noc4senuf

noc4senuf

Geriatrics, WCC

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All Content by noc4senuf

  1. New here, and Flu vaccine question

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

    You need a DEA number to get any pricing or ordering info.... I would have to contact my Med Director for that or our pharmacy. They did have a list of 18 of their suppliers that we can look into....

  2. New here, and Flu vaccine question

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

    The DOH is already aware as that is one of the contacts we made. They also do not know of any place to get

  3. Do you send meds along on a Leave of Absence?

    noc4senuf replied to DPRN's topic in Geriatric, LTC

    We send them in marked pill envelopes. We do not send PRN meds even if they frequaently use them and tell the family they will have to be brought back for an assessment if a PRN is

  4. Discharge Summaries....Need advice

    noc4senuf replied to ame222's topic in LTC: Directors, Assistant

    We have a short form that covers there stay and condition at discharge. This is filled out by one of my nurse managers and then the chart is sent to Med

  5. New here, and Flu vaccine question

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

    We also in the Minneapolsi/St. Paul area are in dire need in many of the nursing homes. The pharmacy was not sent their full supply a couple of months ago and there is none to be had. We have called...

  6. Nasty residents, smoking, and insubordination

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

    We too are non-smoking. We admit to the short-term rehab those that "promise" not to smoke and find them lighting up in their rooms. We take the cigarettes away and the family bring more. As for the...

  7. are you required to call DON first before calling MD?

    noc4senuf replied to Ms.RN's topic in Geriatric, LTC

    If the person you were speaking about was a FULL CODE, then i would expect as a licensed nurse that you call the MD or NP and report your findings. There is plenty of time to notify other staff after...

  8. set up for failure

    noc4senuf replied to evette74's topic in LTC: Directors, Assistant

    Then your tag level must have been at a "G" or higher. When that occurrs, then yes, you do lose your ability to have classes in-house. Is there soemthing else you could be doing within your facility...

  9. DEA States that LTC Nurses Are No Longer Agents Of The Prescribers

    noc4senuf replied to chase4myheart's topic in Geriatric, LTC

    southernbee, where did you find the

  10. Can I refuse to have a certain CNA work on my shift?

    noc4senuf replied to Reigen's topic in Geriatric, LTC

    In order to please the union, I have to give a verbal warning, 1st written, 2nd written, suspension and THEN

  11. DEA States that LTC Nurses Are No Longer Agents Of The Prescribers

    noc4senuf replied to chase4myheart's topic in Geriatric, LTC

    It was just in McKnights Long Term Care News last week that enough of us nurses have contact our congressmen and senators that they are putting the pressure on the DEA to lighten

  12. How to get hired in LTC as an LVN

    noc4senuf replied to tothepointeLVN's topic in Geriatric, LTC

    I have kept "all" the applications that I have gotten since I have been there, over three and a half years. I have a note on the top of each one, whether I interviewed, how the interview went, if a...

  13. set up for failure

    noc4senuf replied to evette74's topic in LTC: Directors, Assistant

    Evette, I don't know what is available for facilities out there but, try a small(er) one, maybe non-profit and try to stay away from large corporates. They are in it for the money and will eat their...

  14. How to get hired in LTC as an LVN

    noc4senuf replied to tothepointeLVN's topic in Geriatric, LTC

    I myself do not see walk-ins of any kind. Right now I am fully staffed and have been so for close to a year. I still get resumes mailed to me and I check their license on the State Board. You wouldn't...

  15. MDS Coordinator. Again!?

    noc4senuf replied to fulzgold's topic in MDS Coordinator Information

    Never known an MDS position to be

  16. Tonight I was literally pooped upon

    noc4senuf replied to SuesquatchRN's topic in Geriatric, LTC

    Yep, remembering taking off my shoe one day and hosing it down in the hopper d/t the poop all over it. But, continued on while wearing non-skid

  17. Can I refuse to have a certain CNA work on my shift?

    noc4senuf replied to Reigen's topic in Geriatric, LTC

    You need to work with those assigned to. There could be several reasons as to why this is dragging on the way it is. Is there a facility or union policy regarding following a set disciplinary process,...

  18. Nursing staffing

    noc4senuf replied to mercy1975's topic in Geriatric, LTC

    I expect my staff to work as hard as I do. I also expect them to be able to get their breaks, which they do. I have one nurse that routinely can not get her work completed in the time frame that...

  19. Nursing staffing

    noc4senuf replied to mercy1975's topic in Geriatric, LTC

    It all depends on each individual facility and how they operate. Very doable on a LTC floor for 21 residents. On a TCu, then it would be a bit much... all depends on the acquity. When i worked the...

  20. Unemployed New Grad

    noc4senuf replied to mitchell79's topic in General Nursing

    Hospitals that are looking at Magnet status will only hire BSN and higher. Too bad for all the nurses out there that have lesser degrees but, are certainly qualified. Have you looked into

  21. LPN vs RN scope of practice commentary in Mpls Star Tribune

    noc4senuf replied to dannyc12's topic in General Nursing

    I do work in MN and know that since they have been working on this for several years already, it is not going to change any too

  22. Who Pays for MED A items?

    noc4senuf replied to CapeCodMermaid's topic in MDS Coordinator Information

    I no longer take wound vacs as I can not afford the hit they cause financially. If that resident had been in my facility, I would have let the ordering doctor know he needed to order something else or...

  23. Warning to New Grads

    noc4senuf replied to Little_Mouse's topic in First Year After Licensure

    JCAHO (monitors hospitals) regulates very few nursing homes. Most are regulated by DHS. The staffing requirements are set by CMS and are decades old, some states do have some stricter requirements....

  24. Warning to New Grads

    noc4senuf replied to Little_Mouse's topic in First Year After Licensure

    I just want ot remind everyone that not "all" SNF's are terrible. I am the DON of a SNF, and staff at a much higher rate than what those of you have listed. I feel blessed to have wonderful LPN's and...

  25. DON Positions

    noc4senuf replied to lisa41rn's topic in LTC: Directors, Assistant

    Learning the ropes as an MDS coordinator is a good start. You will need that knowledge as a DON. Use this time to learn the regs. Get involved in your local DON chapter, most allow members to be not...