noc4senuf

noc4senuf

Geriatrics, WCC

Member

  • Content

    683

  • Visitors

    9,854

  • Followers

    0

  • Likes

    12

All Content by noc4senuf

  1. I received a "write up" warning at my LTC

    noc4senuf replied to Blackcat99's topic in Geriatric, LTC

    As a DON, I have faced the issues of nurses working OT for years. I have always put out the policy that all overtime needsto be approved by managment before it occurs. This way each time it can be...

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

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

    Mtessmer... how was the phone interview? I also wanted to say the UWEC's program for administrator's puts out grads that are highly regarded in the field. The biggest problems that I have heard...

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

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

    I know of many DON's that have also been in that same situation. Sad that a lot of it come down to budget and dollars. Good luck in the future. I also live in WI and have been a DON for over 10...

  4. Lets be careful how we use Med Aides

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

    I wish posters would look at what forum they are posting to.... this is a LTC forum and not hospital. Two different subjects

  5. Lets be careful how we use Med Aides

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

    I have been doing this for so many years, there is no other choice. The money is not there to add the nurses. You may be lucky to live/work in a state that does not allow it. I work and consult in...

  6. Lets be careful how we use Med Aides

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

    This is LTC we are discussing. There will always be paperwork or computer charting that takes up the nurses time. Due to ongoing cuts at federal and state levels, there is never going to be more...

  7. Lets be careful how we use Med Aides

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

    I have worked with med aides for years. They pass scheduled meds and PRN's after the nurse has assessed and given the okay to do so. With the mounds of paperwork for the nurses to do, they would not...

  8. "Peenie-wraps"?

    noc4senuf replied to BrandonLPN's topic in Geriatric, LTC

    Just a comment to one of the posters who referred to the periarea as being "excoriated" from the urine. Excoriation looks like linear scratches and not what you see from the skin sloughing away due to...

  9. "Peenie-wraps"?

    noc4senuf replied to BrandonLPN's topic in Geriatric, LTC

    We have actually called them weenie wraps. I've heard of them since the 70's. But, the way it was done then was wrap an inc. product around the member then tuck it inside the brief or other product. I...

  10. Admissions...who decides?

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

    She takes all the referrals, assigns the beds, checks payor sources,

  11. New Resident Admissions process

    noc4senuf replied to qestout's topic in Geriatric, LTC

    I agree with CCM. I have been a DON for 10 years and never heard of anyone doing anything but 24/7 admits. As long as you have your processes in place, it should run smoothly. Counting my longterm and...

  12. Medicaid-How long does it take?

    noc4senuf replied to Blackcat99's topic in Geriatric, LTC

    I work in the metro area of MN. It depends on which county you are in there. the larger the population, the longer the wait. I have known it to take up to a year, and then the facility's aging report...

  13. Resignation letter question.

    noc4senuf replied to pretty70's topic in Geriatric, LTC

    You should receive "accrued" vacation/PTO from any

  14. Beds/Lifts/and Bed Pan sanitizers

    noc4senuf replied to sls73's topic in Geriatric, LTC

    Personally, the best and cheapest way to go for sanitizers.... dishwashers. Easier to use, and a whole lot cheaper.... slick as can

  15. Rights of POA vs Resident

    noc4senuf replied to wiley6coyote's topic in Geriatric, LTC

    Do you have a POLST in place? These are orders and would designate whether someone was to be sent to the hospital, DNR/DNI, etc. Do you have orders or care plans, assessments, etc. on how to care for...

  16. New Resident Admissions process

    noc4senuf replied to qestout's topic in Geriatric, LTC

    from experience, most admits arrive on PM's because by the time the MD at the hospital decides to discharge, all transport vehicles are booked for earlier hours. My staff complete all assessments in...

  17. CNAs that take extended breaks

    noc4senuf replied to NurseLoveJoy88's topic in LTC: Directors, Assistant

    For years, it has been the floor nurses responsibility to be in charge of the aides on their unit. No idea when that ever stopped. Not in any facility I am familiar with. If as a floor nurse you don't...

  18. Reducing Alarms

    noc4senuf replied to rmaruschock's topic in Geriatric, LTC

    The first thing I noticed was just what you didn't want anyone to, the comparison of our adults to children. They are not children! Most lived full and productive lives. They also did not have all...

  19. Reducing Alarms

    noc4senuf replied to rmaruschock's topic in Geriatric, LTC

    I've been in LTC since the 70's. we never had alarms and actually had less falls. I still believe they are more of a problem than

  20. lpn as ADON?

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

    As CCM said, we must follow the laws of the states we practice in.I also know of wonderful LPN's and poor RN's, but the law is on the side of the RN in many

  21. Thinking of dropping my RN-BSN program

    noc4senuf replied to ORoxyO's topic in General Nursing

    Actually, many of your seasoned nurses stopped at the ADN. I was an RN for 8 years before becoming a DON. I work in a large metro populace of over 1M people. I know many nurses that earned their way...

  22. Reducing Alarms

    noc4senuf replied to rmaruschock's topic in Geriatric, LTC

    I am actually in the process of getting rid of all alarms in the building. THe only thing they do is alert staff that the resident is alreayd moving. If there is an issue with a particular resident,...

  23. Thinking of dropping my RN-BSN program

    noc4senuf replied to ORoxyO's topic in General Nursing

    Regardless of everyone's opinions, you need to do what is best for you. I have an ADN, I have also been a Director of Nursing for over 10 years and not had any trouble finding

  24. Tired of LTC...

    noc4senuf replied to NurseLoveJoy88's topic in Geriatric, LTC

    Yep... thatls LTC. Been doing it so many years, don't even notice half of what you said anymore, as it just

  25. DON Interview...Advice needed!

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

    I would be very hesitant that would hire a new DON without LTC background. And, depending on the area you are looking at, some of the WI survey teams are