noc4senuf

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

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

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 lab.

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 were rated with only 1 and 2 stars. Many, many probl...

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

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

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 you have now stepped down, learn your residents and ...

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, staffing, etc. I have been traveling and doing interim D...

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 where every nurse in the building takes a one day cal...

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 they need to work within a month or set time period...

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 consistently call in, and not blame management. You num...

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 of Wound Care.

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

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 moment.

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 admit per a list of who to accept from corporate. I...

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, supervisor, anyone? As others have noted, there are ma...

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 appointed one for that day/week. The issue I have w...

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 when an MD actually is contacted and given the info, ...

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 in management will take at least a month of postin...

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 could only perform my job if I had great staff to ...

Most facilities I know has two people check off new orders.

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

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

I don't remember seeing PAIN...

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 identified (and proven) of not giving a tube feeder t...