Nascar nurse ASN, RN

LTC, Hospice, Case Management

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Need advice on helping your own family let go

Nascar nurse replied to sunflower3,RPN's topic in General Nursing

The best you can do is accept that they can't accept what's happening. It honestly sounds like you've done/said all the right things. No doubt someone on that ICU team is also trying to guide them...
Car germs

Nascar nurse replied to Jo1212's topic in General Nursing

Graduated nursing school in 1986. Every time I see a post like this I start feeling guilty that I'm just not that germ-a-phobe. Start wondering what's wrong with me & maybe I'm just kinda gross...
Annual Survey Window Time

Nascar nurse replied to Ariel09's topic in General Nursing

Know your infection control protocols, ie: handwashing, when to change gloves, don't kneel or sit on the floor (to get to a foot) without putting something down as a barrier. Follow physician orders...
Reported abuse 4 days late

Nascar nurse replied to Flowerpower15's topic in Geriatric, LTC

Going with the assumption that we are talking about LTC since this is the LTC forum this is the federal regulation regarding abuse. The individual state regulations (for any regulation) only matter...
LPN wanting to obtain RN

Nascar nurse replied to NurseRae23's topic in General Nursing

Everyone's situation is different with different things to factor in. I was an LPN for 19 years and then completed the Excelsior program to get my RN, in 2005(College Network and other test preps are...
Reported abuse 4 days late

Nascar nurse replied to Flowerpower15's topic in Geriatric, LTC

In the LTC highly regulated world - ugh, this could potentially go south very quickly. Why? Bottom line, a surveyor (or attorney) could easily cite that no one was protecting that resident from...
Palliative care nursing (not hospice)

Nascar nurse replied to mrnightinggale's topic in Hospice, Palliative

Unfortunately, and sadly, I think we as a society just do a poor job with palliative care/nursing. At least in my area I don't think I've ever seen a job posted for a palliative nurse but lots for...
What to say?

Nascar nurse replied to iwannabeanursee's topic in General Nursing

Keeping in mind this is LTC and most have some adnormal labs (and have had for years) - take a quick look back at previous labs for a comparison. You might mention "BUN is 45, but I see it was 70 2...
Share Your Favorite Motivational Quote - WIN $250! Nurses Week Contest 2018

Nascar nurse replied to Brian S.'s topic in General Nursing

Say what you mean but don't say it
Refuse the cart

Nascar nurse replied to Interpolfan89's topic in Geriatric, LTC

My thoughts exactly - 2 nurses can also waste narcs in my facility. I'm also curious if you still actually count all these discontinued narcs each shift change? (I would certainly think you should...
Antibiotic Stewardship - a losing battle for the DON

Nascar nurse posted a topic in LTC: Directors, Assistant

Mr Y To ER with complaints of upper abd pain and he insists he's going to ER. Returns with dx of UTI despite no urinary symptoms. Cipro for 10 days. Eventual culture report of E-coli (culture...
Nurses Smoking: Compassion Instead of Judgement

Nascar nurse replied to jeastridge's topic in General Nursing

No need to beg - just look me up. Fantastic post right here! I am the pariah of modern society and my addiction truly outweighs the
Housekeeping vs Nursing and poop Oh My

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

I keep waiting to get called to the office after my round with the business office manager yesterday. Admittedly, I kinda snapped at her in morning meeting yesterday when discussing a rash on a...
Negligence?

Nascar nurse replied to Mommy__RN's topic in Hospice, Palliative

Several years ago, when opening and doing the initial state survey for certification, the only thing we got cited for was checking O2 SAT without a physician's order and not on the careplan. Their...
Question

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

I'm not sure what a medhi is and some of your post is difficult to figure out what you mean, BUT anyone putting medication in a syringe and plugging a resident's nose so they will swallow has abused...
Am I wrong? Is this legal?

Nascar nurse replied to bossfrog's topic in General Nursing

I'm in Indiana, although not in psych. I've been in both hospice and LTC a long time & I know both places have Rules of Participation required by the state and federal government. Maybe a google...
DON after hours expectation

Nascar nurse replied to suey421's topic in LTC: Directors, Assistant

As the others have stated, it really is facility specific. I've worked in a couple different facilities and each has been very different. My current building is only 42 beds w/ low medicare census...
How to NOT impress the DON!

Nascar nurse replied to Cricket183's topic in General Nursing

I'm a DON & I would have been laughing right along with you. Was interviewing a nurse years ago - when the nurse stood up, her slip under her dress quickly fell down right around her ankles....
Student Interested in Management

Nascar nurse replied to RoadtoRN2020's topic in LTC: Directors, Assistant

I've known plenty of DON's that have gone on to become an administrator. In fact, I was recently offered that opportunity myself and declined (I'm an empty nester with kids living out of state and I...
BYOB at work?

Nascar nurse replied to Kayauhs's topic in General Nursing

I'm still mystified why you are more intent on being outraged than trying to fix the problem! Maybe THIS is where my 30+ years of experience is shining thru here, keeping the focus on FIXING the...
BYOB at work?

Nascar nurse replied to Kayauhs's topic in General Nursing

I must really be missing something here. I'm assuming this is in LTC with the usage of the term resident. I am a DON in LTC with 30+ years experience in LTC. If a resident wants a beer - get a...
Most Pressing Issues in Nursing Today

Nascar nurse replied to pmcgrady's topic in General Nursing

OP - you go first. Excited to hear your
Infection Control

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

Does you policy support your practice? I would think that would cover
Pharmacists at LTC/Nursing Homes

Nascar nurse replied to Emma87's topic in Geriatric, LTC

Great response above. My pharm consultant is wonderful, as most have been throughout my 30+
Continuing Education --Getting staff to complete it

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

Oh my - in my little bitty rural community I don't have enough qualified applicants as it is to be that harsh. I'd be out of staff in no

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