deadend

deadend

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About deadend

mds coordinator with 8 years of experience now ADON

Latest Activity

  1. Hesi Test

    I took hesi in May of this year. My advice to you is to know the "hesi hints"(the shaded boxes) there was some math on the exam and it was multiple step dosage calculations. Know your peds dosage calculations well. The hesi test, to me was nothing li...
  2. New Job and Scared to Death

    Welcome to long term care:) If the DON starts talking about working on the skilled unit, run for the hills!!!!! 30 patients on a long term care intermediate unit is not uncommon in my city, actually as an LPN I have had as many as 58 residents on on...
  3. disciplinary nightmare

    rosieposie; I heard an alarm go off in my head when you said that your former employer is being audited by medicare. This tells me that Medicare not your boss imay be having your license reviewed. When medicare auditors show up they look at licenses,...
  4. Be prepared for pediatric drug dosage calculations; Make sure you understand that a safe dosage is not the same as a therapeutic dose. I learned the hard way that even a dose that is not enough for the child's weight is not considered a safe dose. F...
  5. In search of an answer...Thanks!

    I don't know where you are from but, I just completed the LPN to RN AD program in May. My school 's critera was that you must have completed the LPN program from an accredited program. So be careful you may receive your license but may not qualify fo...
  6. What is the difference between LPN and RN??

    I am a previous LPN graduated from nursing school in May and practiced as an LPN for 15 years. Each state has nurse practice acts that dictate nursing responsibility. In my state while an LPN can perform many tasks that an RN may perform, an LPN can...
  7. Just graduated in May heres 2 lessons I learned: 1. Always give your instructors their "teaching moment" even if you know the answer they'll love you for it. 2. Get a good NCLEX review book organized by subject and a few days before each exam take as...
  8. Help!!!!! Placed in an uncomfortable position

    Michelle we are a non-for profit facility The ADM is a new young guy who has never been through a survey until last year. Today some of the nurses have made up their mind to go to the CEO of the facility. I have tried to tell them to be patient, and ...
  9. itchy residents

    had the same problem at my facility the derm docs ruled out scabies in 8 0f the pts we sent but lo and behold we sent one pt to a unknown dermatologist and he came up with a positive scabies. Too late though the staff from laundry on up started itch...
  10. Help!!!!! Placed in an uncomfortable position

    Thank-you Chris I do feel I have an obligation to these nurses and the facility. We are preparing for our annual state survey and I am afraid that we will have disgruntled nurses and CNAs during survey which would be a disaster, and all the DON will...
  11. Survey Time

    ktwlpn I know exactly how you feel in my scenerio; The DON got fired and guess who was left holding the bag as acting DON? Me. Our patient stayed on isolation for 2 months finally he is cured staff came down with the scabies including me. The house ...
  12. Help!!!!! Placed in an uncomfortable position

    Michelle we are employment at will. Some of the nurses are planning to go to administration about the new DON. She has been here three weeks and has not formally introduced herself to the staff, our 1st in-service she was introduced to the PM shift a...
  13. HESI Exam

    TOOK HESI IN MAY, GOT 99.99 PERCENTILE. BY ALL MEANS GET THE HESI REVIEW BOOK AND CDs STUDYING NCLEX REVIEW BOOKS WILL NOT HELP YOU. MY FRIEND HAS FAILED HESI 3 TIMES BECAUSE SHE JUST WON'T LISTEN. DO NOT MAKE THAT MISTAKE HESI IS MORE KNOWLEDGE BASE...
  14. I need advice

    Hello Scotti Thank God you took your hubby back!!!!!! Several weeks ago I to had the worst headache of my life, (not used to headaches) Went to my regular Doc and he looked into my eyes and ears and said "i don't see anything, but you are already tak...
  15. flu shot

    had a severe case of pneumonia about 15 years ago every year i get sick as a dog with the flu whetehr I take the flu shot or not I have already had one bout of the Flu this year several weeks ago and with it for the 1st time in my life (that I can r...