noc4senuf

noc4senuf

Geriatrics, WCC

Member

  • Content

    683

  • Visitors

    9,854

  • Followers

    0

  • Likes

    12

All Content by noc4senuf

  1. Admissions...who decides?

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

    My Med Records person handles admits.... been doing so for quite some time. One of my supervisors looks over the assessments and okays them. Any questions?? I have the final say on

  2. Lost It At Work: Sent Home for a Four Day Weekend to Gather My Thoughts (rant, vent)

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

    All good advice that everyone gave. I must add that you need to find time for yourself not only when you are away from work BUT while you are at work. A 5-10 minute walk outside or even go sit in...

  3. can my DON force me to work the floor?

    noc4senuf replied to glm777's topic in MDS Coordinator Information

    There is nothing wrong with the MDS person being in the on-call rotation. It is no different than any of the other management nurses needing to take another day off from their schedule for having to...

  4. Wound teams

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

    I have an assigned wound nurse. She evaluates each wound once weekly and documents on specific forms in the resident chart. She can make recommendations for changes in dressings. I am WCC and she the...

  5. Thinking about renewing RN lic but......

    noc4senuf replied to confusedinactiveRN's topic in General Nursing

    At this point, you would need to take a refresher

  6. Problems with the aging nurses

    noc4senuf replied to RNGriffin's topic in General Nursing

    One of the best nurses I ever worked with was 76 years

  7. Am I freak for charting meds as I pull them?

    noc4senuf replied to Izzy11's topic in Geriatric, LTC

    THe audits are done by standing and watching the nurse or TMA pass the meds, just as a state surveyor

  8. Am I freak for charting meds as I pull them?

    noc4senuf replied to Izzy11's topic in Geriatric, LTC

    Do you have a pharmacy that does med pass audits? Ours will deduct points for any meds signed out before given. In the many years I have been a nurse, it has always been... pass the meds and then...

  9. on call rotation

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

    Our supervisors are also responsible for responding to the pull cords being pulled in our two independent and one AL apartment buildings that are attached to us. they handle staffing on off-hours,...

  10. may graduate thinking about going into LTC any advice?

    noc4senuf replied to soontobetexan's topic in Geriatric, LTC

    LTC does not let your skills lapse. A majority of LTC facilties have post-acute units which allow for wound vacs, trachs, IV's, etc. You need to be on your toes. Also, depending on state regs, there...

  11. HELP!!!!

    noc4senuf replied to mandaq4's topic in Geriatric, LTC

    The facility did what they needed to. Whenever there is a report of abuse by a resident about a staff member, the facility needs to protect that resident during an investigation. This would mean a...

  12. Am I freak for charting meds as I pull them?

    noc4senuf replied to Izzy11's topic in Geriatric, LTC

    My staff are taught to give the med and then immediately sign it out. Do not sign out before giving. do not pre-fill your cups. If not follwed, they will be written

  13. does your facility have a defibrillator?

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

    we have crash carts on all the units (O2, suction, gloves, etc). we have an AED centrally located in the building. Sadly, we do not have a plan in place to identify exactly who is Full code and who is...

  14. on call rotation

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

    we do not use an on-call rotation. I have RN suprvisors in the building around the clock. If they have a question, they call me. I get maybe 5 calls a month. If they can not reach me, they call the...

  15. Bathing in LTC

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

    What hours are your bath aides working? You need to offer the bath/shower in the evenings also. Per regs, the resident should be able to choose if they want it in the morning or

  16. Orientation at LTC/Subacute Rehab facility

    noc4senuf replied to IlovemycareerRN's topic in Geriatric, LTC

    Send me a PM with your email and I can email you a sample

  17. Orientation at LTC/Subacute Rehab facility

    noc4senuf replied to IlovemycareerRN's topic in Geriatric, LTC

    It is difficult to pass out meds in a two hour window. that is why many facilities are going to a more open approach. Meds are scheduled for AM, noon, PM, HS. THis allows more

  18. What should the nurse-patient ratio be in long-term care facilities?

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

    In my facility on long-term care floor, it is max of 32 with a TMA to pass meds. On the TCU,

  19. Family diagnosticians: just Google it!

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

    Then i discuss it with them but, they are not the medical

  20. What do you wear to an interview?

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

    Since I have done interviews and hiring for over 10 yrs, I have seen it all. from suits and ties to shorts and jeans. For floor nurses, try casual business wear. For management, go for slacks and a...

  21. Orientation at LTC/Subacute Rehab facility

    noc4senuf replied to IlovemycareerRN's topic in Geriatric, LTC

    Classroom orientation is two days. There is about a month of floor orientation, as I have four separate units that each nurse is oriented to. Seasoned nurses it ends up being about a month. New grads...

  22. lpn as ADON?

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

    At least in the state where I practice, there is no such thing as an LPN supervising. That is beyond their scope of practice per our Board of Nursing. I know many wonderful LPN's they just don't have...

  23. Vacation vs LOA

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

    My staffing coor usually does not allow them to replace themselves as she may need those people for replacements herself. I am used to no one being allowed time off over the Christmas/New Years...

  24. Vacation vs LOA

    noc4senuf posted a topic in LTC: Directors, Assistant

    Years ago when i worked in more rural settings, this was never an issue. Now that I have been working metro for many years, it seems to be a big issue all over with the influx of more staff that...

  25. Vacation vs LOA

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

    Out LOA form clearly states that theire position may be filled and they will need to work on another shift, in a different position and even at a different pay "if there is anything