Nascar nurse ASN, RN

LTC, Hospice, Case Management

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All Content by Nascar nurse

  1. Nascar nurse

    MDS Coordinator Salaries

    Hi. I have been an LPN for 19 years, nearly all of those years spent in the same LTC facility. I have been MDS nurse (acting like an RN coordinator - scheduling, transmitting, in charge of...
  2. Nascar nurse

    Hospital to charge employees who smoke

    I can see it now... instead of getting a paycheck, they would be handing me a bill for allowing me to be employed w/ them. I gotta get out of this
  3. Nascar nurse

    Just want to know.....

    Thread Hijack... my apologies in advance Hey!!!! Didn't I just read a thread from you yesterday saying you were going in to hospital to have a baby.... ANY YOU'RE ALREADY POSTING TODAY?? One tough...
  4. Nascar nurse

    Lvn

    :monkeydance:
  5. Nascar nurse

    Legal?

    As far as I know, this is perfectly legal with some great benefits of preventing transcription/communication errors. But, (and every area of the country is different), our state surveyors will not...
  6. Nascar nurse

    Nurses never in hospitals

    I have never worked in a hospital, but have been a nurse for 20 years in LTC. Haven't routinely worked the floor in 10 years, but am in administration w/ focus on assessment/careplan developement...
  7. Nascar nurse

    Need ADON for LTC Facility

    Daytonight stated that everything gets faxed to Dr's, ie: labs reports, etc. Before you do this check your policy. We were cited by state for doing this as we had no actual proof that the physician...
  8. Nascar nurse

    Open letter for those with family in care....

    Amen to all you have said. I plan to put in my 30 days notice within the next 2 weeks. I have had it with LTC. It's all I've ever known for 20 years, but I just can't take anymore. Everybody pray...
  9. Nascar nurse

    Monthly summaries

    Yes, I am in Indiana. We use monthly summaries (which is pretty generic checkoff boxes), but on the back of the form we address the careplan and their responses to goals/interventions. This is a...
  10. Nascar nurse

    Survey is coming!!!!!!

    Dignity - no using "honey", "dear", etc. Call them by the name they choose to use ie: Mrs. Smith or Mary, whatever they are comfortable with. Be on time with meal service. Everyone sits down to...
  11. Nascar nurse

    Where do they find these caregivers?

    Ever have an aide report blood pressures of 60/120! When I questioned this, they were right in my face about "I do to know how to do this correctly". Well....
  12. My first instinct is to ask if the Tylenol and Ativan are working so well, why doesn't some call the Dr. and get an order for both to be routine (they don't necessarily have to be given at the same...
  13. Nascar nurse

    HELP!!!!! care plan question

    Well... as much as I try not to admit to my location, this time I have to say that I am in the exact same location as you and therefore we probably have the same survey team. AND, if in fact we do...
  14. Nascar nurse

    Reporting resident abuse to local office of aging....

    Thread hijack... sorry DAYTONITE - You always have such great responses! I read your profile. Why wouldn't you go into education. You would be great for that. Again, sorry for thread
  15. Nascar nurse

    Reporting resident abuse to local office of aging....

    You need to contact your department of health immediately and as someone has said, the phone number should be posted somewhere on the wall (this is a requirement). You also stated you have told NM...
  16. Nascar nurse

    MDS Coordinator salaries

    can't help you w/ telephone advice type position. the mds requires talking w/ staff, resident and family members as well as a detailed review of the medical record. this can not be done from your...
  17. Nascar nurse

    Dumb question here!

    well..... this is kind of like packing an elephant into a tin can! Whole lot more to it than that. Again, read the thread "role of administrator and
  18. Nascar nurse

    Dumb question here!

    Scroll down to the "Role of administrator and MDS" topic. Excellent explanation in this post and way to long to re-write
  19. Nascar nurse

    MDS Coordinator salaries

    But doesn't everyone, in any kind of profession expect a higher salary when you go above and beyond to do your work well (better than average). Does this imply that everyone should always be paid...
  20. Nascar nurse

    Therapy minutes for PPS

    Most often a resident will receive both PT and OT, each ordered for 5 days a week. That does not mean that each therapy has to use the same 5 days (ie: both treat Monday thru Friday), in fact it is...
  21. Nascar nurse

    Therapy minutes for PPS

    Yes. If resident is seen and expected to continue to be seen for 7days/wk = 740 minutes, I use grace days to capture that. Why not take credit and get paid for what you are doing. Otherwise, you...
  22. Nascar nurse

    Nurses: Who came from a dysfuntional family?

    I am also fortunate to come from a very happy home. Just got home from "hangin out" with my parents just because we all enjoy each others company. They have been happily married nearly 45 years,...
  23. Nascar nurse

    LTC floating?

    This would be normal. Even as a routine staff member, you may not be able to assume that you would have the same assignment
  24. Nascar nurse

    stroke in LTC

    I agree 100% that DNR does NOT equal do not treat.. but in LTC we often know our residents and families pretty well and it would truely depend on the circumstances of each individual on how I would...
  25. Nascar nurse

    stroke in LTC

    I would do neuro assessment as those above describe. As for sending to ER, it will all depend on their code status and what family/Dr. wants me to do. Sometimes they want 'em sent and sometimes they...