What is your job? - page 4

As an LPN, where do you work, what do you do? Do you work in a hospital, doctors office, LTC facility? If you work in a hospital, what department do you work in? What type of doctors office do you... Read More

  1. by   Marie_LPN, RN
    B. Hospital. You can work the med-surg floors.
    You can work more than that at a hospital.
  2. by   Crueltiming
    "I would be especially challenged not to castrate some of them... Sounds like you have a very interesting job! How long did you work with this population?"

    I still work with this "group". I agree...sometimes these guys act more like a victim than victimizers, which, staff and therapists are quick to set them straight. Although this work can be unpleasant at times, I still cant see me running around med surg...I am too old to be that busy

    Respectfully

    Crueltiming
  3. by   pclpn33
    I have been working for 6 months as a Supportive Care LPN for a Hospice in KY. It is very rewarding but sometimes I too feel like a sitter. I worry everyday if I am getting enough experience. I work at night so I can study alot while I am working towards my RN. Our pay ranges from $15-18, mileage and lots of other perks too.
  4. by   General E. Speaking, RN
    I am an LVN at an acute care hospital on Med-Surg. I have my own group of patients and report to the charge nurse (like the RN's) if I have questions. I do not push narcs, cardiac drugs or access port-a-cath's. Regarding blood transfusions: I call the doc with the low hgb. I write the order for transfusion. I get the consent. I prime my tubing with saline. I take my patient's VS. I go get the blood. I call the RN who spikes the blood and does the 2 nurse check. I continue to monitor my pt until transfusion is complete. I am also cross-trained in pediatrics.

    My base pay is about $20/hr. I get $5 more per hr because I work the weekend program.

    In the past I have worked in float pool at a hospital (med-surg, pedi, oncology, tele, surgical floor, postpartum, and nursery). I did public health- which included helping to organize immunization clinics, disease reporting, dispensing rabies vaccine for post exposure animal bites, dispensing federally-funded vaccine (and all the glorious paperwork that comes with it) I worked in a pediatric office for about a year.

    That's what I love about nursing- so many choices! Hopefully, I will get accepted into a LVN to RN program in May. Then I will have even more choices
  5. by   blueberrybon
    Quote from nurseangel47
    If stress is a factor in your decision making process, try a doc's office, pay is NOT everything! LTC can be overwhelming and could prevent you from even wanting to pursue a higher degree in nursing! also could create burnout earlier than later.
    Like I said earlier, I work in a peds dr. office and all I can say is; "Wow!" I've been at this job for one week and I cannot say it's unstressful.

    Maybe it's still just the "not knowing where everything is, and what protocol is for this office" but it's CRAZY. I was so busy today that I didn't have time to pee! I start at 8am and get off at 5pm. There was no time for anything except for going insane.

    I hope to get the hang of it because I feel like an idiot most of the time. There is just so much STUFF to learn.

    It didn't take long for me to get over the fear of giving infant/child injections, but all the paperwork, lab slips, phone triage, not to mention that this dr. does "x" while that dr. does "y". There is too much to remember!

    Ugh... If I can get through this cross-eyed, pulling out hair time, I might be ok.

    Blue
  6. by   Brita01
    Quote from mindyg22
    As an LPN, where do you work, what do you do? Do you work in a hospital, doctors office, LTC facility? If you work in a hospital, what department do you work in? What type of doctors office do you work in? What? What are your duties there? Just curious as to what my options are when I get to go back to school.

    I work in a home health office where I sit behind a desk and work on the computer and talk on the phone ALL day long. My titles are Staffer/HomMed Monitor/Supply Manager. I do all the staffing from the nurses to the therapists. I monitor vital signs on my computer that patients take on a special piece of equipment inside their homes. I'm responsible for the ordering and distribution of all the medical supplies. And in my spare time (ha ha) I act as a backup case manager. I'm never bored and the day just flies by because there's always so much to be done. I've recently started taking call on the weekends which is a sweet gig, because you basically get paid good money to work from home fielding calls and taking referrals.
  7. by   lorelei40
    hey blue...it'll be ok ...i worked in peds for 2 years for 4 dr's. each had their 'own' way of doing the same thing. that was the hardest thing...oh and the moms/parents who want to leave the room when i administerd injections:icon_roll seems they didn't want the baby to associate them with the pain.....allllrighty then. i never played that game...someone needs to step up and hold the kid, ya know? anyway---i definately feel for ya!
    l.
  8. by   blueberrybon
    Hey lorelei40:

    I hope I can last two years! I hope this place keeps me for 2 years!

