downsouthlaff LPN

downsouthlaff has 9 years experience as a LPN and specializes in Nursing Home.

Latest Activity

1. 2024 CMS mandates. How will southern rural LTC facilities ever survive?

   downsouthlaff posted a topic in LPN/LVN

   Im sure by now most nurses in LTC have heard the new CMS mandates set forth by the biden administration. Setting forth new minimal federal staffing requirements for all nursing homes. These proposed mandates wipe LPN/LVNs from providing meaningful co...

2. LTC RN Supervisor

   downsouthlaff replied to nursingstudentwannabe's topic in Geriatric

   Not a problem at all! You sound like the kind of nurse who would take the input and do well. But yes indeed. LPNs are usually the direct care staff nurses in LTC. Doing the assessments, notifying the physician, charging over the CNAs. Long term care ...

3. LTC RN Supervisor

   downsouthlaff replied to nursingstudentwannabe's topic in Geriatric

   Experienced LPN here in the LTC realm. Yes this is typically how LTC facilities are staffed. CMS only requires an RN be present eight hours a day seven days a week. A weekend RN supervisor covers this requirement on the weekends. You have one of two ...

4. Nurses notes on lab results ?

   downsouthlaff posted a topic in Geriatric

   I am an LTC nurse. I’ve practiced as an LPN in LTC my whole 8 year career as a licensed nurse. I recently started at another facility with young floor nurses, a young ADON, and we share a different opinion on documenting results of labs. Most of the ...

5. Nursing Home NA nightmare

   downsouthlaff replied to PunkinNoir's topic in LPN/LVN

   Sorry your going through it. Sad reality is that short staffing in healthcare has caused many employers to trend toward a much more lenient approach. These are not guranteed methods but I’ll give you a few approaches. Be open minded. Be polite t...

6. It’s time for the internet and the NCLEX to do better when describing LPNs

   downsouthlaff posted a topic in LPN/LVN

   Do a career search on the internet regarding what a Licensed Practical Nurse does. You’ll find something along the lines of Then on the flip side pull information from any NCLEX RN review material it will say that that the LPN can't teach, as...

7. The real difference between LPNs and RNs. Not what you think.

   downsouthlaff posted a topic in LPN/LVN

   You once considered a career a nursing. You browsed the web, looking for different types of nursing education. And then comes the big question, what is the difference between an RN and LPN. On some job information website you Probly come across a job...

8. New DON

   downsouthlaff replied to bbrown74's topic in Geriatric

   Hi, let me just start off by saying welcome to LTC. Although I am an LPN and have never been a DON, I have been working in LTC for 11 years. I’ve been an Asst. in the Activity Department, a CNA, then a floor nurse (LPN), an MDS coordinator, and a Ass...

9. How to deal with workplace Drama/Gossip?

   downsouthlaff replied to Convoy2022_TrumpSupporter's topic in General Nursing

   I’m a Work in an LTC facility and you don’t imagine the drama between staff members even in this kind of setting. People are just so entertained by other people’s lives and nothing is gonna change that. When I was a newbie fresh out of LPN school I t...

10. New grad, 52 residents, anxiety through the roof

    downsouthlaff replied to BobbyDigitalis's topic in LPN/LVN

    OK first breathe ! This is what you need to do and what helped me tremendously as a new nurse in LTC. One, realize that LTC is very hard. Until you have the advantage of knowing the routine to a T. And it’s still challenging. Next make a check list o...

11. NCLEX LPN

    downsouthlaff replied to Folashade's topic in LPN/LVN

    Congratulations and welcome to nursing. NCLEX PN is a nerve wracking test. It really makes you put your critical thinking cap on. The PVT used to be spot on, now we know it’s lost some credibility

12. Active RN license working as an LPN

    downsouthlaff replied to Anon143's topic in General Nursing

    You’ve have my complete aggreance! LPN and RN practice isn’t the same. I agree that we had beat this one to death but I want you to know that completely agree with you on that. Law is law Even if facilities hire them for staff nurse positions interch...

13. Weekend Staffing

    downsouthlaff replied to teacher91's topic in Geriatric

    The best for our facility when we had this problem was 12 hour rotations. It worked well for our nursing home. 6a-6p and 6p-6a nurses rotate between working a M,T,F,S,Sone week and then only working Weds, thurs the next giving them every other Fri sa...

14. Do Dept head meetings violate patient privacy ?

    downsouthlaff replied to downsouthlaff's topic in Geriatric

    I agree entirely. One of my pet peeves as a CNA for a couple years also. We were told that they can only know the type of precautions pertinent to the disease, but not the disease itself. I also think they should have a right to know, especially befo...

15. Active RN license working as an LPN

    downsouthlaff replied to Anon143's topic in General Nursing