Nascar nurse ASN, RN

LTC, Hospice, Case Management

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All Content by Nascar nurse

  1. Nascar nurse

    Interventions for a Terrified, Disoriented Resident

    :anpom::anpom: How fantastic for that resident that we were all able to come together to find a
  2. Nascar nurse

    The Family from Hell

    We have a very difficult resident (A &O) with a very difficulty significant other. Kept calling state with abuse complaints and the state was coming every other month to check each complaint out...
  3. Nascar nurse

    STNA's ... do you have to clean up a lot of poo-poo?

    Have to add my funny story regarding how people get the wrong idea related to medicine from TV shows. Back in the 80's I was a teenager working in a small Mom/Pop pharmacy. The pharmacist asked me...
  4. Nascar nurse

    STNA's ... do you have to clean up a lot of poo-poo?

    Oh for crying out loud. You all are being way to harsh! This is an "outsider"..someone that has never been exposed to our daily enviornment.. ya know what we take for granted every day without a...
  5. Nascar nurse

    STNA's ... do you have to clean up a lot of poo-poo?

    And change lightbulbs, spread salt on snowy sidewalks on Saturdays, clean poo-poo off the floor in the dining room, etc - all as an RN. No one is immune! (But don't let that scare you away, it's far...
  6. Nascar nurse

    Working on a smoke-free campus

    Same question could be asked why would they be overweight, why would they use illegal substances, why would they drink alcohol, why would they not exercise regularly, etc. Answer - We are all human...
  7. Nascar nurse

    how to be a great supervisor?

    I also think it's good to know the people. My last administrator was fantastic. She could walk up/down halls asking staff.. how did your dad's surgery go, did your kid win their game last night,...
  8. Nascar nurse

    ADON responsibilities

    I am an ADON in northern Indiana. I make just a couple bucks more than you. I am salary and expected to take my turn at on-call rotation. Because I am salary, I DO NOT get paid any extra even when...
  9. Nascar nurse

    Another noob RN vs LPN question!

    i've been on this forum for several years now and don't wish to get into with you. i'm just saying it doesn't take a "rocket scientist" to spot a troll. if you're really not, please accept my...
  10. Nascar nurse

    Interventions for a Terrified, Disoriented Resident

    How about a psych eval. Maybe psych MD can regulate meds better. It's not about trying to "dope" them, it's about enhancing their quality of
  11. Nascar nurse

    Another noob RN vs LPN question!

    I suspect a troll. The post does not support the educational level I would expect from an aerospace manufacturing
  12. Nascar nurse

    question about narcotic dispensing

    Exactly the same for my facility. We can not send narcs back to the pharmacy for any reason - we flush them down the hopper (which could lead to a whole other thread). There is no reason in the...
  13. Nascar nurse

    Significant change or not?

    The overall intent of a significant change is to trigger an updated plan of care for the resident when needed. Although his ADL score will remain the same, he will have probably had a significant...
  14. Nascar nurse

    advice for a coworker

    Hi CCM. I experienced a very similar situation a couple years back. After much consideration I decided to just leave and say nothing. I had been at that facility for nearly 20 years and considered...
  15. Nascar nurse

    should I complaint?

    You need to go back and read the OP! She said she is usually scheduled with 4 CNA's during the week and then only 3 on the weekend (Not 2). I would agree that 2 on days or 3-11 may be pushing it a...
  16. Nascar nurse

    should I complaint?

    I agree with above.. 1 nurse, 3 CNAs for 30 residents is pretty typical in LTC. Be very happy for the days you have 4
  17. Nascar nurse

    I wished I worked @ Wal-Mart

    Do not allow idiots to mentally/emotionally beat you up. It's just not worth the
  18. Nascar nurse

    Want to hear your pet peeves in LTC nursing

    I'm part of nursing management - mine may be a little different 1. Some of the lame call off excuses by the repeat offenders - then they get mad at me for call off write up! 2. Begging and pleading...
  19. Nascar nurse

    New Grads in LTC... Opinions please

    As the ADON, I love to take on new grads in LTC, but I wouldn't want one that is PRN. I feel that you are going to have a very hard time getting a grasp on what you are doing on a PRN basis....
  20. Nascar nurse

    What tactics do you use with Know All Aides?

    We have a written 1:1 education form in our facility. I would probably begin with one of these & would also make sure to write the potential negative impact for both the resident and the family...
  21. Nascar nurse

    Old deaf man???

    Agreed. Are you even a student? I don't consider myself to be a grammar police by any stretch of the imagination, but the OP's post leaves much to be
  22. Nascar nurse

    How many deficiencies does your facility have?

    Per our cooperate policy for elopement.. one step across the threshold of the door is an elopement. Also Indiana has recently posted new surveyor guidelines on abuse... All substantiated cases of...
  23. Nascar nurse

    behavior monitoring

    Zuzi, you are stuck on the wrong question tho.. The question is - does ambien need BEHAVIOR monitoring and the answer to THAT question is... No as insominia is NOT
  24. Nascar nurse

    What happens after med error?

    And if you want to get really technical.. the facility was cited for the med error that was caused by the
  25. Nascar nurse

    Trifling, tricky, 2 faced cnas!!. what to do what to do??

    Just stick with this one sentence and all will be