Nascar nurse ASN, RN

LTC, Hospice, Case Management

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All Content by Nascar nurse

  1. Nascar nurse

    Gonorrhea

    Nascar nurse replied to kagkat's topic in General Nursing

    This is not necessarily directed just to the OP, but at students in general... Many of us have been nurses for many many years. Please understand that our "learning experiences" were VERY different...
  2. Nascar nurse

    Waste of Time

    Nascar nurse replied to casper1's topic in General Nursing

    I'm an ADON in LTC. My biggest time waster is the weekly (or more frequent) calls to the insurance companies to ensure continued stay for the residents. Each call takes at least 20-30 minutes to...
  3. Nascar nurse

    MDS 3.0 RUGIII to RUGIV Medicare PPS Transition

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

    Yep, I'm right there with you. Makes me wonder if we are dealing with the same company but I don't wish to post mine
  4. Nascar nurse

    RN Salaries: Hospital vs LTC

    Nascar nurse replied to nursein2012's topic in Geriatric, LTC

    Not all of Indiana...see my earlier
  5. Nascar nurse

    MDS 3.0 RUGIII to RUGIV Medicare PPS Transition

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

    Having a wonderful Labor Day wkend. Have just spent 3 hours reading the RAI & trying to figure all of this out since we are not really getting any direction/support from the powers that...
  6. Nascar nurse

    RN Salaries: Hospital vs LTC

    Nascar nurse replied to nursein2012's topic in Geriatric, LTC

    Around the great lakes area, nursing homes generally pay $5 LESS per hour than
  7. Nascar nurse

    Do not spare me..

    Nascar nurse replied to kplp1111's topic in General Nursing

    If you're looking for a quick route to make money, rather than do surgical tech, why not get your LPN and then bridge to the RN program. At least you stay on the same
  8. Nascar nurse

    MDS 3.0 RUGIII to RUGIV Medicare PPS Transition

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

    I think my company is just doomed with the whole transition. I think it's gonna be every man/woman for themselves as I don't see coorporate giving us near the support we need. No idea when the...
  9. Nascar nurse

    Brain surgery last week, then coming to ED for pain. Wait 4 hours to be seen.

    Nascar nurse replied to happy2learn's topic in General Nursing

    I wondered the same thing. I drove myself to the ER with what I was hoping was just a pulled leg muscle (although I suspected there was probably more to it). Within an hour I was on my way up to my...
  10. Nascar nurse

    *wanting to slap the hospital admins*

    Nascar nurse replied to hazyblue's topic in General Nursing

    Wow! I can only hope (but doubt) that you are employed by a psych
  11. Nascar nurse

    trying to renew my lpn license after 15 years

    Nascar nurse replied to startingnew2010's topic in LPN, LVN Corner

    You need to start with calling your state board of nursing for advice on how to renew your license. Did you ever work as an LPN? Why would you want to throw all your education away & be a CNA?...
  12. Nascar nurse

    LTC Or Mental Hosp

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

    In my facility I would guess we have had at least 10 referrals within the past 6 weeks of 30's & 40 year olds..even one 24 year old with alcohol poisoning that lead to a CVA/non responsive, trach,...
  13. Nascar nurse

    Why do we do this? Why do we allow it?

    Nascar nurse replied to roser13's topic in General Nursing

    But, are we teaching?? or are we enabling?? The specific post mentioned did not ask for help understanding a concept...seems they just wanted an
  14. Nascar nurse

    Pet Peeve

    Nascar nurse replied to Leelee2's topic in General Nursing

    Makes you want to ask the clerk (in a loud voice) "So when's the last time you had a
  15. Nascar nurse

    Is this fraud?

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

    You are correct! I get a referral, read H&P, see any mention of fungal infection & immediately quit reading that & start scanning med list. If I find Mycofungin, I quit reading and take...
  16. Nascar nurse

    Is this fraud?

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

    Medicare. They pay us for providing the care. We accept the deal that we will pay for the residents needs, ie: therapy cost, medications, etc & they will reimburse us the determined rate (not a...
  17. Nascar nurse

    I'm outta here!

    Nascar nurse posted a topic in LTC: Directors, Assistant

    I'm pretty certain I'm putting my resignation in Monday & going to home health nursing. Talked with the manager of VNA today (happens I've known this person since I was a kid, therefore I believe...
  18. Nascar nurse

    I'm outta here!

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

    Well that was all a false hope I guess. Had a good initial interview. Was invited to go for a "shadow ride along" & that went great. Had a second (phone) interview with the head of the...
  19. Nascar nurse

    Job Abandonment in Illinois

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

    Not sure of Ill. laws, but typically this is not abandonment as she counted off with management which would lead me to believe that they knew she was leaving and there was a licensed nurse to take her...
  20. Nascar nurse

    Is this fraud?

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

    This is my understanding as well. As a SNF provider, we have an obligation to provide all medications during their Medicare A skilled days. If it was "Ok" to drop by the pharmacy & pick up Rx...
  21. Nascar nurse

    MDS 3.0 RUGIII to RUGIV Medicare PPS Transition

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

    For crying out loud... I can't believe we are bearing down on October 1st & they are still giving us new
  22. Nascar nurse

    I'm allergic to.....(laundry list)!

    Nascar nurse replied to AOx1's topic in General Nursing

    Well here's a strange allergy for ya all. I am allergic to Metamucil & have never taken a dose in my life. After years of administering this in long term care, if I open a jar of metamucil...
  23. Nascar nurse

    "I" careplans

    Nascar nurse posted a topic in MDS Coordinator Information

    Fresh out of MDS 3.0 training (corporate training)- whoopee! They briefly stated we should start doing "I" careplans, but gave us only one example of this. I'm "old school" and having some...
  24. Nascar nurse

    Okay I have a vent about the business of LTC

    Nascar nurse replied to NCRN2010's topic in Geriatric, LTC

    In my facility there is a $2 difference between LPN and RN STARTING pay. At one time, I was an LPN with 19 years of experience in that facility and certainly making a lot more than any new RN that...
  25. Nascar nurse

    Fiber and how it effects the GI Tract

    Nascar nurse replied to bd4411sa's topic in General Nursing

    Gotta figure out how you do this!! Think you could give me a "try this"