blujazz25

The company that I am working for is fairly new and is in the process of getting medicare certified. According to my boss, who is not a nurse...everything that was in the folder is a requirement (according to his friend who also owns a HHA). When I looked over them, there were repetitions of things, forms that can make the patient confused, unnecessary ones (in my opinion) and forms that are filled up by either nursing or therapy (which I think can be left in the office for them to fill out as needed like the braden scale, home safety assessment). One in particular is the medicare non coverage form, I had one patient before that got mad at me when I tried explaining that that for is not filled and signed until 2 days of date of discharge...with her having dementia, she instantly just understood that medicare will not cover for her care. Based from that experience, I prefer not to have that form in the packets. I would also like the packets to be easily understood,staff and patient friendly. Does anyone know of a resource on what is really included in the admission packet?

I have been a permanent resident since 2009. So what is the difference with long term acute hospitals, long term care and hospitals? That's the thing too, I cannot be experienced if they do not hire and be picky about it. My husband and I think that its because it takes more time and money to train in a newbie so to speak, which makes sense but do they really want to risk the burn out and high turn over rates with the employees they already have?

I have worked in an LTC as well and have encountered such employees who are lazy and even those who undermine my authority. As far as I can know, you can write them up. That's your job, youre the supervisor now. And your license is on the line whenever you work with them. What I do is I try to 'rub it in their face' so to speak, it takes extra work but it gets me to a better place with my residents rather than relying too much on the CNAs. If you have a spare moment and the resident is capable, toilet them..answer call lights...help them with transfers...when your supervisor sees that you are doing these they will question the CNAs on the floor and ask why you are doing this. At least your supervisor knows that you are trying your best in keeping your residents safe on top of doing nursing duties. Eventually, they will hate you for it...but in the long run the ones who do care for the residents will remain and be more helpful, your supervisor will have more trust in you. I ended up loving my shift and staff because the bad ones got weeded out so to speak. And eventually my CNAs enjoyed it when I am there because they know I am always going around with them, try to help them and I ask them questions about the residents, they hate it when someone else floats on my floor or another floater CNA is on the floor. Any important changes or issues on the floor I report it to the supervisor before I leave so they have information (especially helpful for their MDS charting).

That employee should be reprimanded, better yet sacked. Work is work. I know some things about religious liberty and we shouldn't judge, but working in this field requires employees to be on the floor 100% of the time. If that person cannot find an replacement while he prays, then he is in the wrong job. He is working under the RN's license, anything that happens to the patients during his shift will be partly blamed to the RN and he will loose his license. He should find a job that has more flexibility in breaks or work around and not in his work schedule with his prayer time

This is my first post here. I am an RN, been licensed for almost 5 years now. When I was a new grad and moved here (I am a foreign graduate), SNFs were the only ones open to accept new grads. My mom was here first and started in an SNF with an employer, I have tried applying to hospital jobs right after I passed my NCLEX and gave up after months of not being qualified and ended up getting a contract with the same SNF company that hired my mom. Worked there for 2 and a half years, then lateral transferred to Home health of the same company. then another home care company after I got married. Here is my dilemma, I have been trying so hard to get a new job since we have relocated to a new state. I want to expand my experience...my dream is to be a scrub nurse or an L and D nurse better yet a nurse educator! But right now, I feel that all that dreaming is futile. My mom said before when I started to work through my contract, get experience and it will be easier to get a job in a hospital.. What a bunch of hog-wash!! I cannot get out of this field that I was partly forced into and have no choice but to apply to jobs in the same field because that is the only applicable experience I have. Where is the nursing shortage here if companies do not hire nurses to gain experience in the field of their choice? Right now I feel stuck in my profession! this is getting frustrating for me...I want to go back to school to get a masters but how will I pay for that if I cannot even find a job. I feel like this profession is a curse more than a blessing for me.