kfostercma

kfostercma

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All Content by kfostercma

  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. 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...
  4. 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...
  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

    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...
  12. 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
  13. 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...
  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
  16. New Grad, SNF job

    I only had seven days of orientation when I started my first nursing job 1.5 years ago. It wasn't enough....I am only an AD RN though. As for advice, just make sure you aren't afraid to give out PRN...
  17. Two days out of orientation..

    Hi guys! It did not take me long to find my first RN job; this may be because I was willing to work in LTC. Despite my personal record of a four week job search, I am having a major crisis of...
  18. RN starting in LTC

    Hi Everyone! I have accepted my first RN job yesterday! A surprise too, I found myself rambling at times when the interviewer asked "tell me about a time when...." questions, and I wore a bow tie...
  19. Let us look at the concept of sin for a moment. I think the most basic understanding of the word, is that to "sin" means 'to do something bad.' I don't think religion is the best remedy for that, I...
  20. RN starting in LTC

    Thanks, bud! Yeah, LTC isn't what I had envisioned when I started nursing school, but as an AD nurse the reality is that hospitals will not look at my resume if I don't have experience. My current RN...
  21. I will concede that my tone is harsh, but the number of abuses that I have endured at the hands of religious types has colored my perspective. Just because I don't believe in Hell doesn't make it...
  22. Medical Assistants being called nurses

    That's great advice. Thanks! I still won't identify myself as a nurse to my patients until I find an RN job though. The day that I told my boss that I passed my NCLEX she told me very specifically...
  23. PASSED NCLEX ! FIRST TIME ! 265 Questions !

    Well, super congratz to you, RN. I passed on my first try too, and I was sure that I failed because the questions just kept coming. I too graduated in May and waited (probably a bit too long) to take...
  24. Medical Assistants being called nurses

    You *should be concerned about a CMA identifying as a nurse. I am speaking as a CMA. One of the first thing they taught us in the CMA program is to never ever identify ourselves as nurses. My...
  25. YES! YES! YES! They speak of their faith at great length, even attributing it to their own success and the misfortunes of those who do not believe as they do; they are so sure their faith is the...