Nascar nurse ASN, RN

LTC, Hospice, Case Management

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Interesting convo with a former coworker...

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

I agree with Thecommuter. Back in the day I had 50 LTC meds (true ICF, not skilled). There were just 2 of us that could bust out that med pass in less than 2 hours but we were full time & had...
Patient clearly not ready to be discharged. . .is discharged. Vent.

Nascar nurse replied to AlphaPig's topic in General Nursing

As a SNF DON, I had a frequent flyer readmit one day where the EMT's wouldn't even take her out of the rig until I went out to accept. One look at the patient & I told them to shut the door &...
Question for LTC nurses

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

You have a ways to go in your nursing journey if you are still calling it #2. Most of us have something we can't stand even after years of dealing with it...you just learn to endure it. Nearly 30...
Would you accept this call out excuse?

Nascar nurse replied to motherof3sons's topic in Geriatric, LTC

Everywhere I've been has always had a no fault attendance policy. Meaning you could be deathly ill or going to the beach, didn't matter on bit. As a result, I tend not to argue with the call off...
Earning Respect from Staff

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

1. Treat all staff like people at all times. You can get the job done without being nasty & degrading. 2. Be seen to be heard. Nothing worse than management that never shows their face on the...
How do I get over this?

Nascar nurse replied to RNOTODAY's topic in General Nursing

I assume she means get your depression treated and whatever other issues that caused you to call out resolved. Unless that is truly fixed, you will likely keep running into the same
saying good by to my awesone sucessful DON job

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

Makes me shudder with horror (hypertensive & nauseated too) to think of opening a new facility! After a very successful stint as a DON at a 60 bed established LTC, I decided I could handle that...
Poll: Proper ppe for dental hygiene

Nascar nurse replied to OwlieO.O's topic in Geriatric, LTC

Honestly, I can't remember when I can recall staff flossing a residents teeth? Kinda makes me chuckle to think about...knowing how difficult it can be to just get dentures out of a demented old...
Preventing return to hospital transfers

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

But who taught you "when in doubt, send them out"? In the case you describe above, they did need sent out but for everyone of those there is usually 2-3 more that didn't need to go. Makes me think...
Preventing return to hospital transfers

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

You probably need a better understanding of everything involved. Why isn't it best for the resident that they stay in their own home with the caretakers they are used to? How many residents have you...
When someone asks you what you do for a living, do you say "nurse" or "RN" or "LVN"?

Nascar nurse replied to HHN2472's topic in General Nursing

Honest to God true story....had been an RN for a whole whooping ONE day after being an LPN for 19 years. Got a very psychotic new resident in our LTC. Went in an introduced myself as a nurse. She...
Telling "STATE" you don't have supplies....

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

Not picking on you personally, just using this post as an example. What did you actually DO about it. It's completely unacceptable to go without needed supplies for a week. As a DON, I would have...
Start up of a new facility - Did I get myself into a hot mess?

Nascar nurse posted a topic in LTC: Directors, Assistant

Looking for guidance from any DON's experienced in opening a new facility. Help me prioritize please! I'm 4 days in. When I got there Monday there were 20 residents. This is a 100 bed facility...
Contact with Mrsa, now I'm so afraid?

Nascar nurse replied to mzsuccess's topic in General Nursing

OP, I'm not sure you are understanding how MRSA gets spread & contact precautions. For easy of visualization, pretend its sticky syrup on your plate...it's absolutely harmless & doesn't...
Let's talk $$ for hospice. (Idea lifted from Agency nursing)

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

Indiana RN case manager $30/hr. (25+ yrs experience) Approx 17 days PTO time first year $2/hr to take call, although I choose to work every other Saturday instead of taking call. Gas $ 0.46/mile. Took...
The Clinical Performance in Nursing Exam (CPNE): what the heck is this madness?!

Nascar nurse replied to Lunah's topic in Excelsior College

I passed first try in Wisconsin 2005. I always believed my 19 years as an LPN was invaluable to passing. Can't imagine trying t hat with only a couple years under my belt. I'm typically pretty...
Monkey-see, monkey-do?

Nascar nurse replied to bluegeegoo2's topic in Geriatric, LTC

The Benadryl & voltaren,maybe....but keppra??? Why would a dr order a dosage based on a patient request.
Rn being trained by lpn?

Nascar nurse replied to studentnurse9806's topic in Patient, Colleague Relations

As a nurse you will do well by not getting caught up in a title war. Learn from every source available to
Rn being trained by lpn?

Nascar nurse replied to studentnurse9806's topic in Patient, Colleague Relations

As a student (which your name indicates), you would do well to learn early not to get to caught up in title wars. Learn from every reliable source that comes your
Tactical Nudity and Other Fun Aspects of Deployed Army Nursing

Nascar nurse replied to Lunah's topic in Government, Military

Such an interesting post. I agree, if I was only younger.... Be safe our nursing
Losing my religion

Nascar nurse replied to jadelpn's topic in Spirituality, Religion

I 100% agree with everything you've said but I'll get my popcorn ready because someone is sure to come along & preach why you are
A Heartfelt Apology to DON's

Nascar nurse replied to bluegeegoo2's topic in LTC: Directors, Assistant

I've been out of my DON position for 2 months. My blood pressure is down, my family likes me again. I wish I could say never again, but I fear my type A personality may forget how bad it really was....
Hearts and Entertainment | Life of a Nurse

Nascar nurse replied to VivaLasViejas's topic in General Nursing

Yeah!!!!!!! Happiness from Viva. (Balloons and hugs). Glad you got your groove
Nursing home pt catches on fire

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

We used fire aprons on all smokers & a staff member was required to be present. Don't want to follow the rules, then you can't
Staff meetings

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

I always wrote an agenda beforehand. I always started the agenda with praise for previous topic improvement or a recent resident/family compliment I always ended the agenda with more praise or...

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