wifeandmomoftwo 2,880 Views
Joined: Sep 19, '09;
Posts: 99 (16% Liked)
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I had a lady the other morning in her early 90's (with dementia) wake up bawling her eyes out. At first I thought she was in physical pain. When we asked her if she was hurting she said "No, it's just my heart. It's broken. You see, my grandson is newly married and when you are married you are supposed to have intercourse with your husband. His wife just won't allow it and thats terrible. He's just a wonderful person." I asked her how she knew all of this and then she said "Well he's my grandson. He told me." Of course I didn't say anything but somehow I doubt that, lol! She then went on with the sobbing. It was all the CNA and I could do to hold it together until we could get out of the room. It took about thirty minutes for us to calm her down. I think she must have told about five people this same story before it was over. I hope her poor grandson never finds out.
Yes I do. One of the advantages of working 11-7. I don't work under anyone's direct supervision. My boss isn't there. I can clock them out if they are insubordinate. If someone doesn't show up I can call around and fill their spot.
I can absolutely believe she said that to you. I sent one home a couple of weeks ago who sat in the break room for 2 hours and thirty minutes. I work the middle hall so I have 24 residents on one end and 16 on another. I was on the other end the first part of the shift. Anyway, when I told her to go home she said "No. I'm not going no where. Even if you clock me out I'll still stay." I had to threaten to call the police. If she had worked when she was clocked in to start with there wouldn't have been a problem.
Just this week an aide was sent home for being obviously under the influence of something. She said she "started a new medication" but couldn't remember what and didn't have it with her. Her gait was unsteady, her speech was slurred, and she didn't make sense half of the time.
So, in short, not much surprises me. I'm glad that when my bosses come in at 7am that they back me up.
If I had to sum up how I feel about them in one word it would definitely be grateful. I work 11-7 in LTC/Rehab and am assigned 40 patients. There is no way I would ever make it without them. They are my eyes and ears. I say please and thank you overtime I ask for something (except in an emergency).
I've had my license for about seven months. I was one of those people who said they thought they would hate working in LTC. I took a job working at a nursing/rehab center on midnights and LOVE it My little old people need someone to take care of them and much to my surprise they are so much like oversized kids you can't help but get attached to them.
I'm working on my RN although it's just the pre reqs for now. I used to think that I wanted to work in the ER or L&D but now I'm not so sure. I might just stay put. I'm glad I went for my LPN first. The learning curve after going out on my own was steep. I'm hoping it won't be as bad when I get my RN. I know I'll do things that I don't do now but hopefully I'll be more confident that I can do them. Hope that makes sense.
Is there some reason you just didn't apply a new patch?
Fentanyl patches are time released - its not like you'd be overdosing her.
First of all sorry for the miss spelling. Just noticed and can't figure out how to edit that part
About 30 minutes before the end of my shift I had a CNA come to me and say "Ms. Smith's patch came off. I tried to stick it back on." I knew that it was her pain patch and went to check on it. It was just barely on there and had just been applied the day before. This particular patient has had this happen before but it was just before she was due a new patch anyway so we just gave her PRN pain pills for about 12 hours until time to reapply the patch. She didn't have nearly the quality of pain control she normal does though. Anyway, the resident was not currently experiencing discomfort and I could not get the patch to adhere. I put it in a zip lock bag for the oncoming nurse and charted about this incident. The oncoming nurse didn't look thrilled and said she was just going to tape it back on. This was suggested to me by another nurse but I didn't think it would work.
I'm just a new grad LPN. I've been working LTC on 11-7 for six months. Thought I could learn something from this experience. I would have called the MD myself and gotten an order to change the patch earlier but didn't have time with other meds due, narcotics to count, and report to give. Thanks
I'm just a new grad but I'm working my first job in LTC. I've been there six months on 11-7. Love how much quieter it is at night. I agree with the everything the previous poster who has been in LTC a long time said. I love how blunt the Residents can be. They say the funniest things! Most of all I love it when they thank me in the most sincere tone of voice. I had a lady who was having a panic attack in the night last week say to me "I knew you'd come and I knew when I heard your voice I was going to be ok." How can you beat that?
I'm glad you posted this! We had a similar experience on midnights in the nursing home recently and I was curious about BP parameters with nitro as we have a standing order for it.
Thank you all for your input. I still don't know what to do. I'm thinking that I might just cut my number of courses. I wonder if I'm struggling this much with the pre reqs if I'll ever be able to cut it in the nursing program and work full time. The course work isn't that difficult, just time consuming. One day at a time is the best answer for now I guess.
Thanks for so many heartfelt responses!
I could really use some advice and I figure there are more people on this site that will understand my dilemma than just about anywhere else. I graduated from my LPN program last August at the top of my class, passed boards in late September, and found employment at a GREAT SNF in mid October. From what I have read here I am one of the lucky ones and am eternally grateful.
I returned to community college to begin the pre reqs for the fast track program (to RN) in January. I'm overwhelmed with personal responsibilities and work. My Mom became ill the week after I started back to school and we unexpectedly took in an extra child. I have also had some marital difficulties (not the norm for us).
My dream was/is to get the letters RN after my name. More money and opportunity are sure to come with that title. I think I'm very capable of doing it I just wonder if now is the time. Then again if I quit after this semester and return later will my license as a practical nurse be enough to support my family in the mean time? Is my future as an LPN secure in LTC/Rehabilitation? My oldest child is about to go to high school. I'm considering waiting until she graduates.
Your advice and opinions are greatly appreciated.
I'm a new LPN working my first job at a SNF for three and a half months now. I work 11-7 and am assigned to 40 residents. I love my job and think the night shift is the perfect place for me. I just don't put things together like the more experienced nurses. For example I had a resident c/o back pain. I just thought she was stiff from lying in bed at night and gave her a PRN pain pill as she asked. The day shift nurse got a u/a on her and she had a UTI. I should have thought of this but just didn't put it together. Is this kind of thing normal at this point?
I live in a small town in NW TN. Vanderbuilt has a website you could check for Nashville jobs. I know in our little town you would have no problem finding something as a new grad. I'm an LPN and found a job a few weeks after passing boards
I emailed you. I'm just newbie though. Just a word of advice.... I would take my phone number off of here
I started my first job as an LPN a month ago in LTC. I was scared mostly because of some of the stories I've heard. So far, I've had a good experience though. The nurses have been welcoming and help me out if I need advice or I have more than one resident in need of a nurse at a time.
I'd like to know the answer to this as well both for possible future interviews and for my current new jog. I'm a new grad working in LTC and this is one of the areas that is hard for me.
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