Nascar nurse ASN, RN

LTC, Hospice, Case Management

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Remote Nursing Job Advice

Nascar nurse replied to labornurse123's topic in General Nursing

Do a search on Indeed or any other job search platform & look for positions for any of the major insurance companies. There are many opportunities for preservice authorization &/or appeals....
Covid-19: The Guilt of the Work From Home Nurse

Nascar nurse replied to maybug's topic in Disaster Preparation

I have also worked from home in case management for the past year & half. Prior to that, I’ve spent 30+ years in long term care or hospice. I also asked my employer for some time off to go...
Do Not Resuscitate - An Inconvenient Truth About Our Healthcare System

Nascar nurse replied to Skwidward's topic in General Nursing

Previous SNF/LTC Director of nursing and previous hospice nurse here: There’s 2 sides to this financial story that you all may not be familiar with. Example: Pt returns from acute care with orders...
Can an ADON be an unlicensed Person?

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

They could hire a monkey & give it the title of ADON. Anyone could reasonably be in charge of the clerical type work of many ADONS...hiring, attendance monitoring, finding coverage etc. Only a...
This is why managing a pandemic by way of the honor system is a Really Bad Idea

Nascar nurse replied to Nurse and Spy's topic in Disaster Preparation

Yes, I’m questioning as this progresses how we’re ever going to isolate so many ppl for 14 days. It’s just not possible to shut down a nation for 2
Lab Coat or No

Nascar nurse replied to Buckaroo93's topic in LTC: Directors, Assistant

I like lab coats because my business clothes don’t give me enough pocket space! My favorite was a lab jacket vest. It does appear more casual/shows a willingness to get my hands dirty but still...
I'm out - headed for the "dark side"

Nascar nurse posted a topic in LTC: Directors, Assistant

I'm throwing in the towel. Waving the white flag at this DON career. I gave my resignation and told my staff today that the end of the year will be the end of my employment. My current facility has...
Advancement

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

You are not crazy at all. Years ago I had worked at a facility for nearly 20 years. Was a long time successful MDS coordinator and had advanced up to ADON for a couple years. While ADON, I applied...
Christmas Gifts For Residents

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

My activities director does an awesome job of coordinating with all the local churches to get enough gifts donated for everyone. Small community and small facility, but awesome
Nasal Irritation From Crushing Medications?

Nascar nurse replied to SarahMarshall12's topic in General Nursing

I've never had a problem with crushed meds but back in the day when I passed multiple doses of Metamucil I finally got to the point I had to take Benadryl. Eventually had to pass it off to other...
Charge nurse gave an antipsychotic without an order..how should i handle this?

Nascar nurse replied to sallykk79's topic in Geriatric, LTC

There's your answer in your own words. You have no proof that she did this. There's nothing further you can
Would I test positive for marijuana if my client smokes it

Nascar nurse replied to Kitiger's topic in General Nursing

Makes me think of my time being in hospice. Went to a home of a patient & their family that I really liked despite the fact they were a little "off". I was running early that day when I knocked...
gentleness wanted for the elderly

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

Contact the physician and request an order for routine Tylenol - schedule for an hour prior to am
Nurse Imposters

Nascar nurse replied to Nursemccaleb's topic in General Nursing

Was taking coumadin years ago and had the office "nurse" call to report my INR was 32 and just keep taking the medication dose as usual. After a 2-3 minute argument, I had to insist that it was 3.2...
Infection Preventionist

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

Unfortunately I've got nothing to help you. Only answering so you don't feel totally ignored - like the government is doing with this fall IP class.
Nurse refuses to give me report!!!

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

Start documenting - in detail - every day and keeping turning it into the DON (and keep a copy for yourself). If they won't listen, take it to the administrator. I would have another nurse doing...
Taking daily pulse with digoxin - Need help with IDR

Nascar nurse posted a topic in LTC: Directors, Assistant

Looking for some help with my state survey POC. We got only 1 nursing tag (yea us) and of course I'm rolling up my sleeves and planning to IDR this and I believe I have a reasonable chance. We're...
Taking daily pulse with digoxin - Need help with IDR

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

Thanks. I found a great article from the American Journal of Medicine in 2015 on Digoxin. This article stated that the dosage should not be changed based on heart rate alone. My pharmacy consultant...
An lpn with no desire to work in the hospital.should I get my rn?

Nascar nurse replied to LPNTORN704's topic in General Nursing

It is always worth getting your RN. You will never be sorry for the opportunity to change what seems like a perfect fit right this moment. Bosses change (sometimes to a really horrible one),...
Writing Bad Orders

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

Yes, I would refuse that order too. A recipe for disaster. At the very least, can't the order read something like a sliding scale insulin? If wt is 110-115 give 20mg, if weight is 116-120 give...
Patients & Pet Peeves

Nascar nurse replied to SisterofMary's topic in General Nursing

Because folks often use this an an intimidation tactic. "I'm just waiting to catch you doing something wrong". I'm all for actively engaged patients/family members but I've never seen this go...
Case Study: Why Is She Having Hallucinations? The Mystery of The Dog in A Fedora

Nascar nurse replied to SafetyNurse1968's topic in Critical Care

I was thinking the miscarriage/not fully miscarried as well, along with Schizo, or thyroid dysfunction? A good mystery is fun, especially since we know already that it all got worked out in the
Since when is it okay to be late ?

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

CCM - as you know, if someone isn't holding them accountable nothing will
Accomadating patients racist request?

Nascar nurse replied to remotefuse's topic in General Nursing

In the long term care world, it is illegal to assign patient care based on patient/resident requested race selection. There have been cases of legal action by the employee against the employer....
Medicare regulations

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

VFO? I don't believe you are going to find any staffing ratios for hospice

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