New Grad LPN offered a Nurse Supervisor position in Post Acute - page 3

Hello! So I just recently got my license and this is going to be my first time ever working in the field of nursing, other than my clinicals. I accepted a full time position as a LPN Nurse... Read More

  1. Visit  Midwest4me profile page
    0
    Quote from hospice nurse lpn
    the op works in ltc. in my state, an lpn does the initial assessment in an ltc setting. reason being, after 5 pm there are no rn's in the building. just can't make the poor pt wait until the next day for an initial assessment. the scope of practice varies from state to state.
    wow, hospice nurse, that's amazing that you have no rns in the building after 5pm! i'd say that company that owns your ltc needs to be educated on the need for at least one rn there.

    i agree with traumarus--the op needs to read and know her nurse practice act and the scope of her practice. in any ltc i worked in, there was at least one (or two ) rns. we lpns practice under our own licences but must have a supervising rn.

    op: i also recommend you ask for more training/orientation. as a new grad, you are indeed asking for help to ensure the best care for your patients--word it that way to your supervisor--how could he/she say 'no"? the patient load is not unreasonable for ltc. most ltcs in our state have patient loads of 25-45. it's normal not to get done with all your work in 8 hours. i know i (as well as many others)never did when i worked in ltc(and i spent many years in that area before leaving for greener fields). i do wish you the best and hope you get more orientation!
    Last edit by Midwest4me on Aug 11, '11 : Reason: grammar
  2. Visit  xtxrn profile page
    2
    Quote from midwest4me
    wow, hospice nurse, that's amazing that you have no rns in the building after 5pm! i'd say that company that owns your ltc needs to be educated on the need for at least one rn there.

    i agree with traumarus--the op needs to read and know her nurse practice act and the scope of her practice. in any ltc i worked in, there was at least one (or two ) rns. we lpns practice under our own licences but must have a supervising rn.

    op: i also recommend you ask for more training/orientation. as a new grad, you are indeed asking for help to ensure the best care for your patients--word it that way to your supervisor--how could he/she say 'no"? the patient load is not unreasonable for ltc. most ltcs in our state have patient loads of 25-45. it's normal not to get done with all your work in 8 hours. i know i (as well as many others)never did when i worked in ltc(and i spent many years in that area before leaving for greener fields). i do wish you the best and hope you get more orientation!

    that's extremely common. in all of the ltc/snf facilities i worked at in tx (or interviewed at), lvns were in charge after hours- unless they could get a 3-11 rn....but an rn on 11-7 was pretty much unheard of in smaller towns. in the one i worked at in a larger market, rns in the building wasn't consistent. they did have to have 8 hours/day on the weekends (state requirement)- and there was usually a part time rn who did that as the w/e supervisor. but they all had an rn on call for any emergency situation. that was very consistent. and if needed, whoever had call would go in if needed. but if someone was having enough trouble to call the on-call rn, the doc generally had to be notified- so the rn may get a call after the lvn talked to the doc and got orders; depended on the situation.


    i had some limitations on being on call, but would go in for any iv problems. at another place, i had the "death beeper" and would go in to pronounce someone so the funeral home could be notified.

    there are a lot of ways ltcs work- and the lvns i worked with - the vast majority of them- were outstanding. they knew those residents, and took pride in giving good care. same with a lot of cnas (of course there was turnover, but some had worked there for over 25 years).
    nursel56 and Hospice Nurse LPN like this.
  3. Visit  nursel56 profile page
    0
    Quote from xtxrn
    . . .I had some limitations on being on call, but would go in for any IV problems. At another place, I had the "death beeper" and would go in to pronounce someone so the funeral home could be notified.
    Well dang - sort of a Grim Reaper Beeper - now why is my crazy mind offering up possible ringtones for your beeper?
  4. Visit  Hospice Nurse LPN profile page
    1
    Quote from nursel56
    Well dang - sort of a Grim Reaper Beeper - now why is my crazy mind offering up possible ringtones for your beeper?

    Queen's "Another one bites the dust" is stuck in my head now.
    nursel56 likes this.
  5. Visit  nursel56 profile page
    0
    Quote from Hospice Nurse LPN
    Queen's "Another one bites the dust" is stuck in my head now.
    Last edit by nursel56 on Nov 20, '12
  6. Visit  OgopogoLPN profile page
    3
    Quote from nozyrozy40
    Wow...I think you might be putting your license in jeopardy here. First, LPN's can't "assess". They can gather information, but assessments need to be done by an RN. New admits need to have quite a bit of paperwork done by an RN for Medicare reimbursement.
    Second....it sounds like you've had little to no orientation/training. I would be out pounding the pavement looking for another job. I know they're not easy come by, but this doesn't sound safe.
    Quote from lilaclover
    WHOAAAA!!!! Better do your homework before posting such a claim.

    I am not even going to comment any further than this because anything I say from here on in will not be nice.

    Fellow LPN's care to comment?

    Yes, that was a very broad and presumptuous statement to make. Doing your homework would mean to realize that scopes vary greatly from state to state, province to province, country to country.

    I am also an LPN in Canada and do initial assessments in both LTC and acute care. As my mandate states that LPNs care for "stable patients with predictable outcomes", that is exactly what I do. The RN and I work as a team of 7-8 acute care patients (general and short stay surgery). I will take the 3-4 patients who are stable and have little IV medications. If I am ever unsure of something, I am grateful for the RN whom I can go to and ask for his/her assessment. But yes, I take the patient post op and do the entire assessment, VS, process orders, sign off on the MAR, give meds etc.
  7. Visit  wannabenk profile page
    0
    What is the difference between Assessing and data collection?
  8. Visit  Seas profile page
    0
    Quote from lilaclover
    Copy and pasted directly from the Alberta LPN competency profile :


    A Licensed Practical Nurse will:

    S-2-2 Demonstrate knowledge and ability to provide full health assessment of the
    client including, but not limited to: (See Competency Band B)
     admission of client to clinic
     determine reason for visit
     prioritizing care
    collect assessment data
     prepare client for physician examination
     collect and send specimens
     follow clinic protocol and routines
     document and report findings


    If you would like to read the whole profile here it is:
    http://www.clpna.com/Portals/0/Files...nd Edition.pdf
    I don't see where it says LPN assesses. It says they collect data which we already know.
    There is nothing different.
  9. Visit  CT Pixie profile page
    0
    I do admits on my unit. We have an RN in house acting in the supervisory position. I do the initial assessment, the skin assessment and all the other assessments that go along with a new admit. I chart it in our computerized charting under my name, however its refered to as data collection of assessment info (like that play with words they do?! . The RN follows behind, reviews my 'data collecting' assessement information and confirms it with something that reads like, I have reviewed and verified the information and her name and title.

    So while I cannot 'assess' I can 'data collect'. What we do is collect the data needed for the initial and follow up assessments as well as the skin assessment and all the other assements

    All the facilities in the area all work the same way. The LPN on the floor does the admit assessments but its called 'collect data' for assessments etc and the RN verifies the info.


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