Documentation is like cotton candy

Very often, the nursing progress note documentation is like cotton candy. You think it looks really good but when you get down to it, it's just a sticky mess! Or, just a bunch of fluff with no substance. Electronic medical records systems often compound this issue.

Autonomy and risky business

Let's face it, nursing home culture change and honoring resident choice can still bring about an anxiety attack to the most laid back of nurses. Promoting resident autonomy without exposing providers to a risk of liability is kind of an oxymoron. But we've all heard it: "No risk, no reward."

Pondering oddities of the job, and more

I have to say that I absolutely love working in eldercare. I mean, I thought I would have to move down South if I wanted to say whatever was on my mind.

No Rhyme or Reason

Did you know that September 1 was "No Rhyme or Reason Day"? Apparently, there is a day to celebrate words that don't rhyme and things that don't make sense. This gets me thinking about, well, things that go on in our facilities because people don't think.

A nurse's 'Ode to a Care Plan'

Oh, canned core care plans, I so despise you! There's no way I can personalize you!

7 habits of highly successful nurses

There's a thing or two new nurses can learn from us "veterans." Those of us who make it to veteran status tend to share some common habits. Let me break them down for you.

You can't keep a good nurse down

Alice Graber started during World War II and kept at it until last month. Now, the retired nurse is going to volunteer at ... well, you're not going to believe it.

Discharge instructions may equal confusion

Written discharge instructions shouldn't be our only source of discharge education. I am a big fan of the teach-back method. That way you can be sure if your patient really understands the instructions and responsibilities.

Independence Day — for all

Yes, July 4th is right around the corner. Time to think of backyard barbecues, fireworks, blockbuster movies and ... §483.25 — Quality of Care.

Time to end the Dickey Amendment — for good!

The Orlando mass shootings and killings last weekend have brought out the absurdity again: Research on gun safety and violence by the Centers for Disease Control and Prevention has been halted for years. This insanity has to stop.

The Real Nurse Jackie

The Real Nurse Jackie is written by Jacqueline Vance, RNC, CDONA/LTC, a 2012 APEX Award of Excellence winner for Blog Writing. Vance is a real life long-term care nurse. A nationally respected nurse educator and past national LTC Nurse Administrator of the Year, she also is an accomplished stand-up comedienne. The opinions supplied here are her own and do not necessarily reflect those of her employer or her professional affiliates.