brandinalove

brandinalove

Medical-Surgical

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About brandinalove

brandinalove has 7 years experience and specializes in Medical-Surgical.


Latest Activity

  1. Example of weekly summary LTC

    When addressing medications in my weekly summaries I will usually state "no adverse reactions to current medication regimen noted" if this is true, I always speak on use of PRN medications especially if they are behavior modifying medications as well...
  2. Patient Picking At Clothing/Bed Linens

    I've only worked with a few residents who were actively dying but all of them had the "picking" symptom, they would pick at things on their clothing, their skin, even my skin when I held their hands and whatnot. It wasn't always immediate to their...
  3. When is it too late to intiate CPR?

    In a facility I worked in about a year ago two decent nurses were terminated and reported to the BON for this exact situation. I've been in ltc as a CNA and now LPN about 4 years and each facility's policy has been to initiate CPR if they are a full ...
  4. No BP taken before BP meds??

    Thanks for all the replies, I'm happy to hear this is the way it's done at most facilities and it does make sense to me now.
  5. No BP taken before BP meds??

    At my facility the process is to take a resident's BP prior to administration of their anti-hypertensives x 7 days when they're first admitted. If the 7 days show they have normal or high BP ranges then it goes to a weekly BP check and the nurses a...
  6. Would you do this?

    That definitely changes things...in this case I most likely would have done the same thing.
  7. Would you do this?

    Definitely wouldn't have written that order, even though I would've been 99% sure that the route on the Tylenol only not being changed was an oversight, I wouldn't want to risk my license over the 1% chance that there was a reason for it. In the nurs...
  8. Only Charting "The Good Vitals"?

    This is one of my BIGGEST pet peeves. Please do not give me an insane set of vitals if you haven't rechecked them MANUALLY. One of my CNAs told me the automatic BP cuff showed HR 206 and she rechecked it 3 times (all with the same cuff). When I asked...
  9. Only Charting "The Good Vitals"?

    Some days it's a miracle to even get vitals in a timely fashion and sometimes you have to wonder if they're not made up when you see the condition the patient is in. I would educate the CNA on the importance of reporting ALL vitals even if they impro...
  10. Funny things our patients say

    The elderly residents in the LTC facility where I work keep me laughing on a daily basis, one of my residents who is very confused, HOH, and loves men is known to see a male walking by in the hallway and yell out rather loudly "come here you sexy man...
  11. Mom Needs a Pain Pill

    Wow, Ashley, your message provided invaluable measures for which I can provide care, children and the older adult are very much alike in the instance of pain and I had not considered that they may be expressing pain to their family member instead of ...
  12. Mom Needs a Pain Pill

    How do you guys handle it when your resident has a very pushy family member that insists on treatments and interventions that do not seem necessary? For instance, family member insists that resident needs a pain pill or "nerve" pill immediately and w...
  13. LPN: Med Cart to Admissions Nurse

    Thanks for your replies, very helpful. Up until last night I'd never done an admission start to finish because usually the admissions nurse would come in and take over at 3. It is a long process and lots of little things to remember but definitely se...
  14. LPN: Med Cart to Admissions Nurse

    Hi all, I'm presently an LPN in LTC and have been for about 5 months (spent a year in mental health). I was recently given the opportunity to become admissions nurse for my facility which I took because the M-F 3-11 schedule is perfect for my school...
  15. Daytona State ADN Class 2013!!!!!

    I received my AA this past summer as well, only been an LPN about 10 months, congrats on your degree and your acceptance :-). Yes our orientation is the 2nd as well, 9am-12noon.