litlamp

litlamp

Medical/Surgical, Cardiac/Telemetry

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About litlamp

litlamp has 2 years experience and specializes in Medical/Surgical, Cardiac/Telemetry.


Latest Activity

  1. Scope of practice in your hospital as an LPN

    Where I work LPN's can do alot. The scope of practice in TN for LPN's is very minimal and mainly covers medication administration (push meds). We do everything but hang blood and there is a short list of meds we cannot administer (sedation, oxytocics...
  2. what do you do with empty narcotic vials?

    I forgot to add.. always check the policy where you work :)
  3. what do you do with empty narcotic vials?

    Where I work they go into the sharps boxes. Never into the trash.
  4. Dressing changes

    Thank you all very much for the replies. I'm still learning that all cases may be different for post op dressings, initially I thought how I learned... that you initially just observe the dressing and change when ordered and it's is usually after th...
  5. Dressing changes

    When would you change the dressing on a *new* PEG tube if there were no written or standing orders besides "remove sutures 7 days postop"? Would you change the dressing with or without an order or would you assess the dressing and if being clean, dry...
  6. Low census input help

    Our facility has been faced with unusually low census the past few months. This has lead to staffing changes and many nurses getting "called off" or put "on call" for the shift. The problem with this is there is no policy or procedure to do this fair...
  7. Push meds and Scope of Practice Interpretation

    I just wanted to post an update in case anyone was looking for the same information: I called the TN BON today and asked for clarification of the scope of practice with administering push medications. I asked if administering medications through a sy...
  8. Did I handle this correctly?

    Nope, but it is similar in set up. It's unlike excel in that there are check boxes with pop up choices and small areas for type in comments.
  9. Did I handle this correctly?

    The IV was KVO 30ml/h only for a q 24h antibiotic that the charge nurse changed to PO, and only required the doctor to sign off on it in the am.
  10. Did I handle this correctly?

    I think I'm a bit perplexed being that we don't use meditech, however, when the information is entered the previous three entries are already visible to me at that time in the electronic charting system our facility uses. I documented in the flow she...
  11. Did I handle this correctly?

    We use a different application. Entries are made with your personal login. After your digital signature upon completion, the entry is locked and uneditable. I couldn't change another nurses electronic charting just as I couldn't change their handwrit...
  12. Did I handle this correctly?

    Yes it is sad and disheartening to see this happen. I've learned mostly through this forum and on my own that no matter what others may do, my actions as a nurse must stand alone. I know I am my patients advocate and as long as I do what I know is ri...
  13. Did I handle this correctly?

    Thank you!! (((sigh of relief))) :)
  14. Did I handle this correctly?

    Let me know if you would have done this differently please... I had a patient whose IV was not infiltrated but at the point of access was showing irritation. I reported to my charge nurse and she assisted me with removal and assessent of the area her...
  15. new grad struggles

    I completely understand and I am a new nurse myself. Working on time management, as I have found out personally can have a huge effect on how your shift may go. For instance, when you receive your assignments and report, look at your patients and the...