LesMonsterRN

LesMonsterRN ADN, RN

LTC

I'm a Long Term Care RN with a passion for person-centered care. I'm also a penguin-obsessed musician as well as a wife/mother/grandmother in flyover country.

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About LesMonsterRN

LesMonsterRN has 25 years experience as a ADN, RN and specializes in LTC.


Latest Activity

  1. DON on cart

    I am very fortunate that my nurses rarely call in. And when it does occasionally happen on day shift, the remaining nurses will divide their duties differently to help each other out and make the situation work. For night shift call ins (we have only...
  2. I hate fake call outs.

    I think we've all been there or will be there at some point. And yes, it does feel good to think about the revenge call out, for a short period, but it reinforces to me the fact that those of us nurses with honor and commitment tend to get bitten rep...
  3. Was I wrong?

    You were the patient's best advocate that day and exactly right. I'd have you take care of my loved ones any day of the week and twice on Sunday. THIS is what our profession is about. Well done.
  4. I was writing this whole reply in my head and then read Emergent's reply; I couldn't have said it any better. Just look at the experience as a temporary setback. I also think that working as a CNA, if it's possible at some point with regard to your i...
  5. Off going or oncoming responsibility

    I agree wholeheartedly for non-urgent situations. I recently had a situation with potential for a really bad outcome during change of shift report. I work on a 25-bed subacute rehab unit that cares for a large number of orthopedic patients on anticoa...
  6. Is Bedside Nursing Really for me?

    Yes, but those areas do (and should, in my opinion) require some amount of experience at the bedside.
  7. RN:Pt Ratios

    1:12 here and we have med techs to pass pills, fortunately.
  8. Appropriate gift for co-workers when leaving job?

    What a classy thing to do! Edibles are always a hit and I like the jar of pens idea, too. Good luck in your new position!
  9. Does this make sense?

    When my children were small I worked every weekend and one day a week. My then husband stayed at home with the kids on the weekends, and I was fortunate enough to have a mother who ran an in-home day care and she was very flexible with scheduling wha...
  10. Advice please: Withdrawal of feeding tube

    I agree with the others. I would also get in contact with Social Services as soon as possible and detail your concerns with her/him.
  11. Step pay effect on older nurses getting hired?

    I think this is a gross generalization and very ageist. EMR and other technologies can be learned by anyone and if as a manager I had to choose between a younger (less expensive) nurse with great tech chops and a nurse with 20-30 years experience wit...
  12. A very positive clinical experience

    Great job! What a great reinforcement of what you learned about therapeutic communication and simply listening to your patient. I'll bet you remember this experience for the rest of your career. And congratulations on your upcoming graduation!
  13. New grad RN in LTC

    1:20 is a good ratio for LTC and should be very doable, even for a new grad. Work hard on establishing a routine early on and you'll do fine.
  14. St John's Regional Medical Center Joplin Missouri

    I am so sorry, Stever01. I am thankful your family is okay. I can't imagine a disaster of this magnitude. I hope you can hear from your friends very soon and will keep them all in my thoughts. From Central MO, Les
  15. Unbelievable inmate requests

    We got one today where the offender's complaint was "swollen phallus and itchy knutz".