TBLPN LPN

Latest Activity

1. How do they post DNR in the patients rooms at your LTC

   TBLPN replied to dinkymouse's topic in Geriatric

   "Full Codes" are an issue in the LTC facility that I work in, unfortunately. I have more full codes, many more, than DNR. This facility that I work in is brand new, it's only been open a year. A lot of bugs to work out of the system, believe me. ...

2. Vanco peak & trough times

   TBLPN replied to alarla's topic in Infusion

   At our facility we draw the trough (usually) just prior to hanging the vanc. We draw the peak an hour after infusion. If it finishes at 7 am we draw at 8 am. We have a doc that specifies he wants the trough drawn one hour prior to infusion and one ho...

3. Doctors........aggghhh!

   TBLPN replied to TBLPN's topic in LPN/LVN

   Well in the county I work in there are a handful of doctors. I've worked at 3 facilities in this area............he has patients at all of them. Downfall of a small town. I don't want to relocate at this time, or be on the road for hours, I have s...

4. Vanco peak & trough times

   TBLPN replied to alarla's topic in Infusion

   I just did this this morning. The order was specific. Draw the trough one hour before running the Vanc and draw the Peak one hour after infused. At my facility lab doesn't draw from a Picc either. I'm an LPN and we do. I love it it's great.........

5. I need HELP!! with IV starts

   TBLPN replied to Jasano's topic in Infusion

   When I first started in nursing, I was terrified of starting IVs. I didn't even want to attempt it. If one came up, I'd have another nurse do it, until the dreaded night I'm on shift by myself (I work LTC) and the IV running infiltrated and it was ...

6. Doctors........aggghhh!

   TBLPN posted a topic in LPN/LVN

   I work LTC and I have to deal with a doctor that just gives me fits, all the nurses for that matter. He's a foreign doctor, he's the medical director of our facility and he has the majority of our patients. He, in my opinion, has the "little man sy...

7. fall interventions

   TBLPN replied to Inquisitive one's topic in Geriatric

   We have had SO many falls at the facility I work at. Numerous head injuries while one resident has an active "slow bleed" from all the falls. We now have initiated for our "dementia" type patients in wheelchairs, self release belts with alarms, the...

8. LTC Orientation

   TBLPN replied to jat_phil's topic in Geriatric

   I've worked several LTC facilities. I have never received more than 3 days orientation. I'm not agreeing with this by no means, but that has been my experience. But once you have worked LTC, and move to another LTC, it's all the same, just learnin...

9. PICCs in LTC

   TBLPN replied to CritterLover's topic in Geriatric

   PICCs have become a popular item in the LTC facility I work at these days. One lady in particular, just had hers replaced, because it occluded, but she is also a retired nurse, confused, and thought she would help us out a bit, by pulling and tuggin...

10. Fecal Impaction

    TBLPN posted a topic in General Nursing

    I work in LTC and there has been much controversy lately on fecal impactions. Can nurses check for fecal impactions as a nursing measure without a MD order? I know we cannot remove without an order.

11. Share Your Funniest Patient Stories...

    TBLPN replied to Trvln Nurse's topic in Humor

    I work in LTC 7p-7a. I have this little lady, incredibly sweet and funny although pleasantly confused, early 90's. She doesn't sleep much, we've lost many personal alarms because she hates them and throws them away or hides them. The other night a...

12. Poll: Do you use an alcohol-based hand sanitizer as an adjunct to handwashing?

    TBLPN replied to Brian's topic in General Nursing

    I hate the hand sanitizer our facility offers, 1. It smells like skunk and 2. if you happen to get to much on your hands it like clumps up and looks really weird. But some of the sanitizers that I have bought 'out' isn't too bad. I ALWAYS wash my...

13. Charge Nurses

    TBLPN replied to NeuroNP's topic in Neuro

    In the facility I work at, I am the charge nurse of my unit from 7p-7a. But I pass meds, chart, start IV's, g-tubes, treatments, answer call lights, take off orders, changeovers............you name it! Mostly handle squabbles between CNA's......lov...

14. What is your biggest nursing pet peeve?

    TBLPN replied to ferfer's topic in General Nursing

    BIGGEST: "Oh, that's NOT my patient"!!!!!!!!!!!!! Drives me insane!!!!!!!!!!!:angryfire

15. Xenaderm?

    TBLPN replied to CoffeeRTC's topic in Wound

    I agree, Xenaderm is great, works well on excoriated areas, however, our facility went through a period where Xenaderm was the "cure all", drove me crazy, same deal with Ultec, which I hate, leave that sucker on 5-7 days on a small o/a and remove it ...