Nascar nurse ASN, RN

LTC, Hospice, Case Management

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All Content by Nascar nurse

  1. Nascar nurse

    What exactly is an Exelon patch supposed to do?

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

    Agreed.
  2. Nascar nurse

    unable to find MDS job...

    Nascar nurse replied to amazing09's topic in MDS Coordinator Information

    And I started off the exact same way you describe. Had exactly 2 hours of orientation and the RAI thrown my way to read (and yes, this was about 13 years ago for me as well). BUT, my point being is...
  3. Nascar nurse

    unable to find MDS job...

    Nascar nurse replied to amazing09's topic in MDS Coordinator Information

    Most facilities have a VERY tight budget. We don't have extra hours just to let someone come in and "help out while they learn the job" like someone else said. Because of that, if a MDS job opens up...
  4. Nascar nurse

    Missed diagnosis - just a vent

    Nascar nurse posted a topic in General Nursing

    Just trying to understand how this happens & thank God I knew enough to save myself. Went to the ED over the weekend with complaints of horrible calf pain and swelling and a prior history of a...
  5. Nascar nurse

    Missed diagnosis - just a vent

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

    That's correct the hospital did not do the d dimer & at the time they drew blood I never though to ask for one. The ultrasound had not been done yet & I really expected that would come back...
  6. Nascar nurse

    Missed diagnosis - just a vent

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

    Trust me.. I'm very well aware of this. Did you read sequence of events in first post? Did I mention that as of this point not a single health care provider has listened to my lungs. I find that odd...
  7. Nascar nurse

    Missed diagnosis - just a vent

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

    I almost called insurance company today but worried that insurance company WILL refuse to pay and then hospital will hold me responsible for entire bill - and you know they will sue the heck of out of...
  8. Nascar nurse

    Question about Seizures.

    Nascar nurse replied to BSN 2 B's topic in General Nursing

    First...I appreciate your wording of your question. Nice to see a student give it the ole college try before wanting answers. Unfortunately, I'm not sure of the correct answer, but here is my...
  9. Nascar nurse

    Policy/Procedures or DON rules?

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

    Just remember the P&P book can not fire you. The DON
  10. Nascar nurse

    meds late from pharmacy

    Nascar nurse replied to smartnurse1982's topic in Geriatric, LTC

    think of it this way, If you or a loved one were sick enough to go to the Dr. and get an antibiotic, would you wait 48 hours to fill the Rx? Is there an emergency kit or something that the ABT can be...
  11. Nascar nurse

    Confused on Charting in LTC

    Nascar nurse replied to lyric65's topic in Geriatric, LTC

    this differs from state to state so its going to be hard for anyone to give you an accurate answer on this topic. you will have to look up your own state regs. in my state, an lpn can not hang...
  12. Nascar nurse

    Mds obra scheduling tool

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

    I would love this too. I am being told that CMS has not released new PPS rates for the RUG scores. Actually being told the rates will not be determined until sometime in the spring. Not sure I...
  13. Nascar nurse

    Bosses

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

    Wow...second post in a row that has brightened my day....just when I need it most. Thanks so
  14. Nascar nurse

    intellectual disability nurses working internationally?

    Nascar nurse replied to jean canty's topic in International Nursing

    I love you guys. Have worked 45 hours in 3 days, exhausted beyond belief and now laughing so hard I'm crying and my teenage daughter sitting beside me thinks I have finally lost it. Thank you, thank...
  15. Nascar nurse

    Unbelievable

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

    I love how the marketing director often is given a census bonus...just for getting someone in the door. But those of us left to care for the train wreck 24/7 is just given crap about why we don't...
  16. Nascar nurse

    MDS 3.0 Discharges

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

    :hug: We are having the problems too. Got a 3 page memo from corporate today. Page 1 informed up we could now transmit. Page 2 explained how to do it. Page 3 said "Do not transmit". Really???...
  17. Nascar nurse

    Unbelievable

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

    Answer to your question... the administrator has the final say on admits with input from nursing, SS and business office. We are required to call corporate and justify all denials Response to your...
  18. Nascar nurse

    Choking in LTC

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

    We wouldn't typically send out a hospice patient either. But, in the case of a fall with a fracture, this would generally be considered to not be part of the reason for hospice services therefore we...
  19. Nascar nurse

    Choking in LTC

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

    It amazes me how many get DNR and "do not treat" mixed up . I do NOT mean the OP or any other new nurse with limited experience. I have argued with many an experienced nurse and even doctors that...
  20. Nascar nurse

    Patient refusing meds, combative

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

    Stepping in & trying to douse the flames you are sure to get.. 1. This is the long term care thread & while we welcome comments from nurses from all walks of life the most relevant comments...
  21. Nascar nurse

    Good bye 2.0

    Nascar nurse posted a topic in MDS Coordinator Information

    Ok, so I'm a real "sappy dork" today & I just want a moment to whine (even tho that's not really the right word) We have all of our 2.0 MDS's done and ready to transmit tomorrow. 12 years of my...
  22. Nascar nurse

    Afraid of calling in

    Nascar nurse replied to madfowl's topic in General Nursing

    You are going to be stuck with these co-workers. Do not tick them off this early in the game by always being the one that wants to go home (even if this won't always be true, you will spend...
  23. Nascar nurse

    Today is Oct 1st. All set?

    Nascar nurse replied to noc4senuf's topic in MDS Coordinator Information

    We are all pulling our hair out, but I say "bring it on baby"!
  24. Nascar nurse

    Good bye 2.0

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

    I am looking forward to learning the new puzzle
  25. Nascar nurse

    ? re-med "a"

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

    I second that. Who put your social service in charge of the facility? I can bully a bully right back & I nearly always win! (evil smile) Our discussion at work today We currently have a resident...