superbratnurse

superbratnurse

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About superbratnurse

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  1. IM injection question

    I work in LTC, I have always used Z-track, mostly in the VG, but with agitated, combative patients, sometimes, you have to hit the biggest muscle you can reach easily...such as the quads, or delts in an emergency... mostly when we are giving behavior...
  2. You Know You're a Nurse When...

    how bout..... your letters are one long sentence strung together with abbreviations that your friends and family don't understand (@ first, but have learned to over the years) such as /c, /s, /a, /p..... when you write your med list and history at y...
  3. Losing your skills in LTC

    the only skills that i feel i have really lost are peds/ob experience.... i have post surgical patients, cvas, ivs, sometimes with lipids, or tpn, irrigate catheters, not to mention insert them....insert ivs, do various txs.... and we have better sur...
  4. anyone here NOT have back problems?

    Been in LTC for 17 years...1 as CNA (during LPN school) and 16 as LPN, and never hurt my back ON THE JOB.... however, I was in an ejection MVA in '97 and broke my back, but thanks to a talented neurosurgeon, and the skilled nurses at UAMS, I fully re...
  5. What is your salary?

    I am an LPN in LTC in a little town in north central Arkansas... i work in one of the higher paying facilities there, and have 16 years experience. I gross about $3000 a month. sometimes more depending on how much overtime i have...which isn't much,...
  6. nurse to pt.ratios

    in my state (Arkansas) the legal ratio is 40/1 on days and evenings and 80/1 on nights (11/7) of course there are ways to get around that, and it depends how your facility is broken up... in my facility the lowest assignment is about 30-35 and the hi...
  7. Charting Bloopers

    When I first Graduated from school I worked in a small hospital, that would frequently put noncontagious pts such as kidney stones or chronic pain, on the post-partum unit, when the hospital was full. Found in a Male Kidney stone patient's progr...
  8. Code Procedures Please

    the best thing to do, is check your policy and procedure book, and ask your don. also ask the other lpn's in the building what procedure is, or the nurse on the previous shift. at least find out where your crash cart is asap! ~brat
  9. Lovenox Injections: SC, But Where?

    The best thing that I could come up with on the web was a patient guide for self-injection of lovenox, put out by Aventis pharmaceuticals, for their prefilled syringes, and in it, it said: "May I inject anywhere other than the abdominal area?" ...
  10. Where you work

    I work at a LTC facility in North Central Arkansas, our nurse pt ratio 30-40 residents per nurse, depending on which area you work in the facility, at maximum census, the most residents a nurse could have is 48 on day/evening shift, and 60 on night s...
  11. Share Your Saying

    Ok, here are some of my favorites: "Too broke to pay attention" "Sharp as a bag of wet hair" "Dumb as a bag of hammers" "Squirrelly as a bird" (remember i'm from the South) My dad's favorite saying when i was growing up: "Can killed can't and whooped...
  12. Is it ever ok to force a resident to change?

    The only thing you can do, Nic, is what you are doing....it sounds like a no win situation to me also. Just make sure that you document everything you do, (as you seem to be doing) and keep bugging your supervisor and the LPN on duty about this situa...
  13. How do they post DNR in the patients rooms at your LTC

    Our facility has red heart stickers on the charts, and on the name cards outside the resident's rooms if they are a DNR. Also our MARs have the code status on the bottom. Another thing that is helpful, if you cannot get your facility to get a better...
  14. Incident Report Turmoil (somewhat long)

    Hi commuter, Ok, first off, and I know this doesn't help much...NEVER state or chart a measurement that you haven't measured yourself, don't trust YOUR liscense to anyone else! That's just to keep your behind covered... Secondly, everyone makes mista...
  15. Falls and incident reports in LTC

    DO IT THEN.... don't leave it for later, don't wait at all if you can avoid it, it just takes 10-15 minutes max, to call family/RP, doc, fill out the form, and chart the details after ya assess and take care of any probs.... Of course in MY facility,...