Nascar nurse ASN, RN

LTC, Hospice, Case Management

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All Content by Nascar nurse

  1. Nascar nurse

    Sore Throat, Runny Nose d/t Med Pass??

    Nascar nurse replied to Chicklet2's topic in General Nursing

    yeah... I'm not the only one. Although I have been told this happens, I have never actually heard of anyone else with this same
  2. Nascar nurse

    Sore Throat, Runny Nose d/t Med Pass??

    Nascar nurse replied to Chicklet2's topic in General Nursing

    Think about what med are you giving on days that you didn't give on your previous shift? Also allergies often develop over time d/t repeated exposure. See my post above, I didn't start with a...
  3. Nascar nurse

    Sore Throat, Runny Nose d/t Med Pass??

    Nascar nurse replied to Chicklet2's topic in General Nursing

    I have been a LTC nursing for over 20 years. I have not been able to dispense Metamucil for at least the last 15 years. I open the lid, spoon it out into med cup and within 15 minutes my eyes are...
  4. Nascar nurse

    Don't call 911

    Nascar nurse replied to Blackcat99's topic in Geriatric, LTC

    Does the resident have any advance directives in place? Is the family member the legal health care representative? If the resident or LEGAL representative states to not send to the hospital.. then do...
  5. Nascar nurse

    Section M

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

    Well I guess we will have to agree to disagree. Until the RAI INCLUDES dialysis shunt sites, I won't be coding it. I live in Indiana. As well as being audited by state surveyors, we are also...
  6. Nascar nurse

    are you required to call DON first before calling MD?

    Nascar nurse replied to Ms.RN's topic in Geriatric, LTC

    I am part of nursing management, but don't consider myself a upity in a suit, and I can see both sides of this issue. First, if a resident is acutely ill and clearly in distress - I am calling Dr. and...
  7. Nascar nurse

    Chemotherapy

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

    Talino, as you know always has the best sources, but my opinion... I would take a common sense approach:, ie: If they are getting it 5x/wk, sicker than a dog, not eating, at real risk for losing...
  8. Nascar nurse

    Section M

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

    I would not code a dialysis shunt under section M (for the same intent you don't code PICC's and
  9. Nascar nurse

    Cool test: Left VS Right brain....

    Nascar nurse replied to I love my cat!'s topic in General Nursing

    ok, i am really weird. i see clockwise until i read stuff on the left and then she turns. if i read just the far left column she swings back and forth 180 degrees from about the 3oclock position to...
  10. Nascar nurse

    Chain of Command

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

    I would kindly ask the administator to ask the complainer "So what did the charge nurse & then DON say when you took this concern to them"? Unless the administrator is going to back you up on this...
  11. Nascar nurse

    Compliance nurse driving us CRAZY!!!!

    Nascar nurse replied to bluegeegoo2's topic in Geriatric, LTC

    This isn't ICU, this is LTC - the hugely over-regulated
  12. Nascar nurse

    Which would you choose -

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

    You will be talking about this years from now That that does not kill you will make you stronger... you otta have some great big muscles. Hope things are better
  13. Nascar nurse

    Compliance nurse driving us CRAZY!!!!

    Nascar nurse replied to bluegeegoo2's topic in Geriatric, LTC

    Ok, I am probably going to get flamed by some of you but here goes... Have you actually had state surveyors ever grill you for DAYS for mistakes another nurse made 6 months ago? Have you ever had...
  14. Nascar nurse

    Microphones and Web Cams

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

    No kidding! We had a family a while back and all the sons would ask how Mom's scratch on her butt was healing and then they all wanted to see it (during their individual visits). We were showing...
  15. Nascar nurse

    Blisters Under Section M

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

    She may also possibly have pressure ulcers to heels from constantly rubbing heels across mattress, like in restless leg syndrome or just repeatitive movement... or as you said, maybe her
  16. Nascar nurse

    pregnant nurse in LTC

    Nascar nurse replied to sparkles_2221's topic in General Nursing

    Or go to the grocery store, or out to eat, or touch your other kids/nieces/nephews, etc. At least at work you have a chance of knowing what you are exposed to. Those grocery store carts, etc are a...
  17. Nascar nurse

    Alcoholism: disease or choice?

    Nascar nurse replied to HonestRN's topic in Addictions

    I personally have never had a problem with alcohol and never will (just doesn't interest me much). My husband on the other hand is a very functional alcoholic (never misses work, never mean, etc......
  18. Nascar nurse

    You need an order to remove a fecal impaction digitally right?

    Nascar nurse replied to lashuna1028's topic in Geriatric, LTC

    In my state it is illegal to have "standing orders" for anything. We have to have signed Drs order for every med and tx. It seems silly to me to write that huge long list of PRN stuff, track the Dr....
  19. Nascar nurse

    MDS Workload

    Nascar nurse replied to GDLVSU's topic in General Nursing

    Did you know there is a MDS subforum here under the geriatric forum. You may want to post MDS questions there as you will probably get a better response. On to your question....jeez, how in the world...
  20. Nascar nurse

    Alzheimers is the worst

    Nascar nurse replied to hippylady7211's topic in Geriatric, LTC

    Hugs... lots and lots of hugs. This is incrediably sad for
  21. Nascar nurse

    problems with the old folks - sorry long

    Nascar nurse replied to jackson145's topic in General Nursing

    It bothers me that you refer to it as "putting him away". Now I'm sure that I am being overly sensitive, but to me this sounds like a toy that no one wants to play with anymore. How does he respond...
  22. Nascar nurse

    Filling in MAR holes

    Nascar nurse replied to Laurab14's topic in Geriatric, LTC

    No kidding. I have been preached to for 20 some years, "not documeted not done". And in 20 years I have never been told that it was alright to just leave something undone because "I didn't have...
  23. Nascar nurse

    The Board of Nursing

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

    I agree, if nothing else just to cover your own tail. I would also report my concerns to the agency. As far as having an "off day", I completely agree with trying to educate nurses, giving second...
  24. Nascar nurse

    Excelsior College Clinicals

    Nascar nurse replied to beachcomber64's topic in Online Distance Learning

    Make sure you check with you State board before proceeding to make sure they will accept Excelsior. If the "LA" of your location means LA, California, California does not recognize
  25. Nascar nurse

    Mds- ? On Section M

    Nascar nurse replied to The Secret Fan's topic in MDS Coordinator Information

    1. I asked the mods to move this for you so that you get a better response. There is an actual MDS sub-forum within the main geriatric forum. You will want to post these types of quesions there. 2....