Nascar nurse ASN, RN

LTC, Hospice, Case Management

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All Content by Nascar nurse

  1. Nascar nurse

    salary floor nurse?

    The "salary" part of that would worry me
  2. Nascar nurse

    Can a LTC not have DON or ADON?

    I would just walk in & ask the administrator. Everyone should know who the DON
  3. Nascar nurse

    Can a LTC not have DON or ADON?

    A licensed skilled care facility must have a DON in place per federal regulations. Depending on the number of residents, they must be full time and not a part of the routine nursing schedule. Maybe...
  4. Nascar nurse

    Happy Flippin' Nurse's Day

    My LTC has given a small gift to nurses every day so far. The same gifts were also given to our 2 retired resident nurses (they were thrilled & each said they never got this much recognition when...
  5. Nascar nurse

    Accelerated BSN at Valparaiso

    I have lived in Valpo my entire life. Valpo is a small, clean conservative town. Could almost describe it as "old fashion". To read the local paper with our "quickly" complaint section the biggest...
  6. I have been taught repeatedly that one should always code with information that accurately reflects actual resident condition. If the documentation does not agree with actual resident...
  7. Nascar nurse

    Resident with End-Stage COPD

    I have never heard of this, but without ever hearing the formal term "terminal agitation" I know I have seen it. So this is one suppository containing all 4 of those meds? Interesting. Gonna go Google...
  8. You also may want to get a mod to move this thread to the geriatric forum for additional responses. Maybe someone would be able to offer you a valid
  9. Upon further thinking.. a "kudos" on the above post just isn't enough! Someone has gone completely crazy to think that this is anywhere near reasonable! Count the whole med cart....jeesh, stupidity...
  10. Nascar nurse

    Personal: Is this considered neglect?

    She's 90 years old. Kindly think about how much you REALLY want to put her through. It is an individual decision & only the two of you can decide what is best, BUT.. when I'm 90 years old and...
  11. Nascar nurse

    Why not admit this patient?

    Without reading the rest of the replies.. this is the correct answer - 100% You may also want to watch the assist you provide. If she is that sly, she may try to find any reason at all just to sue...
  12. Nascar nurse

    Can MDS coordinators do any charting?

    There is no reg against the MDS coordinator charting. I am a nurse, I have a license, if I am doing the MDS ASSESSMENT I have every right (and obligation) to actually assess! I would be highly...
  13. Nascar nurse

    Too many Applicants....

    I would agree with this. Have also seen the best candidates on paper & during interview fail miserably once they actually got the job. Somedays ya just never
  14. It is amazing to me how many don't read the OP closely enough to know that this is a topic on assisted living and therefore hospital protocols do not apply! Apples to
  15. Nascar nurse

    Quality/ Performance Improvement

    Read any thread about staff vs management. It will give you some insight to this ongoing difficulty. I agree, it is enlightening to actually see both sides of the fence, but many just automatically...
  16. You need to find out what the licensure requirements are for your type of facility. Assisted living is often different & doesn't require 24 licensed nurse coverage. The regs in my area require...
  17. Nascar nurse

    Too many Applicants....

    Oh you grammar/spelling police people always intimidate the hell out of me. It's funny because I never seem to see my own mistakes despite proof reading, but I always see the other guys mistake....
  18. Nascar nurse

    Can you really change a bad LTC?

    What is your current position.. I assumed DON until I read your comments about the current
  19. Nascar nurse

    Handling the ones that are constant fall risks

    I have never witnessed a resident being hurt with a merry walker, but I HAVE witnessed the resident in the merry walker hurt other innocent bystanders/residents. After several damaged toes/feet/shins...
  20. Good for you CCM.. I love the staff, but I ain't gonna be rubbing their feet :) (Only because I don't want anyone touching mine
  21. Nascar nurse

    Post mortum care mourning :(

    Just deal with it..anyway you find comforting to you. I have been at this 25 years & have dealt with many deaths. I work long term care so this is a common event. Most often I can deal with it...
  22. Nascar nurse

    Can nurses legally "refuse" to take a new admit?

    I am in management, but I do work the floor as well. When we get slammed with admissions, I am right down there doing my share to help them. Are you in management? Somehow I doubt it. I spent 10...
  23. Nascar nurse

    Can nurses legally "refuse" to take a new admit?

    The OP indicates they are in long term care. The forms mentioned above do not exist in our enviornment. In LTC, I have never seen the floor nurse be able to refuse an admission. If the floor nurse...
  24. Nascar nurse

    pls help

    Honestly, really... I mean honestly...do any of us REALLY want a nurse taking care of us that couldn't do a simple google search? It just seems like such an epidemic of this lately and it really is...
  25. Nascar nurse

    pls help

    Really??? I simply copied these words "Antenatal screening" from your original post, went to google, pasted these exact words in and came up with several different sites to read & learn from....