Nascar nurse ASN, RN

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. As an FYI, you’ll still find yourself mi...

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 help my community & was denied. I too felt the gui...

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 for hospice (but could possibly meet SNF guidelines...

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 licensed nurse should be directing care practices. ...

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 weeks.

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 got pocket space. I’ve worn them to about every DON j...

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 been the best of my entire career but I spend 2 h...

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 twice for an open MDS regional spot and was turned...

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 participation.

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 nurses to give.

There's your answer in your own words. You have no proof that she did this. There's nothing further you can do

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 on the door. I could hear the panic thru the hou...

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

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 and I wasn't actively bleeding from every hole in m...

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. :)

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 the narc count with me when she won't. At least you...

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 a small facility and had 2 med pass errors which p...

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 also provided me with documentation from one of h...

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), companies close, your own lifestyle needs change, or may...

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 40mg, etc.

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 well. My experience, when the staff know this is bei...

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 end.

CCM - as you know, if someone isn't holding them accountable nothing will change.

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. With that said, I will not accommodate a resident or ...

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