Nascar nurse ASN, RN

LTC, Hospice, Case Management

Member

  • Content

    2,218

  • Visitors

    35,068

  • Followers

    0

  • Likes

    91

All Content by Nascar nurse

  1. Nascar nurse

    Budget cuts..... State nurses earn minimum wage?

    Nascar nurse replied to gcupid's topic in General Nursing

    Haha...I remember working as an LPN for $7.50/hr. That was after my raise from $6.50/hr and I thought I was rich! Of course this was 20+ years ago and I would be one of the first to bail out if I...
  2. Nascar nurse

    The Unwritten Laws Nurse Managers Live By

    Nascar nurse replied to rntj's topic in Nurse Management

    Ain't that the truth! It's a constant struggle to find the line in the sand. The floor staff demand I help them with their work at the drop of a dime. They run to my boss crying that no one helps...
  3. Nascar nurse

    ADON Opportunity - Advice needed!

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

    As usual, I agree with CapeCod - this is probably not a good idea for you. I have a feeling this will frustrate you beyond belief and I'm not positive it is a good move for the facility. With that...
  4. Nascar nurse

    Nursing Leadership Styles (Part I): Authoritarian Leaders

    Nascar nurse replied to TheCommuter's topic in Nurse Management

    Yikes - Well I'm in BIG trouble. This would not be a strong point for me. Uh
  5. Nascar nurse

    Nursing Leadership Styles (Part I): Authoritarian Leaders

    Nascar nurse replied to TheCommuter's topic in Nurse Management

    This is the style my current "new" boss is using. Absolutely can't stand it and neither does most of the rest of our team. The word team is now just a joke - we're just little robots jumping when we...
  6. Nascar nurse

    Nursing Interviews: Basic Post-Interview Etiquette

    Nascar nurse replied to TheCommuter's topic in Job Search, Interview, Resume

    I've been interviewing and making hiring decisions for 15+ years (in LTC). I'm not sure that I have EVER received a Thank You note and honestly, it doesn't bother me one bit. I'm doubtful it would...
  7. Nascar nurse

    Does this sound like TB induration

    Nascar nurse replied to ilovemicrobiology's topic in General Nursing

    Sometimes it can be really tough to determine when the induration actually starts. I've learned it's best for me to turn away from the area so as not to be visually fooled by any redness and just...
  8. Nascar nurse

    "No nurses of color....."

    Nascar nurse replied to Queen2u's topic in Patient, Colleague Relations

    This is my approach as well. I'm just not going to send my staff into a "battle field" of ignorance and allow them to get
  9. Nascar nurse

    Borrowing medication from different patients

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

    Scary situation you have there! My best advice is to always do what YOU know to be
  10. Nascar nurse

    Borrowing medication from different patients

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

    As a DON if I noticed a trend of the same nurse repeatedly "wasting" narcs I would soon become suspicious that she was actually diverting narcs for her own personal use. Anyone can drop a pill once...
  11. Nascar nurse

    Ultrasound Tech Telling Patients She is a Nurse

    Nascar nurse replied to BrewerLPN's topic in Patient, Colleague Relations

    Doesn't matter. She is not a licensed as a nurse therefore she legally can't call herself a nurse. You are not responsible for her actions and can't be held liable. She doesn't work under you...
  12. Nascar nurse

    Suggestion to prevent damage to lips when vomiting?

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

    I'm thinking she might need some IV
  13. Nascar nurse

    First State Audit!

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

    Read this entire thread. Lots of good information.
  14. Nascar nurse

    Giving O2 without an order??

    Nascar nurse replied to strawberryfields's topic in General Nursing

    Just an FYI...In my state we are not allowed to have any type of standing orders in LTC. Heck we can't even have an order that states Tylenol 1 or 2 tabs every 4-6 hours. According to my state the...
  15. Nascar nurse

    Giving O2 without an order??

    Nascar nurse replied to strawberryfields's topic in General Nursing

    Oh, take a deep breath. Can you get sued/lose your license - sure you could. Is it likely to happen based on this particular occurrence - highly unlikely. The advice you have been given is very...
  16. Nascar nurse

    Facility mandatory DPH reporting for fracture

    Nascar nurse replied to sMoLsNurse's topic in General Nursing

    Awe shucks! I just learned to play the game!
  17. Nascar nurse

    LTC Documentation Guidelines

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

    I don't know of any particular links for documentation. Can you give some examples of things you were told you shouldn't chart? Maybe I can help explain
  18. Nascar nurse

    Facility mandatory DPH reporting for fracture

    Nascar nurse replied to sMoLsNurse's topic in General Nursing

    Well I'd only do what I said if I was pretty certain it was broke to begin with. Afterall, once it's confirmed fracture they are probably going to have to go
  19. Nascar nurse

    Facility mandatory DPH reporting for fracture

    Nascar nurse replied to sMoLsNurse's topic in General Nursing

    In my state in LTC we are only required to report a fall with a fracture of a dependant resident (dependant per the MDS definition). I have to admit, after all the years I have been around, I can be...
  20. Nascar nurse

    state survey

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

    Yikes - that really stinks. Glad the resident was
  21. Nascar nurse

    Vent: Why I won't accompany my mother to the ER anymore

    Nascar nurse replied to BelgianRN's topic in Emergency

    She's not the first....she won't be the last. It will be OK. My Dad tends to be the same
  22. Nascar nurse

    State is coming, random medication questions

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

    Oh, just to add...make sure you read and understand your facility policy on cleaning the glucometer between uses. My state surveyors are ruthless on this. We have 2 machines per cart. After each...
  23. Nascar nurse

    State is coming, random medication questions

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

    1. For oral medications you can crush them all at once. Make sure you have an order to crush. Make sure each medication is allowed to be crushed - remember those extended release, potassium, etc...
  24. Nascar nurse

    Staffing tool

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

    "but think that instead of simply moaning about it, perhaps i can offer up a suggestion". i'd give you a hundred kudos for just this one sentence! i think you could teach my staff a thing or two....
  25. Nascar nurse

    Need examples of medically complex nursing home patients

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

    I am confused as to how these "exceptionally medically complex" patients will qualify for lesser services. My initial thought for medically complex would include those that need lengthy IV...