noc4senuf

noc4senuf

Geriatrics, WCC

Member

  • Content

    683

  • Visitors

    9,854

  • Followers

    0

  • Likes

    12

All Content by noc4senuf

  1. Vacation vs LOA

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

    I have had several quit already. My thought is, if they don't want a job... their are plenty of others that

  2. what is the difference between a nurse manager and a nsg supervisor in nursing home?

    noc4senuf replied to lily1289's topic in Geriatric, LTC

    As you explained it, that is my experience. but, I have also come to find out that each home describes their employees

  3. Can I become a CNA at age 16?

    noc4senuf replied to Kimmyyf's topic in General Nursing

    I think it has something to do with the new changes they made. Lots of things have moved around and are up in the

  4. Can I become a CNA at age 16?

    noc4senuf replied to Kimmyyf's topic in General Nursing

    You may notice that this topic is two years

  5. Fairly new MDS nurse...has questions.

    noc4senuf replied to idahomdsnurse's topic in MDS Coordinator Information

    You are the only MDS nurse? If so, they are completely unrealistic of the time requirements. You need to speak to them right

  6. Joint Commission Survey

    noc4senuf replied to crazyforthis's topic in MDS Coordinator Information

    THe QI/QM and Casper are not back up and running yet since the change to MDS 3.0. It is a federal thing and out of your control. Your software should let you run a census and Condition and Roster...

  7. State reportable incident..but who is "state?"

    noc4senuf replied to Marshall1's topic in LTC: Directors, Assistant

    In MN we have OHFC... Office of Health Facility Complaint.... it is only for LTC. For AL, it would be CEP... Common Entry Point, Adult Protection or

  8. Resident Rights

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

    I aggree with Nascar; also have had them choose the gender. But, i tell them we can try but not guarantee if it will be a male of female caring for t

  9. Holy Wound Batman!!

    noc4senuf replied to PsychNurseWannaBe's topic in Wound, Ostomy, Continence

    I have one almost the same in my facility. I am using kerlix soaked in a dilute mix of hibiclens to pack and a foam cover drsg. This is only being changed M-W-F. Have you tried Pro-Stat

  10. Pharm Rep making rounds with the nurse?

    noc4senuf replied to optimist's topic in General Nursing

    Your reps with your contracted vendors would be covered. My question is, even if she is a nurse, is she CWOCN or WCC? What makes her qualified to ook at the

  11. No one will hire a nurse with only a Associates???

    noc4senuf replied to CNA1991's topic in General Nursing

    I have worked with both ADN's and BS nurses over the years. If they are new grads, then the ADN has more clinical experience under the belt at time of graduation vs the BS grad having mainly theory...

  12. New to mgmt, several questions

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

    The orientation i allow for nurses or CNA's is different for each one. Dependent on their experience, some may be up to a month. I make sure they have a good preceptor. I haven't owned scrubs since...

  13. Complaint Survey

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

    Even if they are up, they still need to be offloaded and repositioned for at least a couple of minutes within the individualized timeframe specific for each

  14. Long Term Care Cutbacks

    noc4senuf replied to katoline's topic in Geriatric, LTC

    MN... I started as an independent consultant in my building and was hired permanently. They were a Special Focus Facility and came off that list the last suvey with only 4 "D"

  15. Complaint Survey

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

    We go in and check their skin after having been in one position for two hours. If the skin stays red, then we decrease the time and do it again. We begin by reducing in 15 minute increments. CMS regs...

  16. Long Term Care Cutbacks

    noc4senuf replied to katoline's topic in Geriatric, LTC

    I must say, I am blessed. Even with the cuts, I was able to add another supervisor. I entered my new building in Jan of this year. Wow, they rented equipment left and right. Thousands were going out...

  17. Complaint Survey

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

    Goodness, I haven't used positioing clocks since the 70's. Each of our residents have a tissue tolerance completed and they range from 30 minutes (usually compromised hospice) up to 2 hours that they...

  18. I would like some interview answers from a don, adon, or manager

    noc4senuf replied to loveu123's topic in LTC: Directors, Assistant

    I already put in many, many hours a day, without answering those questions for someone

  19. 2 warnings at once

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

    All positions are possible. Does it mean you could be the DON in this facility? Maybe, it dfepends on who does the hiring and their willingness to listen to you. If you move to another facility, this...

  20. discontinuing pressure alarms

    noc4senuf replied to sls73's topic in Geriatric, LTC

    Alarms are considered a restraint if the resident does not move for the rear of the alarm going off.... can be cited for

  21. BSN or More Experience

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

    I have my ADN..... have been a DON for about 10 years. I keep thinking about school but, I get where I am on my

  22. Non-healing Wounds

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

    I would also change the Q 2 hour turning. At end of life I usually have them up to every 30 min. as their circultaion si shutting down. Make sure the documentation is in order as to everything you are...

  23. 2 warnings at once

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

    Our disciplinary forms state on them "signature does not imply guilt, only that you were notified". There is also plenty of space to leave your own

  24. How many of you have a BSN

    noc4senuf replied to johnny depp23's topic in General Nursing

    ADN here. director of Nursing for 10 years. Why go back to

  25. Is anyone else annoyed by the expectations of male nurses in transferring patients?

    noc4senuf replied to WillRegNurse's topic in Men in Nursing

    In LTC, we have a ratio of mechanical of 1 lift for every 5-6 residents. we also have strict guidelines to follow for transfers and lifting.... nothing over 25#. This is to prevent back injuries and...