Nascar nurse ASN, RN

LTC, Hospice, Case Management

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All Content by Nascar nurse

  1. Nascar nurse

    Go Colts!

    Nascar nurse replied to MaddiesMommyRN's topic in Indiana Nursing

    As my "location" info states - I'm stuck between the two. Northwest Indiana is historically Bear country - but figure my taxes help pay for RCA dome. Usually I could care less, but it is pretty...
  2. Nascar nurse

    Do we expect little of people these days?

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

    I'm with you. LTC is just increasingly frustrating. I think I am slowly accepting that there is just no hope for our current LTC standards. In my facility anyways, it seems like there are only...
  3. Nascar nurse

    Are you in Nursing for the Caring or the Cash?? Be Honest

    Nascar nurse replied to 1BlessedRN's topic in General Nursing

    Bedpan within 20 minutes of call light = $5 Bedpan within 3 minutes of call light = $20 Bringing non-essential "stuff" to family members (food/drink/blankets) = $50 Getting the respect we deserve........
  4. Nascar nurse

    DON job description and responsibilities

    Nascar nurse replied to JentheRN05's topic in Geriatric, LTC

    Do you have actual long term care experience? I can't imagine being a DON without it (and have not seen anyone be real sucessful at it either - but doesn't mean it COULDN'T be done). If you don't...
  5. Nascar nurse

    Survey begins

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

    2 years in a row we have had surveyors show up on a Sunday. Last year was the Father's day sunday around 3pm. Of course I've got a BBQ going on w/ dad and FIL, plus lots of others. As MDS, and part...
  6. Nascar nurse

    Signing out AMA

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

    I agree capecod... admin will take them back. Happens all to frequently.. anything to fill a
  7. Nascar nurse

    Help--Calling any MDS nurse

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

    Sorry, I don't have any good references to give you. I just learned along the way, but actually it is really just good common sense and clinical decision skills, ie: evaluating what is wrong and...
  8. Nascar nurse

    Ever Been Fired?

    Nascar nurse replied to lpnurse2004's topic in Geriatric, LTC

    If the OP worked in a nursing home, chances are there is no "big HR department", it would usually be one staff development person, most likely handpicked by the DON/administrator. This will only add...
  9. Nascar nurse

    Cry or scream.. venting thread

    Nascar nurse posted a topic in Geriatric, LTC

    Please, I just need to rant a bit. I work in LTC facility with 84 residents, approx 18 medicare currently. I am the MDS coordinator and considered part of nursing management. We recently had state...
  10. Nascar nurse

    Question for all you LTC Providers

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

  11. Nascar nurse

    Question for all you LTC Providers

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

    With all due respect, I do disagree. It seems horribly cruel to just "dump" a 90yo person in a nursing home and just leave them to "adjust". Now they have the normal depression, plus anger and...
  12. Nascar nurse

    New to you

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

    Hi. I am an EC grad in Indiana. You will want to check out your Illinois board of nursing before pursuing your EC grad any further. Last I knew, Illinois required 2 years of RN experience in...
  13. Nascar nurse

    Question about wages

    Nascar nurse replied to jade-athyst's topic in Geriatric, LTC

    In my area (midwest), nursing homes pay significantly less than hospitals. No weekend diff, less shift diff,
  14. Nascar nurse

    Cry or scream.. venting thread

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

  15. Nascar nurse

    Cry or scream.. venting thread

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

    Thanks for the support. No I really don't feel better. I gotta get out of this. I have been doing this for 20 years and I just can't stand it anymore. Seems to be a no-win situation and I'm sure...
  16. Nascar nurse

    not having to tools to give proper dementiacare (ie extra help)

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

    I agree totally.... if only we all lived/worked in the perfect
  17. Nascar nurse

    Rocky road for older new grad

    Nascar nurse replied to cjj0603's topic in General Nursing

    NOT a good choice. Time management is essential. Not unusual to have to pass meds to 50 some residents in 2 hours - gotta hussle or no
  18. Nascar nurse

    MDS new RUG group

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

    http://www.cms.hhs.gov/NursingHomeQualityInits/20_NHQIMDS20.asp This link will send you to CMS's most recent guidelines. The very last pages have contact information for each state. If you are still...
  19. Nascar nurse

    Halloween

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

    You know... I bet they would if the could! LOL To answer your question - no I usually don't dress up. Gets to hot, costume gets in my way, etc, etc. I do enjoy seeing the others. Was to cute the...
  20. Nascar nurse

    Need Help With Rap Summaries For Delirium

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

    This is how I write my RAPS (by the way - social service is responsible for delirium RAP in our facility) Rap Summary Mrs. Smith 10/16/06 ADL functional/rehabilitation: Proceed - Mrs. Smith was...
  21. Nascar nurse

    L.P.N to R.N trough RUE?

    Nascar nurse replied to Anicita's topic in LPN to RN

    Word for word what I would have said - and am sure I have said many times! I wish we could get some big gaudy banner that just kept repeating this. (No disrespect for the OP - we just get many new...
  22. Nascar nurse

    MDS new RUG group

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

    IV medications have a 14 day look back period and you can count this if your 14 day window extends back into the acute care stay (which it often does for a 5 day MDS). I always, always make sure I...
  23. Nascar nurse

    Am I Wrong?

    Nascar nurse replied to VivaLasViejas's topic in General Nursing

    I would skip faxing the MD or NP and call them up and discuss this - pronto. Wayyyyy to much meds for a 90 year old. Sounds like just the kind of family member that demands control.. until things go...
  24. Nascar nurse

    ? regarding Non-stated mandated residental resident

    Nascar nurse replied to JentheRN05's topic in Geriatric, LTC

    Keep in mind, this is just my opinion: 1. You stated that the "home is her POA". A "home" can not be a POA, it must be a person, not a place. You might want to clarify exactly who that is. 2. BUT,...
  25. Nascar nurse

    Help--Calling any MDS nurse

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

    Wow - where to start? Of course I do the MDS's - primarily I just do the PPS medicare assessments (@ 5day, 14day, 30D, 60D and 90d intervals), but right now my partner is out on sick leave which...