Nascar nurse ASN, RN

LTC, Hospice, Case Management

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All Content by Nascar nurse

  1. Nascar nurse

    overheard a CNA badly verbally abusing an elderly patient

    Nascar nurse replied to Cyndi_1985's topic in Geriatric, LTC

    Sorry, but this scares me! Every single person in health care has an immediate obligation to report abuse and immediate obligation to stop the abuse. It is not OK to go home and rest before...
  2. Nascar nurse

    overheard a CNA badly verbally abusing an elderly patient

    Nascar nurse replied to Cyndi_1985's topic in Geriatric, LTC

    I completely agree with this. I have worked in LTC for 20+ years. You can easily report this to the department of health (the numbers should be listed on the wall somewhere in your facility). You...
  3. Nascar nurse

    New Nurses/CNAs! Have you gotten sick?

    Nascar nurse replied to Chewie_123's topic in General Nursing

    this is exactly how i describe myself as well after 20+ years in
  4. Nascar nurse

    Cold blooded administration

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

    I agree with CCM - you don't need to tell ANYONE that you made that call. If you tell your friends, chances are that they will tell their friends and so on and so
  5. Nascar nurse

    how long have you been a nurse?

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

    No, DON and ADON does not require a BSN degree. I have read on this forum that some facilities don't even necessarily require the ADON to be an RN. As far as experience, there are no specific...
  6. Nascar nurse

    A day in the life of an MDS Coordinator?

    Nascar nurse replied to lisa41rn's topic in MDS Coordinator Information

    CMS offers a free course. I am sure you could google this and get the web address for
  7. Nascar nurse

    A day in the life of an MDS Coordinator?

    Nascar nurse replied to lisa41rn's topic in MDS Coordinator Information

    I would also be concerned hiring an MDS nurse with no LTC experience (although we did hire one many years ago from the hospital and she got it - with a steep learning
  8. Nascar nurse

    "She's a FLOOR nurse..."

    Nascar nurse replied to Penelope_Pitstop's topic in General Nursing

    I have been a LTC nurse for 20+ years. I have been assigned up to 40-50 residents at a time (back in the day - not so much now). I can do a mean med pass, do foleys, IV's, wound vacs, complicated...
  9. Nascar nurse

    One on ones are killing us for staffing!

    Nascar nurse replied to FireStarterRN's topic in General Nursing

    Hey at least you all get sitters. In LTC, they would just laugh if we even suggested we needed someone to do nothing but sit. Oh, and we have had to be restraint free of
  10. Nascar nurse

    Another Outrageous Visitor Thread

    Nascar nurse replied to Ruby Vee's topic in Patient, Colleague Relations

    Got a sweet little old lady at the very end of a very long hallway with a needy family in my LTC. Family member walks all the way down to the desk to ask me if we can turn off the a/c as Mama is...
  11. Nascar nurse

    Is there a RN to patient ratio for a nursing home?

    Nascar nurse replied to Nursebabe2009's topic in General Nursing

    I have never heard of any longterm care having an RN:resident ratio. Federal regs require that an RN be in the facility 8 consecutive hours, but the reg mentions nothing about the number of...
  12. Nascar nurse

    Sleep overs

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

    In my state, you can be a SNF certified medicare building without being a SNF certified medicaid building. If you don't have the medicaid certification you can not take a medicaid person. This...
  13. Nascar nurse

    Is this a skill?

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

    In my experience, it is very rare for nearly ANY Dr. to understand SNF medicare regs! Our medical director thinks he knows, but even he doesn't always "get it". Can't imagine a podiatrist telling us...
  14. Nascar nurse

    Question about making dr apts for residents

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

    We keep track of all appointments, labs, x-rays, etc on a calendar at the desk. If I got an admit on 3-11's, I would put on the next days calendar page for nurse to please schedule appt. They would...
  15. Nascar nurse

    how many for mds

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

    CRAZY!! Remind the powers that be that this is about their money.. if they want you to put any extra brain cells into this and really think about what you are doing in order to maximize reimbursement...
  16. Nascar nurse

    ADL CODING

    Nascar nurse replied to Emerald0507's topic in MDS Coordinator Information

    You need to spend some time reading the RAI manual. The nature of your questions would imply that you are very new and have not "done your homework". While no question is a dumb question.. you still...
  17. Nascar nurse

    MRSA and Infection Control in LTC...??

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

    We do not isolate for colonized infections either. Why would you if not an active disease process? I realize things are much different in a hospital, but I would guess that if we forever isolated...
  18. Nascar nurse

    Infection Control practices in Long term care

    Nascar nurse posted a topic in LTC: Directors, Assistant

    Now that I am more involved with the admission process than ever.. I have noted that we seem to have a very high rate of residents coming to use with VRE and MRSA. Seems our local hospital is doing...
  19. Nascar nurse

    Overweight nurse unable to physically manage her responsibilties

    Nascar nurse posted a topic in LTC: Directors, Assistant

    Advice please.. We have a very heavy nurse that works in our SNF. She is very pleasant to both residents & coworkers, she is very reliable and always comes to work, picks up extra shifts when...
  20. Nascar nurse

    Overweight nurse unable to physically manage her responsibilties

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

    Achot Chavi - Thanks for the kind
  21. Nascar nurse

    MDS 3.0 & RAP---new CMS guideline on printing MDS's

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

    I think I know quite a lot about MDS's and am always glad to share my knowledge but, Talino is the absolute gu-ru as to where to find all the
  22. Nascar nurse

    MDS 3.0 & RAP---new CMS guideline on printing MDS's

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

    Have not heard of this printing rule. Can you please cite your source for this information. Talino.. are you around - you've always got the answers to stuff like
  23. Nascar nurse

    I don't think my DON likes me very well

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

    I certainly didn't mean to offend you. We obviously come from different perspectives. Our policy has always been that once the schedule is posted it is your responsibility to cover your own shift in...
  24. Nascar nurse

    any advice for pre-nursing student

    Nascar nurse replied to Lpntxn1's topic in Geriatric, LTC

    Also, since you plan to go into geriatrics you should know about the new 5-star rating for nursing homes. Nursing homes are now scored with a star rating at the federal level much like a hotel...
  25. Nascar nurse

    I don't think my DON likes me very well

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

    I agree with the others.. if there are that many PRN nurses available, you need to take the time to find a replacement for your shift. I understand your situation, I've had kids too, but it is unfair...