Content That mc3 Likes

Content That mc3 Likes

mc3, LPN 11,623 Views

Joined Jun 20, '05 - from 'AZ'. She has '12' year(s) of experience and specializes in 'various'. Posts: 976 (51% Liked) Likes: 1,598

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  • Jul 7

    Welcome!

    I completed a private LVN program in southern California (Van Nuys) before earning my ASN and BSN degrees. In my estimation, the LVN program was the most challenging of the three educational programs I've listed.

  • Jul 1

    I feel lucky to work in a facility that I would recommend any of my family members go too. The standards are different for the rehabilitation hospital I work in then some of the hospitals I have been in. Even though we have plenty of nursing job openings, our short-staffed situation is not anything like what acute care setting hospitals are facing. The patients we deal with are much more sick then 8 years ago, it can get overwhelming as a nurse. My colleagues are wonderful at working together and helping each other out. I believe it helps being their for others too. Their are downfalls about working for a company that is for profit, the pay! Making more money and working in an overstressed situation isn't worth it. Many of the patients I have worked with have commented on how the people I work with work so well together. Happy to be a rehabilitation nurse.

  • Jul 1

    I know everybody's on break right now, but I'm too excited to not share! After 5 years, I finally landed a job school nursing again!

    (brief background: I was a school nurse in San Antonio 2008 - 2011 but left when the hubs got orders to Germany. I've spent most of the last five years working for the government and now live in Georgia (thanks Army))

    I found so much support in this group back when, and am looking foward to to being back with yall!

    Happy summer! See ya real soon!

  • Jun 30

    So, granddaughter #2 turns out to have some fairly significant food allergies. Daughter goes to purchase prescribed EpiPens. Four of them. You must have 2 in order to give a second dose if EMS is slow to arrive. A daycare situation requires 2 more EpiPens.

    Walmart Pharmacy calls to inform daughter that the charge for 4 pens is $1200. Daughter says "oh no, I have Aetna insurance." Pharmacy says "that figure includes Aetna's payment of (drumrolll, please) of $2.62." A discount card found on the internet takes another $200 off. Daughter is left to pay $1,000 for a drug she hopes she will never need and which expires in 10-12 months. One of my OR sources quotes the amount of epinephrine in 1 pen as having the base cost of $.03.

    Turns out that the maker of EpiPen has a virtual corner on the market on adrenaline pens. Every year, they increase the price because, well, because they can. They have also been accused of artificially decreasing the expiration date in order to require an annual purchase. Making money hand over fist on the backs of sick babies and adults.

    There is so much wrong with our healthcare delivery system.

  • Jun 29

    Quote from canigraduate

    Talking to dead Elvis counts as an odd interaction, yes?

    Some of the creepiest things I've seen is during the slow decline of elderly people when they're talking to their dead parents. Especially when they're looking at YOU.

    You can almost hear the ghosts talking back.
    I've been in some very crowded rooms as someone was dying.

    Just because I couldn't see them didn't mean they weren't there.

  • Jun 27

    If I am really busy, I chart on a paper log then catch up online later. Otherwise, I try to chart visits in real time.

  • Jun 26

    Aerosmith - Back in the Saddle - YouTube

    IXCHEL IN DA HOWWWWSSSSEEE!!!!

    Okay, not entirely since my back still sucks, but still... I've gotten my lazy brain wrapped around hosting this shindig for a good go-'round. How are you all this week?

    It's been a weird few weeks. Well, to be fair, it's been a weird few months, but for the purposes of the here and now, WEEKS. Brexit googling, Scotland succession, and the Donald re-establishing that Americans can still win the "who can look more ridiculous" contest. The best episode of anything ever in existence came on HBO last Sunday at 9 pm, and the memes that resulted were actually disappointing. (Except for one of a pile of dog poo alluding to a character returning in season 7.) I got a mosquito bite on the bottom of my foot. (Might be the worst spot ever.) What have I learned???

    Well...

    Boy Child got Rocky Mountain Spotted Fever (RMSF).
    A pediatric hospitalist made me realize that if I ever travel outside my geographic area and provide care to patients, I should learn the epidemiological trends of that area.

    Never, EVER ignore petechiae on the feet. It is relevant to the differential, especially on a child.

    RMSF is reportable to the CDC, and from 2000-2010, there were 2,000 total cases reported per year.

    The typical presentation of RMSF is fever, then rash, with a recent tick bite (1-2 weeks prior). The rash will be flat, pink spots, and sometimes blanchable. It will begin in limbs and move toward the trunk. Later in rash development, petechiae will appear on the hands, feet and ankles. If the petechial rash develops, it's typically several days (up to a week) after fever onset.

