The Real Nurse Jackie | McKnight's Long Term Care News & Assisted Living

The Real Nurse Jackie by Jacqueline Vance, RNC, CDONA/LTC

Think before you write

I have to ask: Does anyone read what they write before they sign off and lock their documentation anymore?

Reshape for the New Year

Every January 1 the commercials start. How to lose weight, how to eat right, how to exercise, what machines to buy. But, really, what needs reshaping more this time of year?

Come to the table the right way

If we’re not even defining family at our homes, what the heck are we doing around the table at our facilities?

Grateful pumpkins

As we move to the month of November and plan for Thanksgiving at our personal homes and facilities, I have a challenge for you.

Getting nurses to rethink rehospitalization

Shouldn’t we avoid transferring people to the hospital if we can treat them in place? Come on, nurses, stop, take a breath, put on your nurse’s thinking cap.

Who’s at your table?

What if we had a potluck meal and sat down with the people who work with us, no matter what the department, job duty, no matter where you came from or what you believe in, etc.?

When the storm passed, dedication persevered

I can’t help but comment on the incredible dedication of staff members during Hurricane Dorian. Remember that we can, and should, always take the lead in praising staff.


I don’t know if you have seen this hashtag on Twitter. #askingforafriend. It’s pretty funny. It’s a way to ask a question without embarrassing yourself. You know, like, “I’m just asking this for a friend of mine.”

When life work imitates commercial

Have you seen that new commercial for insurance coverage protection from “Mayhem,” posing as a car thief?   A poor guy is at a sporting event and gets notified that his car is being trashed and stolen. He’s so taken aback that all he can do is shriek “What?!” in disbelief, over and over, increasingly louder. …

What we have is a failure to communicate

Recently, I saw a group email pop-up on my computer that basically states that surveyors showed up in a particular building and they may need electronic medical record access, so please stand by.

Documentation nightmares: so noted

The bane of any nurse leader’s existence is reading some of her staff’s notes and just praying a surveyor or lawyer never finds them.

Dessert or Brussels sprouts — you need both

I was watching a sermon on raising your children in today’s age and found myself completely intrigued. The pastor was talking about two different styles of patenting which kind of made me think of leadership styles.

Excessive citation?

A man was recently charged with animal cruelty after abandoning his pet fish Oscar. Yep, you read that right, a fish. Not some exotic fish in expensive tanks, but a fish in a bowl. The guy had been evicted from his home and apparently left the fish behind with the rest of most of his…

Is long-term care a flea market?

Recently, I overheard a business office manager speaking on the phone to a managed care company, which after approving dozens of patients, kept denying payments — without giving a reason, of course. Then after multiple calls, letters, and so forth, the company attempted to renegotiate the final price. Wait, what?! I guess they figure that…
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