Nascar nurse ASN, RN

LTC, Hospice, Case Management

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Independent LOA

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

I'm sure there's a subassessment form out there somewhere that you could probably use to determine who is and who is not appropriate to be an independent LOA. Seems as if we have a subassessment form...
Encouaging Teamwork in your LTC

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

Jeesh.. I hate
Dirty little secrets to managing LTC

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

Someone said something about the little ole ladies that just sip... it really is something to consider. I'm not a petite lady by any stretch of the imagination, but even in my 40's and even with my...
Wish I had the number for the DEA policy maker

Nascar nurse posted a topic in Geriatric, LTC

Grrr.. my vent for today Resident actively dieing, moaning/flinching every time she is moved or touched. This poor thing is in misery. Call physician, get order for sublingual Morphine. Reminded...
When to apply for promotion in LTC

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

Yep, the worse they can say is No. Others make the mistake of thinking some experience entitles them to jump into a DON position, but a unit manager or staff development position would allow you to...
distressed by instructors lack of Professionalism

Nascar nurse replied to marytexas's topic in General Nursing

:lol2: Sad but
Scabbies

Nascar nurse replied to Zhanna D'ark's topic in General Nursing

No you do not have that right! We don't ever get to pick and choose who we take care of. (There has been a lot of people thru the years that NO ONE would have cared for if we could do
Top 15 Reasons to go into Nursing

Nascar nurse replied to Crystal112's topic in General Nursing

Mia13...I have that poem on my bedroom wall as well. Many days I never even notice it, some days I glance over at it and every now and then, I really have to study it to remind myself why I do what I...
Wish I had the number for the DEA policy maker

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

Ok, I'll tell ya how it is, but I chose not to say this earlier to avoid conflict... she was one of our residents who had been in the hospital for 2 weeks and they discharged her back to us in this...
at what point can you NOT do an assessment?

Nascar nurse replied to crissrn27's topic in MDS Coordinator Information

Is is safe to assume that the resident was medicare since you mention doing a 5 day? I don't get why you can't just move your ARD if you have all the documentation to support the new date. Nothing...
Why do many nurses look down on LTC?

Nascar nurse replied to Kitty Hawk's topic in Geriatric, LTC

More times then I care to count in the past 20 years, I have started a shift with a "well" resident and ended with a septic resident. Some elderly people really just turn that
New to LTC and to Nursing!

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

It's kind of scary as you will have NO ONE to lean on when questions/problems arise. You may be better off where there is more than just you as the only
Digitally removing fecal impactions

Nascar nurse replied to LouisVRN's topic in General Nursing

In general... yuck. But none the less, there have been times that there is just no choice - it's there, it's stuck, it just isn't gonna move without some help! I have one Dr. that I work with...
Infection control

Nascar nurse replied to noc4senuf's topic in LTC: Directors, Assistant

Some people just don't get it! A little retraining & explanation may do the trick in this situation
Take your boss to work day..........

Nascar nurse replied to tokmom's topic in General Nursing

aaahhhh....someone who really gets it. It is very rarely your director supervisor making some of these gaud-awful decisions, but if we wanna keep the job, well.... And as a sideline note, as a...
Afraid of getting terminated after calling in sick a lot?

Nascar nurse replied to ARRR10's topic in General Nursing

To qualify for most FMLA you have to be employed at least one year
Who Interviews nurse aides?

Nascar nurse replied to Akr_Chels's topic in General Nursing

The staff development nurse does all of our interviewing for these
State reportables

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

CCM.. that is exactly what happened with the burn I referred to. Mock survey hit the roof (luckily, I guess, the burn occurred only 2 days before they came in). But.. I see a fracture as a...
Meds in bottles from outside pharmacies

Nascar nurse replied to Nurse!Nurse!Hello?'s topic in Geriatric, LTC

Yes, I am seeing this too. We are also spending a huge amount of time on prior authorizations due to part D and just keeping up with all the re-ordering of all these meds from so many different...
My vent and What I will learn from it?

Nascar nurse replied to SmilesNoir's topic in General Nursing

Interesting.. I gave a bunch of the H1N1 this year too and had several bleeders too. I even changed to a different box of needles after awhile in fear I had a bad
My vent and What I will learn from it?

Nascar nurse replied to SmilesNoir's topic in General Nursing

Sorry you are going thru this & I would be upset with the mistake too, but I have to ask... When you brought this med error to the Dr's attention what was your expectation of him? He/she did say...
Am I too old?

Nascar nurse replied to vikkivik's topic in General Nursing

Every time I see the title "am I too old" I expect to open the thread and read a post from an 80 year old! Now that may be too old, but 30's, 40's and even 50's??? Depends on how bad you want it and...
ADON recruited for DON position

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

I have known many DON's that did not know anything about MDS and medicare billing and they seemed to survive just fine. Have to admit, it always irked me tho. Some seemed to not want to know or learn...
Antipsychotics

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

No you are still gonna trigger raps on those with psychotropics even with the correct ICD9. I am referring to the quality indicator report that tends to capture meds w/o diagnosis if the correct...
Antipsychotics

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

But last I knew (& I've been out of MDS for a year or so now so don't beat me if I'm wrong), but it has to be coded correctly on the MDS for the quality indicators to capture the actual diagnosis...

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