    RMSF attacks vital organs, including the heart and brain. Boy Child's first BAM! symptom was syncope. I did't see the petechiae on his feet until we were at the hospital. There, we also noted sinus tachycardia and alterations in mental status.

    Unfortunately, not everyone gets the rash.

    In the 1940s, around 28% of those who contracted RMSF died. In the 2010 data, 0.5%. (Doxy is a helluva drug!)

    In other news...

    Post op after spinal fusion requires more patience and endurance than I think I have.

    I don't know how to make my pool water clear.

    The sun burns shock off a small pool way too quickly.

    I miss work, but I don't know if I'm actually recovered enough to go back.

    Littlefinger is still a creepy *****.

    If AN ever decides to censor ***, ******, *****, or *****, I will be a sad, sad ixchel.


    I added the link at the bottom of this days ago and can't remember what it is. We'll be learning this together.

    Zachary Quinto performs George Michael's "Freedom! '90" (with Cindy Crawford) | Lip Sync Battle - YouTube

  • Jun 26

    I posted this request last night:

    Okay, I'm going to put my moderator hat on...

    The original poster is asking if anyone has successfully challenged the board to become an LVN in California. Let's tone down the back and forth rhetoric about why nursing school is superior to challenging the board. We're beating a dead horse, and it is not as if the commentariat is going to magically change peoples' views.

    Thanks in advance, Peeps.
    Apparently, the request has been ignored. This thread has devolved into a back-and-forth game of one-upmanship and has outlived its utility. The dead horse is not only beaten, but it is also decaying.

    Thread is now closed.

  • Jun 26

    Okay, I'm going to put my moderator hat on...

    The original poster is asking if anyone has successfully challenged the board to become an LVN in California. Let's tone down the back and forth rhetoric about why nursing school is superior to challenging the board. We're beating a dead horse, and it is not as if the commentariat is going to magically change peoples' views.

    Thanks in advance, Peeps.

  • Jun 26

    Quote from mc3
    I really want to get a handle on the # of visits a student makes, and the reason.
    Could you just make it a simple spreadsheet on Excel? You could log visits by making a daily log, then if you wanted to see how many times a student came in during a specific time period you could just "ctrl F" search for that name throughout the spreadsheet and count it up.

    If you (or someone you know) knows a little more than basic Excel you can even format the spreadsheet to be sort-able by patient name, visit reason, date, etc... all at the click of a key.

  • Jun 24

    Quote from TheCommuter
    The California BVNPT allows CNAs with 54 months of a specified experiential background to challenge the board to become an LVN. Therefore, one does not need to graduate from an approved program to become an LVN in California. I wrote about the process several years ago:

    http://allnurses.com/california-nurs...ds-763569.html
    That's actually really scary.

  • Jun 24

    A second nurse is a home run.
    Many of us have waaaay more students than 1000. You will be fine. Remember, these are not ill "patients" but primarily healthy students.

    Your years of experience will serve you well.

    Welcome! This forum is CHOCK FULL of info. Because of our more solitary nature of job, we are very close here, support each other, stick up for each other, and laugh together.
    I wouldn't trade these men and women for anyone else here. They have ranked up with some of my best co-workers in words of wisdom.
    No question is lame or dumb.

  • Jun 23

    When does a student become a frequent flyer? When they walk into my clinic, and before I can open my mouth, say the following all in one big breath:

    "I have a headache and a stomach ache and I feel dizzy. I cannot cannot concentrate in class so my teacher sent me down. No, I did not feel this way until I got to school (Hence parents unaware). Yes, I ate breakfast this morning. Cereal and a banana. Yes, I have been drinking PLENTY of water. No, I have not had any diarrhea. No, I have not puked yet.....BUT I threw up a little in my mouth. (Oh and btw) My Mom and Dad are at work but you can call my big brother to come and pick me up!"

  • Jun 23

    I'd get out. You can't change toxic workplaces by staying and playing nice.

  • Jun 22

    Quote from Blue_Moon
    I see between 30-40 kids a day and I only refer to a dr/np maybe 2-3 a week. We can provide transportation to one of our health based centers if needed but with 2 urgent cares closer many just opt to go there. I understand what you're saying but it's already been researched and done the best way that will work for school districts.
    THIS. As a school nurse, I can tell you most of what I see in my office does not need to be handled by a NP. I see anywhere from 30-60 kids a day,a good chunk need a check-in/reassurance/water/feminine supplies/scheduled med.

    I think every school should have a school nurse to assess (which we don't have), but not every school needs a NP. Nurses are used as triage in many areas of health care, including schools. It works well. Not to mention the cost. School nurses are generally not paid well, usually much less than many other areas of nursing. I don't think my district could afford to pay a NP full-time.


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