Nascar nurse ASN, RN

LTC, Hospice, Case Management

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Calling EMS to pronounce

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

Make sure there wasn't foul play involved?? Wonder if they do that for hospital deaths as
Calling EMS to pronounce

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

We don't officially pronounce anything in my state. We just call MD with resident report (absence of vitals) and write an order that MD agrees to sign death certificate and OK to release body to...
Q.I.S.

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

Thanks to both of you. This QIS survey process is somewhat frustrating. I'm used to trying to manage a survey process. I'm used to knowing what they were digging into, I'm used to trying to "argue"...
looking for advice:Recently had a patient to brake a bone from a fall

Nascar nurse replied to epg712003's topic in Geriatric, LTC

Also...get a copy of that Xray. It saved me with a surveyor one time when the Xray went on and on about the severity of the osteoporosis. Proved that bone was gonna break if the wind blew too...
new to management..Need help

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

Your pharmacist is a great resource for medication/lab follow up. The basics are going to be Coumadin, Digoxin, diuretics Chart audits is easiest when done in the MDS cycle. Compliance rounds?? I...
I'm an Idiot....

Nascar nurse replied to ChristineN's topic in General Nursing

Yeah - you get the weekend off. Get it fixed and be ready for Monday. Apologize profusely and move on. Find something fun to do this
My CNAs dont seem to respect me...

Nascar nurse replied to CCFCP's topic in First Year After Licensure

That is intolerable. Write them up. Ask for a meeting between you, the aide and the DON to discuss the
DNR means what???

Nascar nurse replied to cloverleafLPN's topic in General Nursing

With all due respect - duh! Not sure what people aren't getting about the fact that the LTC nurse can only educate residents and family on the choices they have and the risk/benefits of those...
DNR means what???

Nascar nurse replied to cloverleafLPN's topic in General Nursing

I don't exactly agree with this. DNR = Do Not Resuscitate. There is absolutely nothing there that says do not TREAT. It means if I suddenly stop breathing/heart stops beating do nothing. Living...
Most important thing to know in LTC

Nascar nurse replied to beatrice1's topic in Geriatric, LTC

Oh My...residents have every right to approach you at the med cart and request their medication (within the prescribed time fram). You don't get to set the "ground rules" and tell them to go sit down...
is this legal?

Nascar nurse replied to cheng1988's topic in LTC: Directors, Assistant

The shift differential is a benefit. No employer has any legal obligation to provide you with a shift differential. But, on the other hand, if they say they give it and they are giving it to others...
Anywhere in the country hiring new LPN grads with no experience?

Nascar nurse replied to sawyer1200's topic in Job Search, Interview, Resume

Have you tried calling recruiters and or hiring managers? As a DON in long term care I get dozens of applications each week. I have had a few new grads show up and politely introduce themselves....
Complaint Survey

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

T&P = Turn and
Is it weird that I love wound care?

Nascar nurse replied to MyUserName,RN's topic in General Nursing

:redbeathe Good to know I'm not the only weirdo. A co-worker and I would practically fight over the really gooey ones. The others thought we were
Not hired if you smoke?

Nascar nurse replied to havehope's topic in General Nursing

But....they are not testing for alcohol prior to employment. You are not considered ineligible for employment just because you had a drink sometime within the past 30 days. (And there is also plenty...
Hours spent on the phone?

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

But you really do want that open bed filled. Census is key in LTC. To many open beds and you start having to cut staff, have less $ for supplies and a host of other problems. It is NEVER a problem...
Not hired if you smoke?

Nascar nurse replied to havehope's topic in General Nursing

The subject has been beaten to death. "Happy reading".
ALF gone bad

Nascar nurse replied to NurseLoveJoy88's topic in Geriatric, LTC

how's the feedback from the don when you question some of this? is she/he experienced? sounds like a scary place and you may need to come up with plan b. good
Nursing Attitudes

Nascar nurse replied to smorgan1228's topic in Patient, Colleague Relations

See, I think this just perpetuates the myth. To the OP - I personally think someone thinks you are worth improving. To learn and grow in this profession you must have someone who will show you the...
English As a Second Language

Nascar nurse replied to kalin's topic in General Nursing

I suspect you will not have any problem at all. You paragraph is very well written and easily understood. Sadly, that is not true for many posts that are written by those whose primary language is...
What kind of staffing do you have?

Nascar nurse replied to TiredRN-momto4's topic in LTC: Directors, Assistant

Do you know what your PPD staffing is? (Patient per day). Often it is somewhere around
Touching blood without gloves

Nascar nurse replied to NurseLoveJoy88's topic in General Nursing

Is this just hospital floors? I would be curious if the hospital floors aren't actually cleaner than those in the grocery store, gas station, etc (of course outside of an obvious body fluid
Nutrition to prevent and treat pressure ulcers???

Nascar nurse replied to judieli's topic in Nursing Student Assistance

Google?
rn taking orders from an lpn?

Nascar nurse replied to tofunurse<3's topic in Geriatric, LTC

Not to derail the thread, but this does go both ways. I'm sure from an ER stand point you don't see that but I can't tell you how many times a discharge planner will "sell" us this sweet little old...
rn taking orders from an lpn?

Nascar nurse replied to tofunurse<3's topic in Geriatric, LTC

They can do it all day long here too. I did it for 19 years and never had a

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