Bunch of Questions for LTC LPN's.. Help I'm new! - page 2
I guess the jist of this post is... I don't know "how" to be a nurse. Don't know what to expect. I just passed my NCLEX and almost had a panic attack thinking of my future job (hopefully in LTC). ... Read More
Jul 24, '07You will find a mentor at your first place of employment, I hope, who will serve as a role model. I won't forget my many mentors. These were the nurses who would take the time to remember what it was like when they were the new one. She or he will be able to help. The compassion is rule one, without that you probably shouldn't be a nurse. If your heart is in the right place, you will be fine. Someone will walk you thru the rough spots. Organization comes with time. Keep a little notebook so you can jot down items you fear you'll overlook or forget. Find out where the supplies are kept, keep your eyes on the patients HINT if he or she is in serious distress, u will know. When you begin your shift, take report, do walking rounds, prioritize your day, who is in pain? Who isn't safe? Questions to ask the prior nurse, is anyone a brittle diabetic ? Is anyone prone to falling? Who is your (previous nurse) biggest concern right now? All the huge mountains you are facing will look like little hills in a couple of years. Then it will be the management that worries you! Lots of luck.
Jul 26, '07I'm lucky in that my LTC facility has a charge nurse to take care of treatments, MD visits/phone calls/faxes, falls, etc.. We have 33 residents to pass meds to. I guesstimated once that on 2nd shift, there are 200 +/- meds (our residents take LOTS of meds!) to give just at HS. My typical evening starts with getting report, narc count, making out BM list for PJ/MOM; 1600, 1700, 1800 meds; dinner for me anywhere between 1800-1830; HS med pass starts at 1900 and if I don't spend too much time talking to residents or have untypically difficult residents, ends at 2200. Then give report to charge nurse for her to tape report, clean/stock cart, do my charting. Dayshift is much worse, between doc. appointments, hair dresser, PT/OT/ST visits.. hard to stay in compliance with meds. My mentor taught me to stay calm and focused. Getting stressed doesn't help you to complete your tasks any faster; to be flexible and roll with the punches. I think that was the most valuable info she could have given me.
Jul 26, '07So, I saw your post that is dated in March. I was wondering how it's going for you. Did you stick with LTC??? I'm sure you are feeling more comfortable by now. Let us know how you are doing and any tips that were especially helpful.
Dec 11, '08I'm new in the field I'nt graduated yet looking for a good NCLEX book to start practicing for my test. Can you sugest a good one please
Dec 11, '08breathe............and congrats on passing the board.........
#1. clock in, count narcs, and get report--insist on a walk through....lay hands and eyes on all of your patients with the nurse you are relieving..warning, some may balk at this stick to your guns its important. while you are in the room...check out the patient...color,breathing,pain level, mood, ect. check out machines....tube-feeders,wound vacs,IV,O2,foley's(esp. the bags!)....any wounds,ect.
#2. set your cart up ..........anything that you may need for your shift....
#3. get your blood sugars before dinner....if you have alot do them all sep. then you can start meds....alot of patients dont like their meds w/dinner or before ..they like them right after, lolol...
#4. write down everything! so that you can refer to it later when charting.
#5. verify your narcs before the on-coming nurse arrives...it is easier to find mistakes in deduction when you do dont have someone freaking out next to you.
#6.when charting write a brief note on what you observed, did and what occurred during your shift,,,, in your head see it from the beginning...EX: alert, verbal, pleasant mood, foley intact...urine yellow, % of dinner consumed, fluids, ect........chart any as needed meds and why and their effect, just a note: if it is not effective CALL THE MD! NEVER CHART THAT THE MED DID NOT WORK W/OUT CALLING HIM! When charting on skilled patients remember to write about what they are skilled for.......
you will do fine..........make sure you stay on orientation until YOU are comfortable and never do anything unless you are 150% sure ....COMMON SENSE is a good nurse! it may be easier for you too if you are on a slower paced shift....day shift goes by quick and is caotic. night shift is way slower just more paperwork. I prefer evening shift cause its still busy enough for the time to go by and the carpet runners leave by 6p, lololol
good luck!!! you will do fine!