noc4senuf

noc4senuf

Geriatrics, WCC

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All Content by noc4senuf

  1. Lab Coat or No

    noc4senuf replied to Buckaroo93's topic in LTC: Directors, Assistant

    In AL in our area, it is frowned upon as it is to be more homelike and not facility

  2. Salary

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

    Metro of the Twin Cities in MN, smaller buildings around 70K and up to 120K for the largest buildings with 200-300

  3. Coumadin protocol

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

    Most buildings I have been in for the past 10 yrs or so have INR machines. We billed Medicare for the cost of the draw and strips. Faster than waiting for a

  4. Really?!? That's what you think is important?

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

    I worked Interim for a travel company for 2-3 years. they had a corporation that kept requesting me, so I moved to their buildings only in multiple states. The corporate had about 200 buildings and...

  5. State reportables

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

    I would not report a verbal altercation between residents; only physical that caused "serious bodily

  6. Non-diapering nursing home patients

    noc4senuf replied to ASSEDO's topic in Geriatric, LTC

    I hate that anyone would use the term "diaper" when speaking about our elderly. They are not babies or

  7. Just accepted Unit Manager Position with no LTC experience....

    noc4senuf replied to Junebug59's topic in LTC: Directors, Assistant

    There is some corporations out there that have continual turnover in management positions non-stop. having been working as an interim DON, it does keep me employed going into these buildings. Since...

  8. Nursing Home VS. Assisted Living

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

    For the most part, unless a DON is retiring, there is a "reason" the position is open to begin with. Usually, there are issues in the building to go along with it, whether it is survey related,...

  9. on call for nursing issues

    noc4senuf replied to txnursegiggles's topic in Geriatric, LTC

    I have seen staff compensated for being on-call in some buildings and in others they are not. Also, some buildings where just the management staff in the nursing dept rotate call and most recently...

  10. Per diem nurses

    noc4senuf replied to pebbles049's topic in Geriatric, LTC

    The only time I have seen hours mandated, was when they did not have staff to fill all the positions. Time to try and get more people in the door. Usually pool staff have a required amount of shifts...

  11. Is most ltc short staffed?

    noc4senuf replied to Nightowl_nurse's topic in Geriatric, LTC

    I have never staffed low on purpose. I also say to the staff that all positions were filled on the schedule, if you are working staffing "challenged" then you need to look at your co-workers who...

  12. Wound Care or bust!

    noc4senuf replied to pnkgirl25's topic in Wound, Ostomy, Continence

    You may become wound care certified as an LVN through WCEI. but, you need to have proof that you have been working in wound care for the past 5 years. This WCC is recognized by the National Alliance...

  13. Documentation

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

    After the initial 72 hours, I break up the amount of Medicare charting between the day and evening shift, then it is only once

  14. How do I go about applying for this?

    noc4senuf replied to Cynnie24's topic in Geriatric, LTC

    Definitely fill out an application and leave a resume. Depending on the DON, most (including myself) can't handle walk-in appts on the spur of the

  15. Admissions people

    noc4senuf replied to CapeCodMermaid's topic in Geriatric, LTC

    Having just finished a run of 5 different facilities for one corporation as the Interim DON, I know what you are saying. Their Admissions people are not nurses, they make all the decisions on who to...

  16. Should I report my nursing facility for neglect?

    noc4senuf replied to Figglehorn68's topic in Geriatric, LTC

    What is the care plan saying for how to care for this resident? Does it list all the interventions? It would also list all the problems relating to the pressure area. Have you spoke with a nurse,...

  17. Is this risking my license?

    noc4senuf replied to chende's topic in Geriatric, LTC

    I have seen those numbers in LTC many times over the years. It also depends on the type of residents on the unit. As a DON, I am on-call 24/7, even if one of my managers, supervisors, or ADON is the...

  18. Pronouncing Death

    noc4senuf replied to lumbarpain's topic in Geriatric, LTC

    Depending what state you are in, an RN can pronounce in some states. The notification calls to MD, family, etc would happen after the RN pronounces. Other states, the time of death is listed as to...

  19. DONS q on hiring turnaround for SDC

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

    I have not always met the timelines that I may have told a prospective employee as other things such as surveys, workload, etc do come up that need attention first. It seems these days that positions...

  20. A Heartfelt Apology to DON's

    noc4senuf replied to bluegeegoo2's topic in LTC: Directors, Assistant

    I certainly hear what everyone is saying. We have all had those days that never seem to end, and the list of items you planned to do for the day did not get a dent in it. I realized years ago, that I...

  21. HELP! LTC RN VS LPN!

    noc4senuf replied to ricksy's topic in Geriatric, LTC

    Most facilities I know has two people check off new

  22. How do you get family members to stop calling on the phone?

    noc4senuf replied to Blackcat99's topic in Geriatric, LTC

    Make sure to check the chart to ensure the person you are talking to has the permission to have the

  23. How do you get family members to stop calling on the phone?

    noc4senuf replied to Blackcat99's topic in Geriatric, LTC

    Don't forget to check the chart to ensure the person you are talking to has the permission to have the

  24. Systems to manage as an ADNS/DON

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

    I don't remember seeing

  25. Nurses in trouble get second chances - Minnesota

    noc4senuf replied to Brian's topic in Nursing Career

    As a DON who previously worked at homes in MN, I reported my fair share of nurses to the BON. Only one nurse ever lost her license for my report and that was due to stealing narcs. Two nurses were...