kfostercma

kfostercma

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About kfostercma

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  1. Am I too old?

    I was feeling self-conscious about starting my first med-surg job at the age of 38 when most of my coworkers became nurses in their early 20s. Then I happened across this inspiring post. Thank you so...
  2. "Green House" model

    I have been working in a "Greenhouse Model" nursing home for 3.5 years. Here is what I have observed: Intent: and in addition to promoting independence like any traditional long term care setting,...
  3. Are the elderly just happy to see a white guy?

    For clarification: I do not have a carefree attitude towards my work performance, I feel quite privileged to be actively using my education and I show gratitude for that by always looking for ways to...
  4. I have been a nurse for three years now, all of my time has been spent in LTC I am the only white male nurse on the payroll at my facility--which is not terribly surprising. Even ten years ago the...
  5. What works for your facility!?

    Yes, I agree with notanumber about positive reinforcement. Leadership 101: praise is cheap! Always say please and thank you. It is better to ask an aide to perform a task for an elder than it is...
  6. Long Term Care Nursing is Lame

    I'll confess that LTC wasn't my first choice (AD RN here, working on my BSN), and I will grant that it is predictable, it can be boring on some days, upward mobility is limited unless you want to be a...
  7. New Nurse - Losing motivation for nursing

    I am an AD RN and managed to find a 0.8 FTE job in long term care right away, but working in my favor is my gender. I have been frustrated trying to find something more specialized, hospitals in the...
  8. racist patients

    I'm a white male nurse with 2 years of experience kind of coasting by with my privilege. When it got to the point where I started to question whether I was really doing well at my job or if my white...
  9. Leaving Nursing for Another Career

    When I was in my early 20s I originally wanted to teach high-school science. But after my first college speech class I found I couldn't speak in front of crowds. Ten years later, I graduate from...
  10. Leaving Nursing for Another Career

    When I was in my early 20s I originally wanted to teach high-school science. But after my first college speech class I found I couldn't speak in front of crowds. Ten years later, I graduate from...
  11. Diabetes management in LTC

    She went off sliding scale for a time but she ept spiking into the 300s after breakfast and her a1c was 9ish so she went back on. I wanted to increase lantus but MD disagreed with my
  12. Double Shift

    I average one double shift per week at my LTC facility and often it is the day before a regular shift. I work days so it goes 0630 to 2300 and back at 0630. I rely on public transit and won't get...
  13. Diabetes management in LTC

    I have been working in LTC for as long as I have been a RN--about 1.5 years. I have worked in two facilities, and I have run into the same problem with my sliding scale diabetics--actually all of my...
  14. New Grad, SNF job

    NurseGirl has a good point too, the burnout rate for LTC is high and one nursing home administrator once told me that there is an expected worse than usual shortage projected for the next fifteen...
  15. New Grad, SNF job

    Yes, everything ltcnurse4u said is