noc4senuf

noc4senuf

Geriatrics, WCC

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All Content by noc4senuf

  1. confirming NG placement

    noc4senuf replied to bennyboy's topic in General Nursing

    Years ago, we always went by auscultation since LTC didn't have xray readily

  2. State reportables

    noc4senuf replied to Nascar nurse's topic in LTC: Directors, Assistant

    #1 does not meet the criteria of which we report. We report for abuse, neglect, mistreatment, misappropriation of resident property, and injuries of unknown origin per regs. We do always document what...

  3. State reportables

    noc4senuf replied to Nascar nurse's topic in LTC: Directors, Assistant

    No I wouldn't as it was witnessed and there is not an

  4. State reportables

    noc4senuf replied to Nascar nurse's topic in LTC: Directors, Assistant

    The reason my choice was not to report it was, it was not an injury of unknown

  5. MRSA colonization

    noc4senuf replied to Mammy1111's topic in LTC: Directors, Assistant

    Came w/ the dx from the hospital. Is a TCU resident so, will be discharging after

  6. MRSA colonization

    noc4senuf replied to Mammy1111's topic in LTC: Directors, Assistant

    one out of

  7. State reportables

    noc4senuf replied to Nascar nurse's topic in LTC: Directors, Assistant

    For number 1&2, I would not report. As for #3, if you are going to report to the health dept, then I would also report the nurse to the Board of

  8. Is there a clearinghouse or forum where LTC facilities can share survey issues?

    noc4senuf replied to ChesterCountyMSN's topic in LTC: Directors, Assistant

    In MN, all surveys are posted on the State website for any and all to read. It is the actual pages of the survey that are scanned and posted. I love being able to see what others are cited for and...

  9. ADON recruited for DON position

    noc4senuf replied to cherbRN's topic in LTC: Directors, Assistant

    Besides knowing how the MDS, RAPS, etc works, how about surveys and plan of correction writing? Budgets?

  10. Antipsychotics

    noc4senuf replied to CapeCodMermaid's topic in Geriatric, LTC

    The exclusions are ICD-9 codes Psychiatric disorder 295.00 - 295.95 or 297.00-298.9; Schizophrenia; Tourette's syndrome (307.23); Huntingdon's disease (333.4); Hallucinations; End-stage disease; and...

  11. bad mgmt + bad decisions=burnout?

    noc4senuf replied to sasha2lady's topic in Geriatric, LTC

    I did not get into nursing because it was fun, it was the only thing I ever wanted to do... and i have done other things for jobs along the way. I never wanted to be a hospital nurse and hated my...

  12. Antipsychotics

    noc4senuf replied to CapeCodMermaid's topic in Geriatric, LTC

    Yep, we have the correct ICD-9 codes in place on I3. Never a

  13. Antipsychotics

    noc4senuf replied to CapeCodMermaid's topic in Geriatric, LTC

    Every single antipsychotic in our building has the "appropriate" diagnosis to please CMS and the surveyors. Our MD's and NP's work well with us and realize that we can not have them in use without...

  14. Staff changing assignment sheets (and no respect in general.)

    noc4senuf replied to danceswithsnakes's topic in LTC: Directors, Assistant

    Our staff know the strict unwritten rule that comes with the schedule.... DO NOT change or alter it without talking to

  15. Feeling Inadequate Clinically After Years of Mgmt.

    noc4senuf replied to bossynurse101's topic in LTC: Directors, Assistant

    When i take a med cart I am a lot slower than the nurses who do it everyday and have their routine down. I'm not worried about it though. As for my other clinical skills, I am out on the floor...

  16. Clinical Ladder for LTC

    noc4senuf replied to kwvath's topic in LTC: Directors, Assistant

    I have never seen or heard of one for

  17. Taking work home

    noc4senuf replied to achot chavi's topic in LTC: Directors, Assistant

    At times I do take it home with me. Right now I am looking at the annual budget and will probably do it over this

  18. Where did you find your job?

    noc4senuf replied to mixedfruit's topic in LTC: Directors, Assistant

    I got my current position on careerbuilder. that is also where I do my advertising. Another place to look for LTC is

  19. Do I have legal rights to see old work file?

    noc4senuf replied to Nidgma's topic in General Nursing

    At least in MN, every employee has a right to see what is in his/her file. They may ask for copies and the copies need to be provided in a timely manner (these can be charged for). As for if an...

  20. Need spreadsheets or worksheets please!

    noc4senuf replied to soshore's topic in LTC: Directors, Assistant

    OK everyone, I sent you private messages to ask for your

  21. bad mgmt + bad decisions=burnout?

    noc4senuf replied to sasha2lady's topic in Geriatric, LTC

    read the previous posts...

  22. bad mgmt + bad decisions=burnout?

    noc4senuf replied to sasha2lady's topic in Geriatric, LTC

    This management person answers call lights, toilets, feeds , etc. I have plenty of people employed and many who what there name written on the side of the schedule to be called for hours if someone...

  23. education/experience requirements for DON/ADON

    noc4senuf replied to shelbee1084's topic in LTC: Directors, Assistant

    I have an Assoc degree.... been a DON for 8+ years now, have worked all shifts in the past, started as a CNA in the 70's, done MDS, RAPS, care plans... you name it (still do any and all when needed or...

  24. bad mgmt + bad decisions=burnout?

    noc4senuf replied to sasha2lady's topic in Geriatric, LTC

    For one thing, don't lump ALL management in the same pot. I staff very well, if the staff call in, don't blame myself... blame your co-workers. I have a very strict attendance policy... it is adhered...

  25. How many deficiencies does your facility have?

    noc4senuf replied to TheCommuter's topic in Geriatric, LTC

    I have had other departments and supervisors ask what it is I do all day long (if they don't see me). My NHA and I have decided I am now "HR". Daily, I spend time working on documentation for union...