Nascar nurse ASN, RN

LTC, Hospice, Case Management

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All Content by Nascar nurse

  1. Nascar nurse

    Pleasantly Confused

    I spent 10+ years as MDS coordinator with a lot of my time spent inservicing on documentation. While I don't see anything wrong with the term, I don't think it is very descriptive either. Just...
  2. I completely understand the politically correctness of the situation, but knowing that I weigh a little over 200 pounds (ie: I'm not skinny either), it would be hard to overlook the fact that this...
  3. I didn't ASSUME anything.. I see it with my own eyes everyday. That is not judgemental and I am not ignorant - Thank you very
  4. Thanks for all your advice from everyone, although I do have to say I highly resent the implication that we just don't like having a fat nurse around. I think if the person who wrote this would READ...
  5. Nascar nurse

    Nine Or More Meds?

    I have never heard of careplanning an issue because it is a quality indicator??? I thought we careplanned an issue because it is or potentially is a problem for the resident! We often careplan our...
  6. Nascar nurse

    Is it worth going to school to be an LPN?

    I simply do not believe this. We have had QMA's in my state all of my 22 years of nursing - most of that as an LPN. We have never gotten rid of LPN's to be replaced with the Qualified Medication...
  7. Nascar nurse

    Questions on State Visits

    I would imagine they could make this fall into a dignity tag if this was something that was very important to the resident and they (or their family) chose to make a stink about the issue. Years ago...
  8. Nascar nurse

    USED!!!

    The world needs really good nurses and now you can take some pride in the fact that you just helped to add one! It is difficult to see when in your position, and I don't blame you for feeling the...
  9. Nascar nurse

    Too nice to be a supervisor?

    I just said to my DON today that I think one of her best qualities is that she always treats staff with kindness.. doesn't matter how badly they have screwed up! She just has a wonderful way of...
  10. LOL... maybe they need to soak their head too! Sorry to them, but when I get drug into a court of law and have to explain what I did/did not do, the jury is going to go nuts when they find out I...
  11. Nascar nurse

    what can I say to a family member?

    Beautiful!:heartbeat
  12. Nascar nurse

    Raising CMI

    I know how to go about raising the CMI in my state, but don't know if the states have different qualifications for their CMI's. Always capture an IV med, IV fluids, trach care. Have therapy do a...
  13. Nascar nurse

    LPN= MDS?

    I agree with you 100%. I am an RN now, but was an LPN/ MDS coordinator for years. I went on to school and they never did teach me in RN school exactly how to check all those little boxes to see that...
  14. Nascar nurse

    ADON pay scale

    I was very clear in the interview process that I would NOT routinely be doing 9-10 hour days. I have a second full-time job that is extremely important to me (my family!). "I agree to an 8 hr/day...
  15. Nascar nurse

    IV in LTC?

    WOW. This is great for both the residents and the nurses. Count your blessings for this
  16. We haven't been allowed to use agency in YEARS. Probably at least 10 years, if not more. You are exactly right. If you can reduce or cut out the agency, you would have lots more room in the
  17. Yep, that about sums it up. Thanks for all the
  18. Nascar nurse

    IV in LTC?

    I also think I am understanding you to say that you have Drs onsite. I do not. They only come to see their residents every 30 - 60 days. Maybe that could be part of the difference
  19. Nascar nurse

    IV in LTC?

    Well OK then, but I'm telling you there is just no way a Dr. would ever come in to put a foley in unless medically necessary in my area. Either they would laugh at me, scream at me or just hang up on...
  20. Just because staff can't figure out someones job function does not mean it is not very important. In my years as MDS coordinator position, it was rare for a staff to really understand what I did and...
  21. Nascar nurse

    HELP! Afraid to lose license after fired!

    I live in Indiana and don't know the answer to your questions. Sorry. I do not think notifying the state about the facilities other shortcomings is going to do anything to protect your situation...
  22. Nascar nurse

    IV in LTC?

    Seriously? Are you in the US? Jeez, if I called a Dr. and told him I needed him to come put a foley in someone just because he was male - I would be run out of
  23. I appreciate all of your responses. Unfortunately, I/we can't just create a new position (desk job) for her. Our budget is so tight right now, we are constantly sending even CNA's home for low...
  24. Thanks for the reply. We tried that with her last year as we could see this day coming. She has no computer skills and at the time I was the MDS coordinator. I sat with her for several days and...
  25. Nascar nurse

    Confrontation with a Visitor

    Perhaps this guy isn't from the church at all, perhaps him (& his wife) are from the church, perhaps, perhaps, perhaps. The point is, or at least should be.. We as nurses aren't there to...