noc4senuf

noc4senuf

Geriatrics, WCC

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All Content by noc4senuf

  1. Curious....If D.O.N., A.D.O.N, and/or Admin. are fired w/out notice.,

    noc4senuf replied to nervousnurse's topic in Geriatric, LTC

    I work as a traveling/interim DON consultant. I may get anywhere from a day to a week's notice that i am needed. I go into facilities where they have either gotten rid of the prior DON or the DON has...

  2. OMG! *I* cannot pronounce death but a paramedic can????

    noc4senuf replied to nervousnurse's topic in Geriatric, LTC

    I agree, each state has their own laws that must be followed. But, if no DNR is in place, then you must treat them as a Full Code. I know of one facility that had a nurse that chose to ignore the...

  3. RN Salary Survey 2013: Post here!

    noc4senuf replied to ItsColduphere's topic in General Nursing

    1. Live in Wi, but am a traveling consultant for LTC. 2.19 yrs 3.LTC 4. $45-50/hour 5. no diff 6. No

  4. Electronic wrist bp cuffs

    noc4senuf replied to jnurse21's topic in Geriatric, LTC

    I occasionally use my wrist cuff and have no problems with its accuracy. I do not like the electronic cuffs on the poles. Residents complain that they take too long and get way too tight... I agree,...

  5. Travel/Interim DNS

    noc4senuf replied to LTCRN4LIFE's topic in LTC: Directors, Assistant

    OK... putting my hand up. That is what I did from last July until the beginning of this year. Then I have taken time off to get married and to get my son married off. Now getting ready to go out...

  6. DON: Do you hire nurses with misdemeanors?

    noc4senuf replied to SuzieVN's topic in Licensure: Criminal History

    I also would hire someone with a "past" as long as it wasn't recent, and they have proven it no longer affects them. For example, have been able to hold a job since the

  7. New to facility...how do you deal with troublemakers?

    noc4senuf replied to dreamer2011's topic in LTC: Directors, Assistant

    Have a meeting with the staff when you first start. Let them all know upfront what your expectations are. After that, you need to start watching the staff and listening for any problems. Find out for...

  8. Interview for LTC Charge.... new grad

    noc4senuf replied to Staragate's topic in Job Search, Interview, Resume

    I know this is a little late but, needed to address new grads in LTC. There is no reason to have hosptial experience first. There are nurses out there that never wish to work in a hospital. In LTC you...

  9. Fellow DON's....I need some advice please...

    noc4senuf replied to mtessmer2000's topic in LTC: Directors, Assistant

    I don't know what Title 22 is but we don't have that in WI and that is where the OP is from. After a certain census, then the DON shall not be a charge nurse. But, I know of very few DON's that do not...

  10. Issues of amonymity with complaints

    noc4senuf replied to Babynurse2013's topic in Geriatric, LTC

    If you are having issues as stated, put them in writing and take them to the ADON. You stated you know others have made complaints and nothing was done. If I had a penny for each time I have heard...

  11. Too good for my own good? Rant!

    noc4senuf replied to AtheistRN's topic in Geriatric, LTC

    Sounds like there are other staff that don't want you to show them up. As long as you are completing your job and watching over your staff, myself as management would be happy. If you feel cause for...

  12. I Hate LT: How I Want to Fix It

    noc4senuf replied to libran1984's topic in Geriatric, LTC

    I don't even know where to start with all that I have read. In the states I have worked in MN/WI/SD, an RN has to assess an LPN can observe or gather info. As for staffing in the homes, majority of it...

  13. Returning to Nursing after Burn Out

    noc4senuf replied to Barb61's topic in Geriatric, LTC

    I agree, with the jobs at a premium these days, I would do both. I have had nurse come to orientation and then state that it wasn't for them and

  14. New RN, 6 days orientation, night shift. Seeking advice!!

    noc4senuf replied to Bunny99's topic in Geriatric, LTC

    There should not be that many meds being given in the early morning. The thought process these days is to let the resident sleep and awaken on their own. Can any of these meds be given later? I have...

  15. Tips for new nurse manager at SNF?

    noc4senuf replied to brendacg's topic in Geriatric, LTC

    Make sure your staff know you are there. Once you get settled into your new position, allow for time on the floor to be seen by staffand residents. I know there is always paperwork to be done but, the...

  16. One month on the job and still not getting it.

    noc4senuf replied to sunmaidliz's topic in Geriatric, LTC

    I'm sorry that you are having problems but, has no one else noticed that she has only oriented 12 days as a new grad? Any of the new grads that i have hires, I try to get them in there full time...

  17. MARS: electronic or paper?

    noc4senuf replied to hope3456's topic in Geriatric, LTC

    I thought it was by 2015, bu some states are requiring it sooner. The facilities I have dealt with it is a combination of all paper, all computer, or both. I have dealt with Momentum (pretty good),...

  18. admin's what do they do ??

    noc4senuf replied to fairyluv's topic in Geriatric, LTC

    I would start keeping a log, Document. Once you have your ducks in a row, then take it to whoever is above him whether it is a CEO, HR, a Board member, corporate,

  19. Medical Marijuana

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

    I'm thinking if they have/get an order for it, then you may have to provide that supervised area outside for them to smoke it. Otherwise, i'm sure the Ombudsman would be

  20. help

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

    If she is doign anything wrong, then you need to document it so you have a paper trail. Once you have the papertrail, it can be passed on to the BON to

  21. Using an RN's license

    noc4senuf replied to bchvball7's topic in LTC: Directors, Assistant

    The LPN would be supervising the building, not the RN. The LPN can gather information for the assessment but, it would still eventually need an RN to sign off on

  22. Two VERY low ball job offers in the last month...(management and leadership!)

    noc4senuf replied to SweettartRN's topic in Nurse Management

    Typically, home health and assisted living pay less than a SNF. A hospital pays more than a SNF. It all comes down to the reimbursements to the different types of facilities. Five years as a nurse is...

  23. Start up of a new facility - Did I get myself into a hot mess?

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

    Best of luck to

  24. Start up of a new facility - Did I get myself into a hot mess?

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

    I also have not opened a building (only closed one). Hiring of more staff of course is a priority. Try having daily huddles throughout the day to coordinate and better handle the admits. I hate to say...

  25. QIS

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

    In MN we were one of the first facilities to get the QIS in the state. Once we had it, we never had a traditional again. But, that doesn't answer your question, not sure if it is set in