Nascar nurse ASN, RN

LTC, Hospice, Case Management

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All Content by Nascar nurse

  1. Nascar nurse

    PT with INR Disaster

    Nascar nurse replied to Jo Dirt's topic in General Nursing

    I work in long term care. We were recently shown the "new" PT/INR machines. As another poster described it looks like a very large glucomter and a lancet is used for a finger stick. We have not...
  2. Nascar nurse

    PASSING THE CPNE: tips from my experience

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

    Congrats on passing the worst test anyone can take... well almost, you still have to get thru NCLEX. I am usually very self confident as well and was also suprised to find myself a "nervous wreck"...
  3. Nascar nurse

    M D S 3.0 Draft

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

    1. Been hearing about a 3.0 version for at least a couple years and it's always "coming within next 6-12 months" Jeesh, bring it on or move on!! 2. This update is interesting. Many sections...
  4. Nascar nurse

    pacify or orientate? Alzheimers...

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

    Me too. And if they didn't... is it really an enviornment I want to be a part of anyway? Nope not me, just not gonna tell a sweet little ole lady that her husband died 30 years again over and over....
  5. Nascar nurse

    Is a DON position realisitic?

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

    Training vs actual experience.. hum?? Training is very important, but experience counts a whole lot too. My personal opinion, you would be much better off with actual experience on the floor for at...
  6. Nascar nurse

    Why dont we get respect as LTC nurses?

    Nascar nurse replied to lvs2nrs3535's topic in Geriatric, LTC

    I agree wholeheartedly with this. In my community anyway, nearly new hospital RN's are making $3-4/hr more than our highest paid experienced RN's. As an MDS nurse, I know what our medicare/medicaide...
  7. Nascar nurse

    pacify or orientate? Alzheimers...

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

    NOW THAT IS THE FUNNIEST THING I HAVE EVER EVER EVER READ ON THIS FORUM. You are brilliant. Is anyone else thinking "troll"? :roll :roll :roll :roll
  8. Nascar nurse

    pacify or orientate? Alzheimers...

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

    I absolutely agree with these approaches too. Again, it's all about finding what works well for each individual and realizing that what works one moment, may not work the next. I take great offense...
  9. Nascar nurse

    pacify or orientate? Alzheimers...

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

    No experience working with dementia/alzheimers patients huh? Been doing this over 20 years. The staff the insist on reality orientation gets cussed, hit, bit, spit at, etc and the resident can...
  10. Nascar nurse

    pacify or orientate? Alzheimers...

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

    I like the term "therapuetic lying". Like the others have said.. YOU WILL NOT WIN and you will NOT convince them that their mother is not waiting for them outside. Often times "reality orientation"...
  11. Nascar nurse

    Disabled RN looking for job

    Nascar nurse replied to LisaRNinarkansas's topic in General Nursing

    Are you familiar with long term care? I am an MDS coordinator, which is mostly a sitdown/computer job. My MDS partner has physical limitations (no sternum, floating ribs, etc and is unable to do any...
  12. Nascar nurse

    Dealing with a patient who verbally threatens you

    Nascar nurse replied to Trauma_Team_1's topic in General Nursing

    As I was drawing him he told me " if you miss my vein im going to sue you little boy" ( he did this in a cruel way not a playful way). I would have calmly and matter of factly stated.. "You can refuse...
  13. Nascar nurse

    Assisted Living vs. Nursing Home

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

    to change your user name "PM" any moderator. They have to help you do that. I have done both LTC and AL. My personal experience is LTC is WAY more stressful, but yet way more clinical. For example...
  14. Nascar nurse

    How to go directly through Excelsior

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

    I used Chancellor's study guides and really liked them - BUT WOULD NEVER PAY FULL PRICE FOR THEM AGAIN! To find stuff on ebay - go to books, then I think?? you look for textbooks, then go to the...
  15. Nascar nurse

    How do you calculate the staffing ration for LTC

    Nascar nurse replied to 4rmgirlRN's topic in Geriatric, LTC

    If I remember correctly (been awhile since I had to do this).. I believe you take your PPD (2.2 in your case) and multiply by census (215 in your case). This equals 472 hours. You then have to...
  16. Nascar nurse

    Hi All

    Nascar nurse replied to TEXAS4LIFE's topic in Online Distance Learning

    Try looking on ebay for a study guide by chancellor, rue, cn,
  17. Nascar nurse

    do physical therapists make more money than RNs?

    Nascar nurse replied to nurse~ashley's topic in General Nursing

    In my LTC facility a PT makes $10-$15/hr
  18. Nascar nurse

    MDS Coordinator salaries

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

    What state are you in? I agree I am underpaid, but what to do when corporate doesn't agree. Was just up for my annual raise - which is a usual 3%. Pointedly asked the ED about at least a 4%, showed...
  19. Nascar nurse

    what would you have done??

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

    :yeahthat: .. some Dr's I wouldn't do this with, but most I would. Would call them at end of shift in the am and tell them what I did and ask if we should continue or
  20. Nascar nurse

    "Don't Send Anyone Out!"

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

    I personally use my OWN common sense and go from there. There are times I explain to family and dr. that we can start an IV here - get lab here within an hour for a STAT lab, keep res. in familiar...
  21. Nascar nurse

    DPH Reportables

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

    I think I would have reported it just as a CYA measure. If I was a family member and I walked into the room and some old guy had his hand in my mother's shirt - better believe I would be having a...
  22. Nascar nurse

    Excelsior Tests

    Nascar nurse replied to studyn247's topic in Online Distance Learning

    I agree 100% - good luck and don't get to
  23. Nascar nurse

    New Policies

    Nascar nurse replied to wildcard47833's topic in Geriatric, LTC

    Have worked 20 years in LTC in INDIANA. We also have many farmers (or farmer's wives) that have forever gotten up with the sun.. they get their showers early is they so choose, otherwise this is an...
  24. Nascar nurse

    College Network vs. Rue vs. Excelsior

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

    Jeez O Pete's.. I didn't mean to call anyone in particular a "sucker". Lets not blow things so out of proportion. Truth be told, I WAS A SUCKER. I THOUGHT I had to buy into this whole contract...
  25. Nascar nurse

    ANOTHER new CMS guideline

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

    :yeahthat: Amen! Makes you wonder where it will ever end! There is just no getting ahead in this game and I am pretty anal about it all too. Unfortunately I have 20 years LTC experience - but...