Nascar nurse ASN, RN

LTC, Hospice, Case Management

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patient death from PE

Nascar nurse replied to RockingItInTheER's topic in General Nursing

I hate taking my coumadin - I hate getting those stupid blood tests. Ya'll have just convinced me to not "forget" my dose tonight. Thanks. (Previous history of 2 DVT's w/ 2 PE's...13 years apart)...
what to do when pts aren't nice?

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

Oh please - why such rudeness? I am not an idiot. Some, maybe even most, behaviors need (and deserve) that free pass because of whatever is happening at the moment. We also all know there are those...
I'm trying my best, but seriously stop putting me down on the phone

Nascar nurse replied to Catch22Personified's topic in Emergency

I am an RN - in fact I'm the Director of Nursing at my facility...if I only had the power you insist I have..... This topic is a shining example of how nurses repeatedly fail to try and understand...
Problems with the aging nurses

Nascar nurse replied to RNGriffin's topic in General Nursing

I am 45. The opportunity did knock..and I choose not to answer. What I do everyday is very important and I am damn good at it too. Love from an "old bat" in LTC....be there until I need my own bed...
what to do when pts aren't nice?

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

Sad but so very true. Don't forget to chart bad behaviors to cover your
My patient coded, and it's giving me nightmares!

Nascar nurse replied to NickiLaughs's topic in General Nursing

Had this happen once in LTC. 90 year old walkie talkie. Started as a slight nosebleed - within minutes heavy nose bleed - within minutes full hemorrhage from nose and mouth. I swear clots the size...
I'm trying my best, but seriously stop putting me down on the phone

Nascar nurse replied to Catch22Personified's topic in Emergency

You don't know what you don't know. A little understanding from both sides goes a long way. Our Drs are required by law to only visit every 30 days if they are receiving skilled care. If they are a...
dealing with racism on dementia unit?

Nascar nurse replied to prob22's topic in Geriatric, LTC

What level of dementia are you dealing with? This sounds like it would take quite a bit of cognition and planning for someone with
I'm trying my best, but seriously stop putting me down on the phone

Nascar nurse replied to Catch22Personified's topic in Emergency

Awe - you beat me to it. That is exactly what I was thinking. I also won't get a survey citation for failure to follow MD orders (you know I had to notify the MD of the change in condition because...
Precocious puberty need information please

Nascar nurse replied to nursecat64's topic in Patient Education

She's 18 now....hard to remember for sure, but had to have been when she was 9 or 10. She started her period at 10 1/2 so it's always best not to delay the discussion too long. It's funny for me now...
Precocious puberty need information please

Nascar nurse replied to nursecat64's topic in Patient Education

Amazon.com: The Care and Keeping of You (American Girl) (American Girl Library) (0723232076666): Valorie Schaefer, Norm Bendell:
Precocious puberty need information please

Nascar nurse replied to nursecat64's topic in Patient Education

I gave my daughter this book too. She refused to read it or discuss it with me but I insisted she keep it in her room. She would later bring up at bit information randomly out of no where and when...
vent about other nurses attitudes

Nascar nurse replied to pinkfluffybunny's topic in Excelsior College

Esme - Just for the record, I never took your original post as disrespectful in any manner. Some people are just quick to be
vent about other nurses attitudes

Nascar nurse replied to pinkfluffybunny's topic in Excelsior College

esme - love reading your posts and often agree with much of what you say. maybe i can offer some insight. at least from my perspective. i am a 2005 ec graduate and am very proud of this. i choose...
long....looking for aaa information...substantiated neglect

Nascar nurse replied to pnurse68's topic in LTC: Directors, Assistant

pnurse68. just keep posting right on here. Make one right after another - I think you need 15? posts to get private messages. CCM gives great advice so you will want to see what she has to say....
long....looking for aaa information...substantiated neglect

Nascar nurse replied to pnurse68's topic in LTC: Directors, Assistant

Yikes! That's awful and very unfair. Also scary as hell. I've never heard of a DON being directly cited for something like this. I have no advice but will be very interested to hear how this turns...
does your facility have a defibrillator?

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

My current facility does not have any AED's in the facility. They did not even have a "crash cart" setup when I arrived. That got fixed quick. It's pretty much as you describe but crazy to think...
Opinions,please.

Nascar nurse replied to CapeCodMermaid's topic in MDS Coordinator Information

I think it would be absolutely nuts to put a brand new nurse in a MDS position. What a set up for failure and how unfair to that bright eyed newbie. They wouldn't even know what hit them when they...
This has been bothering me...

Nascar nurse replied to tss2507's topic in Men in Nursing

Me too, every time! - And I've had the same Dr for 20
Have you ever heard of an attendance policy like this???

Nascar nurse replied to NurseCard's topic in General Nursing

As a manager, I often discipline staff member without everyone else even knowing I did it. It is really nobody elses business. Just because your supervisor didn't make a big deal of it in front of...
SNF's that accept pt on vent & receiving Hemodialysis

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

I know of at least 2 LTC facilities in northwest indiana that accepts vent
What should the nurse-patient ratio be in long-term care facilities?

Nascar nurse replied to Jaimie.RN's topic in Geriatric, LTC

And to add to feelsafewithanurse posts...get rid of the QID blood sugar checks on the residents that have been there for years and have had stable blood sugars for years too. Some can go to BID if...
LTC incident, what are your thoughts.

Nascar nurse replied to wearyLPN's topic in General Nursing

Sorry for the thread hijack - just a side note. As a 25+ year veteran of LTC, I have worked with some really really nasty surveyors that clearly get their kicks out of making the staff feel like crap...
Excelsior Grad endorsing to get IL license

Nascar nurse replied to MedicLifelineRN's topic in Illinois Nursing

I graduated from Excelsior in 2005 - but started somewhere around 1997. Currently there are several different states that do not allow excelsior grads or require additional "stuff" to get licensed....
Area of hospital with minimal vomit...

Nascar nurse replied to alxndria.mrqtt's topic in General Nursing

So could I...I would even go as far to say I would find it fascinating. These are the kind of nurses that you befriend and trade

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