    Speaking of parents and leaving the room; I had a twelve year old boy yesterday who would not take an injection for his life! When I tried getting close to him just to calm him down and explain how it's over before you know it, he would run away from me. I couldn't believe it. He was whining like a 3 year old, holding his arm so as to block access, and running away from me. I told him I wouldn't force him to take the injection, but the mom was pretty adament about him getting it. They went back and forth for a couple of minutes (which felt like an hour because I had other patients). The mom finally stormed out and only then did the boy decide to let me give it to him. It was very interesting. I'm sure that is nothing compared to situations that I will learn to deal with over the years.

    Is there a reason you left peds?

    Blue
  9. by   dermnrs66
    I have been a LPN for 17 years. I have worked in 4 states, currently in New Hampdhire. My first job out of school was a "charge nurse" (actually ONLY nurse) 11-7 on a 52 bed skilled care unit in the county nursing home. I had 3-4 CNA for the shift. Those women taught me invaluable lessons in hand's on care not to mention time management. I did meds, treatments, trach, tube feedings, caths you name it. Next I went to Florida did 4 years acute care med/surge started iv, did med pushes,PCA telemetry, 10-12 pts per nurse on the 7p-7ashift. I loved it. Spent 2 years in New Jersey doing home care for a lovely woman who happened to be a C4 quadrapelegic. she required skilled care 12midnight to 8am. On to New Hampshire, temped in long term care, and ended up in a clinic setting Internal Medicine.Went to Maine spent 4 years in a clinic setting Internal med and pulmonology. 2 years ago I returned home to NH and am very happy in a dermatology office. I am team leader, but refuse to give up my direct patient contact. (I fit the administrative stuff in around our schedule). I work with 1 MD 1 NP and 2 MA. 8-5 40 hrs a week. I do telephone triage, patient ed, Teach Enbrel administration, patch testing, MED testing and adminster phototherapy. I assist in biopsies, (shaves, punches, EDC ,curretage, and excisions)
    I have a wonderful group to work with, a supportive organization (Dartmouth HItchcock) and excellent benefits. I have found my niche, but the experience along the way in different areas has been amazing. What a ride. Good thing about being a nurse. Get your basic experience first, and you can explore all kinds of areas!!
  10. by   jelorde37
    im an lvn in california. i work in an LTC/rehb facilty that has a cardiac unit.(kinda weird). i float around between the ortho and cardiac unit. the patients i deal with are mainly status post cabg or status post orif. i occasionally get floated into the LTC area of the facility. there, its just skilled nursing. you know stuff like GT, foley, upa tx, wound tx, diabetes, htn, decubitus ulcers, medications like injections, and i wound occasionally get an impending mi from time to time. people look down on ltc as if its the bottom of the food chain, but its alot more work than a cardiac or ortho unit for sure.
  11. by   lorelei40
    Hi Blue...I left peds because I got fed up with working with kids. I love em, I have 5 of my own, but the parents are nuts and so many of the kids are unruly---as you described the 12 y.o. acting like a 3 y.o. perfectly. This is happening too often and the parents stand there like idiots expecting ME to parent THEIR little darlings. Been there. Done it. Not going back. Now I'm in GI. Much more interesting...and less drama.
  12. by   postmortem_cowboy
    Well, I've been an LVN for three years, started out on M/S, moved into the geropsych unit, and very shortly thereafter into ER, and bumped around between ER and ICU. I've done quite a bit in the three years of my career, straight caths, foleys, digital disimpactions (yes i know), IV starts, phleb, triage, blood product hangs, sutures, staples, assisted on spinal taps, many many codes, cardioversions, numerous traumas, stab wounds, gunshot wounds (hey I worked an ED right next door to compton), ran the "drunk tank", assisted docs put in chest tubes, etc etc etc. I've done alot. I can truthfully say my career so far has been very rewarding, both spiritually as well as what I take from the job. I love my job, and wouldn't trade it for the world, or go back to driving truck if I had to!


    Wayne.
  13. by   Cat Nurse
    Hello,
    I have been was a LPN, the a ASN-RN and now I am a BSN-RN. I am the charge nurse M-F. Our unit council recently made a decision to not use LPN's on our unit. The unit is Ortho/Med-surg. The hospital has mandated that the LPN's go to school ,with completion in four years. Then the rest was up to each unit. WE have a high turn-over rate of patients. Recent changes have really changed the role of the LPN. They have revised the IV medication administration, now LPN can not give any IVP drug. We tried LPN-RN teams which did not work because the LPN was not helping the RN, simply because the role change now prevents this. I have worked with many of these LPN's for many years they are my friends, but on Monday I feel they will see me as someone they will hate. The ultimately goal we want is for the patients to have the best possible care available. I pray they don't think it is personal, because I understand more than they know. Because it could have been me.

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