anndoodle

anndoodle specializes in Geriatric Psych, Physicians office, OB,.

Latest Activity

1. Delegating

   anndoodle replied to bluebreeze's topic in General Nursing

   ? In several places of your post, you state "the nurse will take this patient and the lpn can do this/that". Do you not consider lpn's to be actual nurses? Or is it just a typing error? In our hospital, we do team nursing: rn, lpn and cna together...

2. Delegating to aides: How do you do it?

   anndoodle replied to hollyberry678's topic in General Nursing

   When I worked at the nursing home, I knew most of the aids I was to work with before I was employed...whether through high school or just around town. I found that working "with" them, being friendly and approachable yet strict on patient care worked...

3. *VENT* - Do you blame me?

   anndoodle replied to anndoodle's topic in General Nursing

   Thank you. In Arkansas, LPN's can push IV meds, hang IV meds. I have been a nurse for 17 years, so I'm not new to nursing - just new to how they actually run things on a med/surg floor. The other lpn I was talking about that works as an aide is muc...

4. *VENT* - Do you blame me?

   anndoodle replied to anndoodle's topic in General Nursing

   I think maybe I've given the wrong impression. I have been trained in IV therapy, but it's a different world on the floor than in OB. I am up on all my competency exams and certifications at the hospital; I'm not a complete idiot and I do know my ...

5. *VENT* - Do you blame me?

   anndoodle replied to anndoodle's topic in General Nursing

   My main complaint is that I get no orientation, ie. going with another nurse through the night's routine to learn how everything is done, where everything is, etc. When they started making me pass meds by myself, and I came to an IV med that was wri...

6. *VENT* - Do you blame me?

   anndoodle replied to anndoodle's topic in General Nursing

   I have filed for a transfer to a physicians clinic that will be opening this spring. The doc I previously worked for will be one of the two docs working there, and he says he's pushing HARD for me to get the position...since they basically took my j...

7. *VENT* - Do you blame me?

   anndoodle posted a topic in General Nursing

   i am so furious. been a while since i've been here, so here's some catch up. had a job in geri psych, they closed the unit so i took a job in a doc's office. i'm an lpn since 1990, have experience in doc's office, ltc, and geri psych. after 6 months ...

8. Oops, sorry! Son got wrong vaccination

   anndoodle replied to hotshot05's topic in General Nursing

   I agree. Lodge a formal complaint in writing, and present it to the physician in charge of the clinic. If it is a hospital based clinic, do the same with the CEO or administrator. I know one lady who wrote the state board of nursing when something...

9. Survey: Has your facility implemented nurse to patient ratios?

   anndoodle replied to Brian's topic in General Nursing

   Wait a minute....just how does a "lady from administration" come in and pass meds? What state are you in? Or is this person a medication administration aid, which is allowed in some states? At one point at the nursing home (where I USED to work) I...

10. Acls?

    anndoodle replied to tx2007's topic in General Students

    I am an LPN and work in a hospital in Northeast Arkansas. I took the ACLS course, offered at our hospital, and proudly received my certification. And yes, it was a very hard course with lots of material. If you haven't worked in CCU/ICU then you s...

11. Geri-psych?

    anndoodle replied to PeachPie's topic in Geriatric

    Ahhhhhhh......but if they're alert/oriented x 3, they CAN be held liable for their own actions. I know a CNA who pressed charges against a resident because the resident stabbed her with a nail file (yes, the resident did her own nail care, a/ox3) an...

12. What to do when state comes in?

    anndoodle replied to sweetnurse1's topic in Geriatric

    This question always tickles me. The LTC where I used to work was total chaos when state entered the building...several nurses would run like chickens with their heads cut off. Basically, all you have to do is do your job. And do it right. If you...

13. Geri-psych?

    anndoodle replied to PeachPie's topic in Geriatric

    Speak with your DON concerning this issue. If it bothers you to the extent that you feel you cannot give quality care, ask to be reassigned to another area. Or you can speak with the patient's nurse and ask whether a psych assessment is warranted....

14. Geri-psych?

    anndoodle replied to PeachPie's topic in Geriatric

    I have worked both LTC and Geri/Psych, am still currently Geri/Psych. In the LTC setting, nurses are encouraged to chart accurately, which means if a resident pinched you, cursed you, etc. then you chart exactly what happened and what was said. To do...

15. Staff/Patient Ratio - 30 Patients per Nurse

    anndoodle replied to Colima's topic in Geriatric

    This is EXACTLY why I quit working LTC. I was working the night shift, which should have 2 LPN's for each night. It never failed...one nurse would call in, and the 3-11 nurse would have to stay over until 1 or 2 am, then I would have to count out H...