noc4senuf

noc4senuf

Geriatrics, WCC
Member Member Nurse
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noc4senuf specializes in Geriatrics, WCC.

I have always worked LTC. I have 4 wonderful kids and 6 grandkids.

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  1. Lab Coat or No

    In AL in our area, it is frowned upon as it is to be more homelike and not facility feel.
  2. Salary

    Metro of the Twin Cities in MN, smaller buildings around 70K and up to 120K for the largest buildings with 200-300 beds.
  3. Coumadin protocol

    Most buildings I have been in for the past 10 yrs or so have INR machines. We billed Medicare for the cost of the draw and strips. Faster than waiting for a lab.
  4. Really?!? That's what you think is important?

    I worked Interim for a travel company for 2-3 years. they had a corporation that kept requesting me, so I moved to their buildings only in multiple states. The corporate had about 200 buildings and were rated with only 1 and 2 stars. Many, many probl...
  5. State reportables

    I would not report a verbal altercation between residents; only physical that caused "serious bodily injury".
  6. Non-diapering nursing home patients

    I hate that anyone would use the term "diaper" when speaking about our elderly. They are not babies or children!
  7. A New Beginning

    After having been in LTC for over 30 years, 20 of that as a nurse, and the last 12 as a DON.... I have accepted a position as the DON at an Assisted Living facility. I have been on the road, traveling for almost 2 years as an Interim DON/Consultant....
  8. There is some corporations out there that have continual turnover in management positions non-stop. having been working as an interim DON, it does keep me employed going into these buildings. Since you have now stepped down, learn your residents and ...
  9. Nursing Home VS. Assisted Living

    For the most part, unless a DON is retiring, there is a "reason" the position is open to begin with. Usually, there are issues in the building to go along with it, whether it is survey related, staffing, etc. I have been traveling and doing interim D...
  10. on call for nursing issues

    I have seen staff compensated for being on-call in some buildings and in others they are not. Also, some buildings where just the management staff in the nursing dept rotate call and most recently where every nurse in the building takes a one day cal...
  11. questions

    If you have been in LTC for three years, is your goal to stay in LTC? If so, then try looking into learning more about the MDS, ICD-10 coding, managed care and their contracts, administration. There are so many positions within LTC that involve more ...
  12. Per diem nurses

    The only time I have seen hours mandated, was when they did not have staff to fill all the positions. Time to try and get more people in the door. Usually pool staff have a required amount of shifts they need to work within a month or set time period...
  13. Is most ltc short staffed?

    I have never staffed low on purpose. I also say to the staff that all positions were filled on the schedule, if you are working staffing "challenged" then you need to look at your co-workers who consistently call in, and not blame management. You num...
  14. Wound Care or bust!

    You may become wound care certified as an LVN through WCEI. but, you need to have proof that you have been working in wound care for the past 5 years. This WCC is recognized by the National Alliance of Wound Care.
  15. Documentation

    After the initial 72 hours, I break up the amount of Medicare charting between the day and evening shift, then it is only once daily.