would lose my mind with worry when I left my VERY non-domesticated spouse home alone with the baby for the...
  13. Nascar nurse

    Pregnancy Discrimination - Interview

    I think you should use that charming personality of yours and go thru that first interview with a bang. You usually have a good sense if the hiring manager is clicking with you. At the end of the...
  14. Nascar nurse

    Pregnancy Discrimination - Interview

    Allow me to continue to "debate" with you because I really think you are wanting to understand and not just get ticked off. It can sometimes be fun to have opposing discussions with people that just...
  15. Nascar nurse

    Pregnancy Discrimination - Interview

    You know, I really hope you get the job. Just from this one thread I think I would love to work with you. I appreciate you allowing me to be honest and not coming back at the honesty with an...
  16. Nascar nurse

    Pregnancy Discrimination - Interview

    No doubt, it really is a shame. Just for the record, I DID hire a pregnant nurse and she WILL be out at Christmas time and she is a GREAT nurse and my staff likes her and my staff (that have years of...
  17. Nascar nurse

    Pregnancy Discrimination - Interview

    Argh...isn't that horrible to admit. Let's see...5 months pregnant now so add 4 more months...well that equals Christmas time. Now pretend YOU are the hiring/staff manager. How are you going to...
  18. Nascar nurse

    Why are some aides so disrespectful?

    Here is the simplified version. Everyone has a boss. The nurse is the aides direct supervisor. The aide is to do what the nurse reasonably asks them to do. (Walking away, shaking head and wondering...
  19. Nascar nurse

    Why are some aides so disrespectful?

    It's amazing that people actually think they are hearing me say that I don't bother getting BOTH sides of the story. Of course I do. I am not an idiot and have years of experience. I'm actually pretty...
  20. Nascar nurse

    Why are some aides so disrespectful?

    With all due respect, how much experience do you have in management? I will readily admit, I have my favorite aides and my favorite nurses but when you are a supervisor you MUST treat everyone the...
  21. Nascar nurse

    LTC Nurses... please answer

    The education needed by families and residents to better understand the reality of end of life expectations. "Yes I know your Momma is 98 years old. I understand she was the best Momma to ever walk...
  22. Nascar nurse

    Trachs and vents at LTC

    I think this will vary greatly depending on the facilities. I am lucky to see one trach a year and my facility does not accept vents. There are 2 facilities nearby that have a dedicated vent
  23. I am a DON in a smaller sized facility. My goal is to work 40 hours/week but usually run about 45 hours plus additional calls at home and occassionally I choose to bring some work home with me. I...
  24. Nascar nurse

    Why are some aides so disrespectful?

    I would say as neutrally as possible "Next time if you are on break I will expect to find you in the breakroom. Otherwise, I will expect you to assist a resident as asked". If/when next time comes...
  25. Nascar nurse

    Working as a nurse and pregnancy

    You have my sympathies but I really don't know that they did anything illegal. In my place of employment you have to be employed for 1 year before you eligible for FMLA. The only people allowed to...