Nascar nurse ASN, RN

LTC, Hospice, Case Management

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All Content by Nascar nurse

  1. Nascar nurse

    Continuing Education --Getting staff to complete it

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

    We use relias. If you request a day off, a vacation day, or anything else special it is an automatic denial if your Relias is not completed. This is our entire facility policy and true for all...
  2. Nascar nurse

    Palliative Residents

    Nascar nurse replied to Newgurl17's topic in Geriatric, LTC

    1st - As a 30+ year nurse in LTC and hospice, I totally agree with Capecod. Nurses get all wrapped up in "the last dose of narcotic medication killed someone" - No, they have a terminal illness and...
  3. Nascar nurse

    lpn to rn online

    Nascar nurse replied to TMORRIS52's topic in Online Distance Learning

    I don't understand the "got my LPN by endorsement" part. How does that work? Not to be a negative Nellie, but if you failed out of the RN program I think you're going to have a much harder time...
  4. Nascar nurse

    Commute Time

    Nascar nurse replied to nursechini's topic in General Nursing

    I only work 8 hour shifts but my commute is 50-60 minutes - a rural country drive. I've found podcasts help more than anything (especially liked S-town and Serial). I tried some audio books and I...
  5. Nascar nurse

    Rapid Flu

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

    Yes, we are testing in house. Our Medical Director has set the standard to test anyone with fever over 101. Luckily all good here so far. I've been on housekeeping to keep the doorknobs, light...
  6. Nascar nurse

    SNF Patient demanding to leave

    Nascar nurse replied to CrunchRN's topic in General Specialties

    Hi - I'm a Director of Nursing in long term care. Yes, if she is competent she can very well decide to go home. If she is competent, she should also be able to manage figuring out HOW she is...
  7. Nascar nurse

    Nursing pay..Check this out!

    Nascar nurse replied to FrankRN2017's topic in General Nursing

    So if we all make the same pay do we all move to small town USA in Mississippi or somewhere with a low cost of living to maximize our salary? And who's going to work in the high cost of living areas...
  8. Nascar nurse

    Uhhhh, That's Kinda Personal

    Nascar nurse replied to evastone's topic in General Nursing

    I work in a very religious, very conservative small town. I've become great at sidestepping religious/"what church do you attend"
  9. Nascar nurse

    Anyone here a private nurse advocate?

    Nascar nurse replied to Sunshine.nurse's topic in General Nursing

    I don't think I get what you want to do. When I see "SNF" I read skilled nursing facility - but yet I doubt you're trying to start your own nursing home? Can you give some examples of intended...
  10. Nascar nurse

    Mandatory Fun??

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

    Yes, these social butterfly type people just have no concept that there are others that just want to do the job they are signed up for and go home. I've been caught in this trap more than once. They...
  11. Nascar nurse

    bedrails

    Nascar nurse replied to nancydrew6's topic in Geriatric, LTC

    Well this will be unpopular BUT, first of all get rid of most if not all of those alarms!!! - They are loud. They are waking the whole hall up for one problem person. They are very likely agitating...
  12. Nascar nurse

    Need help with this term..thx ☺

    Nascar nurse replied to MzLopez4real's topic in Geriatric, LTC

    Forget the cheat sheet - go look directly at the resident's orders. If it's still unclear someone needs to clarify the
  13. Nascar nurse

    A new allegation every day

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

    I'm sure you've probably already covered all of this but my 2 cents anyways... 1. Psych eval? Med adjustment (antidepressant/antianxiety meds) 2. Try to staff with her "favorite" staff 3. Careplan...
  14. Nascar nurse

    Vasoactive Drips with a DNR

    Nascar nurse replied to DaveICURN's topic in General Nursing

    Hospice nurse here - My bullet point responses: 1. I completely agree that a DNR never means do not treat. 2. Hospice, on the other hand, indicates treat for comfort only and allow a natural death....
  15. Nascar nurse

    Agency Use? How Much & Staffing Solutions

    Nascar nurse replied to Chris Caulfield RN NP-C's topic in LTC: Directors, Assistant

    As CCM said. Around here, the term agency nurse is taboo - it's just not going to happen. I'll be working Saturday 2-10 to cover a hole in the schedule. Of course this is after working my own 40+...
  16. Nascar nurse

    Denying Death As A Society

    Nascar nurse replied to Kyrshamarks's topic in General Nursing

    Great article. Hospice nurse for several years. You'd all be amazed at how many families asked us to NOT wear a hospice uniform to visit their dying loved one... "We don't want them to know...
  17. Nascar nurse

    How long is the window for state survey?

    Nascar nurse replied to guest833402's topic in LTC: Directors, Assistant

    The survey window is generally 9 - 15 months from your last survey. They will not be kind to you because you are new, they will also not "hang you out to dry" because you are new. They have a job...
  18. Nascar nurse

    What makes a good DON

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

    Following - Anxious to see the
  19. Nascar nurse

    Roxanol 40mg q30 min

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

    My opinion, there's just not enough information here to make a good judgement. Hospice decisions many times get made based on what historically does/does not work for the resident. I'd be worried if...
  20. Nascar nurse

    Wardrobe

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

    I wear business casual, but often times with some type of professional looking (as can be found) gym shoes. I do wear a lab coat or lab vest about 1/2 the time depending on the temperature of the...
  21. Nascar nurse

    LPN for 25 years and want to get my RN.

    Nascar nurse replied to Redram's topic in School, College Programs

    I was an LPN for 19 years before I went thru Excelsior 12 years ago for my RN. This is an option you'll want to explore very carefully. I have nothing but great things to say as it was the PERFECT...
  22. Nascar nurse

    Long term care/hospice travel nurse

    Nascar nurse posted a topic in Travel

    Hi all. I'm considering giving travel nursing a try. Most of the time, these conversations revolve around hospital nursing. My experience is with hospice and long term care - Director of Nursing....
  23. Nascar nurse

    Self Administration

    Nascar nurse replied to Marija1's topic in General Nursing

    I'm still going to make a very broad assumption here that before a resident is ever allowed to move in, someone has done some sort of service plan to determine that they are in fact appropriate for...
  24. Nascar nurse

    Non clinical boss wants to sit in on pre-op visit with patients

    Nascar nurse replied to erica2117's topic in General Nursing

    My thoughts
  25. Nascar nurse

    MDS

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

    I would add the new intervention to the existing fall careplan. What are you using for a goal? "Will have no further falls" is probably not a realistic goal. Often better to have "Will remain free...