Nascar nurse ASN, RN

LTC, Hospice, Case Management

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Mileage?

Nascar nurse replied to Samt9's topic in Hospice, Palliative

Ours is $0.21. Seems really
Survey Rant

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

And this is one of the reasons I no longer choose to be a LTC DON! (Although I obviously still lurk just to remind myself of the miseries I have escaped). Best of luck to you thru
Hospice EMR

Nascar nurse replied to Nascar nurse's topic in Hospice, Palliative

I posted this over a year ago so I'll update. We currently are using hospice soft & we all love it. While there is no perfect EMR, this one is very user friendly & the printed documents are...
How often do you get called?

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

My first question to every call would be (in a very respectful tone) "Ok. What have you done about xyz"? If they can easily come up with several things they've done then they probably do need...
Treat diabetes?

Nascar nurse replied to nursecathi's topic in Hospice, Palliative

Comfort drives the plan of care. Ask yourself: Is the patient uncomfortable from xyz? If "no" then don't worry about it (patient/family decision plays a part in this too of course, but I also work...
falsifying documentation?

Nascar nurse replied to care4pop's topic in Geriatric, LTC

My first question...are you a nurse asking about care for a patient or are you a family member of a patient? Did you contact the DOH on this issue but still aren't satisfied with the
for nurses w/ CHPN certification

Nascar nurse replied to rubysasha's topic in Hospice, Palliative

Mine seemed to take forever to come in the mail, although I did not count how many days it took. I could look up & print a certificate on line within a month or
How Do You Explain to People Why You Chose Hospice?

Nascar nurse replied to lifelearningrn's topic in Hospice, Palliative

I like to tell people that hospice is not about death...but about life! It's about doing all I can to make sure that life matters right up til the last breath. It's making sure that there is comfort...
Nursing Home Med A Eligibility?

Nascar nurse replied to g8torlpn69's topic in Geriatric, LTC

I'm not sure why you wouldn't cover this. Your supporting documentation would reflect in weekly wound notes, your daily treatment orders, your nursing documentation for skilled services monitoring...
Frustrated With New Narcotic Rules

Nascar nurse replied to Donnagg123's topic in Geriatric, LTC

And this is why it is so difficult to get pain medications for our residents/patients that actually need them. Such a sad
Excelsior Pass Rates!!!

Nascar nurse replied to j1l4d's topic in Excelsior College

I was an LPN for 19 years, worked on a very busy rehab floor in LTC & was the MDS/care plan nurse at the time. This combination was invaluable to the CPNE. Seemed like everyone in my group...
How common is charting ahead in ICU?

Nascar nurse replied to SilleLu's topic in Critical Care

disclaimer - I have never worked in ICU Reality is the same across the board - 1. As a nurse manager, I would seriously counsel (write you up) or fire you for blatantly falsifying medical records....
No call no show?

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

Nurseinthemaking...... how ironic huh? If you really are a nurse in the making than you need to learn professionalism NOW. Ideally you should always give a 2 weeks notice. If you absolutely feel...
Alarms

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

Not following your thought process...how will it help to have an alarm when he sits down? Maybe just to alert staff he is back in the bathroom? Wouldn't a motion detector at the bathroom door...
Fentanyl patch

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

FDA recommends disposing of used patches by folding them in half with the sticky sides together, and then flushing them down a toilet. They should not be placed in the household trash where children...
Why do people don't like it when we send resident out?

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

But what is the hospital doing for a clot that can't be managed within your facility? Lovenox injections? A simple trip out for an ultrascan and right back to her own "home" with staff she is...
"LPN'S Phased Out"...They say....

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

My Mom, the waitress, my high school teacher, the neighbor, etc - all told me not to go for my LPN that they were being phased out. That was in 1985. I see not much has changed in nearly 30
Non-diapering nursing home patients

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

This is actually a pretty common practice (although I never really bought into the theory). I was Director of Nursing at a facility that this was corporate policy through out their entire chain of...
Western Governors University (WGU) Intake Interview

Nascar nurse replied to TheCommuter's topic in Western Governors University

Anyone know if they accept credits from DSST
New grad- nursing home-After interview no call back

Nascar nurse replied to Unique rn's topic in First Year After Licensure

1. I think your post is difficult to read and understand. I am not a grammar police, but this really needs work. 2. I've been a DON. It's an overwhelming job most days and her priority is not...
For My Mom Whom I Miss Dearly

Nascar nurse replied to Swgfan's topic in Hospice, Palliative

Depending on your location, you both may be very sad to find that she will end up taking the job she can actually find as opposed to some specialty that she decides she wants. It's a pretty rare...
Management of Personalities Question

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

No advice for your situation. Just wanted to say I'm sad to hear of another DON throwing in the towel. The job just shouldn't be THAT bad, but I no from experience how bad it is! Had a head hunter...
YAHOOOOOOOOO!!!!!

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

Good for you and your
Can a LPN delegate to RN?

Nascar nurse replied to roxs752's topic in Patient, Colleague Relations

If the administrator of the facility (who rarely has an RN license) comes up to you & delegates a task to you, will you argue they have no right to delegate to an RN or will you just go follow up...
% of Nurses that smoke

Nascar nurse replied to twinner05's topic in Health, Stress Management

I'm a hospice nurse. I smoke. I feel guilty about this (sometimes). I've tried to quit several times & haven't made it past the 3 week mark yet. As a hospice nurse, I clearly see the end...

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