Nascar nurse ASN, RN

LTC, Hospice, Case Management

Member

  • Content

    2,218

  • Visitors

    35,073

  • Followers

    0

  • Likes

    91

All Content by Nascar nurse

  1. Nascar nurse

    physiologic needs first or safety first?

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

    - OR - non-skid strips next to bed, motion sensor alarm pointed to the area she is most likely to attempt to stand up at, keep potential items that may cause tripping out of the way, move close to...
  2. Nascar nurse

    MDS responsibility @Triple Check

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

    Ah Ha... you must be a Life Care employee! (I know this because I am one too). Where are you at? When I go to triple check I always go with an assessment summary. BOM heads the mtg - she reads off...
  3. Nascar nurse

    What can a nurse do?

    Nascar nurse replied to canoehead's topic in Emergency

    And it's not just the patient that kills himself... I worry about the guy that shoots up half of McDonalds because the voices told him to (and then hearing about all the Dr's that "thought" he'd be...
  4. Nascar nurse

    What can a nurse do?

    Nascar nurse replied to canoehead's topic in Emergency

    Mental health sucks in this country - the whole system is broke, but mental health really suffers. Ultimately this effects those of us that are supposedly
  5. Nascar nurse

    nursing home rn's

    Nascar nurse replied to danetteherl's topic in General Nursing

    Not all nsg homes are the same. Above poster talks of a rare IV. My facility may have several IV meds daily, plus wound vacs, complicated wound care,
  6. Nascar nurse

    confused...legal to not feed patients?

    Nascar nurse replied to IHeartPeds87's topic in General Nursing

    I think you are confusing a DNR with a living will. In a living will, you can specify what/if any heroic measures you would like to receive. Among those would include artifical nutrition/hydration....
  7. Nascar nurse

    Who you gonna call??? (not Ghostbusters!)

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

    Personally, I throw a small hissy fit (not really - just figure of speech) when I get admit paperwork with no contact name/number (I am in LTC). Exactly who am I gonna call at 2 am to let someone...
  8. Nascar nurse

    Alzheimer resident made me laugh !!!

    Nascar nurse replied to NurseLoveJoy88's topic in Geriatric, LTC

    I asked a resident one time who the president of the US was. They calmly replied "I don't know because I don't give a damn. He don't know my name either"!
  9. Nascar nurse

    LTC in Charge of 35. Helpful advice?

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

    Also before you start passing meds take a quick look at who will need change of condition charting and why. Why you are passing meds you can take a look at Mr. green's swollen ankles, ask Mrs Smith...
  10. Nascar nurse

    Embarrassing question reguarding CNA classes...

    Nascar nurse replied to janelane's topic in Medical Assistant, CNA/MA

    1. I taught CNA for classes for several years and never had the students brush each others teeth. Maybe this won't happen in your class either. 2. If it does, I would fake a horrible toothache that...
  11. Nascar nurse

    LTC in Charge of 35. Helpful advice?

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

    Pick your battles with residents and their families carefully. I see to many new people want to "fight" about the stupidest things. Had a resident just this week want to take a glass of cranberry...
  12. Nascar nurse

    Problems with co worker

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

    I was a LPN MDS coordinator for several years & had my sh!! together. The facility hired an RN with only hospital experience to help me. She came in with quite a RN/LPN attitude and we got into...
  13. Nascar nurse

    Vaginal Breech

    Nascar nurse replied to mamafeliz's topic in Ob/Gyn

    LOL - I am in a snow storm in the great lakes area and saw this title as Virginia Beach - guess I want outta the snow. Sorry to hijack the
  14. Nascar nurse

    Terminated without warning

    Nascar nurse replied to Lonestarrn02's topic in LTC: Directors, Assistant

    I warned my family when I took my ADON position that upper nursing management in LTC is always a risk. I have seen many a DON/ADON fired.. the powers that be just walk in one day unexpectedly and...
  15. Nascar nurse

    can you be a DON/ADON without having your license?

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

    I would certainly question why anyone would want to hire (or continue employment) with someone in this position without an unrestricted license. As ADON I can't begin to tell you how many times a...
  16. Nascar nurse

    How to improve my charting and filling out incident/fall reports?

    Nascar nurse replied to CrystalClear75's topic in Geriatric, LTC

    An incident report should "paint a picture" of what you observed at the scene. Include what position the resident was found in, was the floor dry, was the call light on, if alarms are assigned -...
  17. Nascar nurse

    H1N1 vaccine

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

  18. Nascar nurse

    H1N1 vaccine

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

    In November I was only able to obtain the vaccine thru the local health department. They would only allow me vaccine for those staff that wanted it and would not give me any for the residents. I did...
  19. Nascar nurse

    Advancing Excellence in America's Nursing Homes

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

    I just wish someone would look into mandatory staffing ratios for
  20. Nascar nurse

    ER to LTC

    Nascar nurse replied to mc123's topic in Geriatric, LTC

    As someone else mentioned, I think you really need to be prepared for a huge culture shock. Be ready to really listen to all you're being told - you're not gonna believe all the "over the top"...
  21. Nascar nurse

    Why do many nurses look down on LTC?

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

    We recently had to send a resident to the hospital. She receives 100mcg Duragesic patch. Prior to becoming ill, the nurse ran out of her 100mcg dosage and got 2 50mcg patches out of the EDK and...
  22. Nascar nurse

    Excelsior College questions

    Nascar nurse replied to momnurse84's topic in Online Distance Learning

    The COLLEGE network isn't a college at all and they do NOT give out college degrees. They just sell you study guides for big $$ so that you can study for a real college education. These same...
  23. Nascar nurse

    On call pay?

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

    I am salaried now, but wasn't for the first 10 years of this. Even an unit manager, staff development and MDS coordinator, it is written into the job description and expectation of the job. Seems to...
  24. Nascar nurse

    Should I quit?

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

    As an Assist. Direct. of Nsg, I would NEVER hire a new grad to be a pool nurse. I don't see how you can possibly learn the job and the expectations just coming in for shifts here and there. Seems...
  25. Nascar nurse

    Question for any DONs at ALFs

    Nascar nurse replied to nurse210's topic in LTC: Directors, Assistant

    Just an FYI.. this thread is 1 1/2 years old In my state there IS a regulation for this and without going thru the trouble of looking it up, I would imagine it is the same for all 50 states as this...