Nascar nurse ASN, RN

LTC, Hospice, Case Management

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All Content by Nascar nurse

  1. Nascar nurse

    How old were you when you finished nursing school?

    LPN - 19 years old....I got not respect, told I was just a "teenager" & later heard they took bets at who could run me out first. I got the last laugh on that one...I am 44 & quit that job...
  2. Nascar nurse

    Serious scope of practice concern

    And forgot to mention...contacting your state board of nursing isn't going to do you much good as their is nothing outside of your scope of practice...it's just to much work & that has to be fixed...
  3. Nascar nurse

    Serious scope of practice concern

    Any licensed nurse can complete the social service section of the MDS. No where in the RAI manual will it designate that certain people MUST do certain sections (aside from the RN signing for...
  4. Nascar nurse

    what is comfort care only?

    I think it will all be an individual consideration. It will depend on what meds they are on, what the family/resident expectation is, etc. Most often I try to explain to the family why the Dr. may...
  5. Nascar nurse

    Nurse tech

    You have posted a question about pay rate in a specific hospital on the geriatric nurse & LTC forum. I wouldn't expect to many replies from this crowd. Most of us would not have a clue about...
  6. Nascar nurse

    DON fired during state survey

    Wow...no advice really. The best you can do is pull yourself up by your boot straps and move on. I think I would also ask to resign rather than be fired. I don't believe you will be able to...
  7. Now that we've all had a chance to get used to the 3.0 what do ya'll think? I hate the bulk of the whole thing and our corporation's software program is sooooo slow it's painful most days, but.....
  8. Nascar nurse

    Old people humor

    My funny for the day...had to share. by "Dr. Seuss" The Cat in the Hat on Aging I cannot see I cannot pee I cannot chew I cannot screw oh my god, what can I do? My memory shrinks my hearing stinks no...
  9. Nascar nurse

    Hold injection site with Lovenox?

    I am an RN, but also a prior DVT patient that administered Lovenox to myself. Never heard of applying pressure. Very important tho to NOT purge the air from the pre-filled syringe. I have to...
  10. Nascar nurse

    What HAVE you said to patients???

    Had an elderly confused man tell my "I wanna piece of ass" as I was doing his admit assessment - his family present. Without missing a beat I replied "I think we are actually having sausage for lunch...
  11. Nascar nurse

    LTC facility-TAKE DOWN THAT ARTWORK NOW!!!

    I don't think you can effectively careplan an issue like this. A better idea is to take it thru resident counsel and have the residents vote on the idea. If the residents vote that they want their...
  12. Nascar nurse

    Staff and artificial nails

    A copy of the policy by the time clock to remind them. Make sure to list the reasons it is important to follow the policy, ie: infection control, injury prevention, etc - this sometimes makes people...
  13. Nascar nurse

    care plans

    20-30 problems - oh my! Someone with 20-30 different problems outta be dead! just kidding. I agree with previous posters. Mine are generally 10-12 problems. We are switching over to I careplans....
  14. Nascar nurse

    Hospice CNA seeking answers!!

    Yep..that crack needs washed too.
  15. Nascar nurse

    Hospice CNA seeking answers!!

    When I was a 19 year old nurses aide (that would be waaayyyy back before there was an actual certification - LOL) I was taught to do a P.T.A. bath on everyone, every day. I still teach new aides to...
  16. Nascar nurse

    Appalled at LTC standards of nursing care

    We do complete wound documentation once weekly unless there has been a change. Yes, you should call the Dr. if there is something new to report and you need a new med/tx. We don't routinely do...
  17. Nascar nurse

    Appalled at LTC standards of nursing care

    Please remember, LTC and acute care are not the same beast. LTC facilities are the residents home. The routine staff get to know these residents very well. You will want to watch "picking on" LPN's...
  18. Nascar nurse

    Man Dies While Performing CPR on wife

    OP...cute
  19. Nascar nurse

    LPN goin beyond scope of practice

    I could easily spend all day, everyday looking for someone not following the rules and would surely find many many examples of problems. I have learned to pick my battles wisely and mind my own...
  20. Nascar nurse

    REAL NURSING?

    Ah, you made me laugh! I appreciate the fact that you said you are just "imagining LTC", but let me assure you, we are not wandering around the hallways casually like Nightingale with time to be...
  21. Nascar nurse

    What's the deal with ER?

    What a nice response alabamaparamedic. No finger pointing, just an honest response as to how you see the situation and ways that ultimately help our
  22. Nascar nurse

    What do you do when......

    Thank You for this reply! This shows maturity and a willingness to see beyond your own nose. I greatly appreciate it. Best of
  23. Nascar nurse

    What do you do when......

    This is not meant to pick on you and again, I do recognize that there are very bad nurse managers out there. Since so many of your posts are critical of nursing managers in general I can only guess...
  24. Nascar nurse

    Medicare and leaves of absence

    Oh my, I would say it's time to go too. We always tend to be pretty liberal with time spent out of the facility while on Med A, but this is really just for the couple hours at home once or twice a...
  25. Nascar nurse

    What do you do when......

    First let me admit that I am responding before reading the entire thread but I just gotta say something. 1. Yes there really are "stupid nurse managers". Have seen plenty of them to know there is...