Nascar nurse ASN, RN

LTC, Hospice, Case Management

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All Content by Nascar nurse

  1. Nascar nurse

    I quit!

    Nascar nurse posted a topic in Geriatric, LTC

    Yep, I really did it! Gave my 30 days notice today. I have worked at the same company nearly 22 years (all of my adult life from age of 19 w/ one year out in the middle of that time). Sick, sick,...
  2. Nascar nurse

    I am DONE!!!!!!

    Nascar nurse replied to tamrnmomof4's topic in Ob/Gyn

    Well... I AM done with long term care. Gave my notice today as a matter of fact. No job lined up yet, but will have to see what
  3. Nascar nurse

    Frisky Residents! Some Questions

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

    I agree with this 100%! Just think how you would explain later that you all knew of this and didn't share this with responsible party. It could get real
  4. Nascar nurse

    help training cna's

    Nascar nurse replied to panurse101's topic in MDS Coordinator Information

    I do a quarterly inservice with all CNA's on coding. Rather than reinvent the wheel each time, I use the same inservice over and over w/ 2-3 different sets of "test" questions. The CNA's that have...
  5. Nascar nurse

    overuse of grace days?

    Nascar nurse replied to jpav33's topic in MDS Coordinator Information

    This is certainly my coorporations philosphy as well. 98% of the time I use grace days on the 5day MDS. This is what is expected of me. I have done this for years now, any have never seen the "red...
  6. Nascar nurse

    Security

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

    We have no security in the building. Doors are locked between 9pm-6am and visitors have to ring the door bell during those hours. Sometimes have a hard time convincing the staff to lock up which I...
  7. Nascar nurse

    Spell of wellness? HELP!

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

    The terminology I have always been taught, requires a 60 day break in the spell of illness, ie: receiving no skilled nursing care (same kinda care skilled nrsg care that would "normally" be covered...
  8. Nascar nurse

    Driving me mad!

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

    I was thinking antidepressants too. Also you may want to try "involving" her more in the facility life. For example, get activities staff to have her come down early to help "setup". Give her some...
  9. Nascar nurse

    MDS 3.0 Draft Final Version Jan. 15, 2008

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

    Wow. Guess I am glad I was too busy to get on the net for conference. Sounds like I didn't miss
  10. Nascar nurse

    Hostile Family Members!

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

    OK, so why do you ask? There's got to be a good story to this! Do
  11. Nascar nurse

    How Long are Your Care Plans?

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

    I believe in the philosophy that "less is more" and too detailed will get you killed.... but apparently my local state surveyors are of a different mind set this year. Typically my careplans would...
  12. Nascar nurse

    how much Indiana nurses make

    Nascar nurse replied to nurseluv9's topic in Indiana Nursing

    I work as RN in LTC and make $24.85/hr. In NW
  13. Nascar nurse

    Thanks..One question though

    Nascar nurse replied to jpav33's topic in MDS Coordinator Information

    Yep, unfortunately that is what it means! Of course you're not doing RAPS as well as that is just for OBRA required assessments. It is certainly a lesson in
  14. Nascar nurse

    another scenerio

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

    But see, my goal is to get them out BEFORE they code (and I don't mean to imply that I would 911 w/ lights/sirens just anyone/anything either). But if I get that feeling that they are going bad and...
  15. Nascar nurse

    Aaaaarrrrrrggggggh!!

    Nascar nurse replied to lil' girl's topic in Geriatric, LTC

    We are also required to post daily staffing patterns w/ current census. This is required to be divided out for licensed and non-licensed staff. Only direct caregivers are to be listed - not nursing...
  16. Nascar nurse

    MDS 2.0 Revision January 2008

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

    Thank you for posting. I hadn't caught this
  17. Nascar nurse

    another scenerio

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

    100% agreed. I am always amazed at the misperception with this. DNR only means not to revive.. it does not mean let em die. We even have a couple of Drs. that need reminded of this. If someone...
  18. Nascar nurse

    The Doctor said WHAT?

    Nascar nurse replied to nurz2be's topic in General Nursing

    now isn't this just the key to all things in life. if everyone could just go about the world using just these 3 things life would be so much better. great way to put
  19. Nascar nurse

    Nurses that just "pass the buck".

    Nascar nurse posted a topic in Geriatric, LTC

    Extremely frustrated today and just need to vent. We have several nurses (probably at least 50%) that just pass the buck and I just don't get it. Example.. I was doing a 5 day MDS today, my first...
  20. Nascar nurse

    Pregnancy no no's

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

    Worked full 9 months of two pregnancies with no problem. Staff was more than willing to give me an extra hand, I watched my approach w/ known combative residents a little more, did better with...
  21. Nascar nurse

    Screeners

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

    We have a nurse liason that we share with our sister facility in town. She is suppose to do all the pre-admission assessments (that is when she's not out shopping or getting her hair done). We find...
  22. Nascar nurse

    MRSA in LTC

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

    Same as above, but will add that we attempt to "cohort" residents as we are able (sometimes we get bed locked and it's harder to do). Example... if one resident has MRSA, we don't chose to room them...
  23. Nascar nurse

    sick and tired of defending working in geriatrics..

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

    Thinly veiled - ha ha. We have a current resident (sweetest little thing too) who's grandson is POA. He ends every conversation with any nurse "And just a reminder that I am a malpractice attorney"....
  24. Nascar nurse

    Nurses that just "pass the buck".

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

    Ok once...maybe even twice... BUT 16 TIMES! Come on, that is bull hockey! And remember this is only one
  25. Nascar nurse

    What's Wrong With This Picture?

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

    And I am seeing an increase trend in tagging the ONE infraction under 2, 3 or even 4 different tag numbers. They have taken "double dipping" to a whole new level in my